What is the problem if the semen is coffee-colored?

Patient's question:

Semen is a light coffee color, discovered 15 days ago. What questions should I ask the expert?

Doctor's answer:

Hello, the presence of blood in semen is known as hematospermia. It is usually pink, red, brownish-red, or streaked with blood. Depending on the nature of the lesion and the amount of blood present, it can manifest as gross hematospermia, blood clots, or microscopic hematospermia.
Causes: Inflammation of the seminal vesicles and prostate, tuberculosis, filariasis, stones, and injuries can lead to hematospermia, with seminal vesiculitis being the most common cause. Certain tumors, such as seminal vesicle or prostate cancer, papillary tumor of the verumontanum, and benign prostatic hyperplasia, can also cause hematospermia. Varicocele and some hematologic disorders may also result in hematospermia.
It is recommended that you actively seek medical attention to thoroughly investigate the cause and receive targeted treatment.

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