Patient's question:
Over the past two or three weeks, I've noticed that my semen has turned into a soy sauce-like color. The front part of the ejaculation is white, while the back part is soy sauce-colored. What could be the problem? Is it serious? What should I pay attention to on a daily basis? How does this condition occur? What diseases could cause it?Doctor's answer:
Hello, based on your description, it is likely that you have hematospermia. Normal semen appears grayish-white and becomes translucent milky white after spontaneous liquefaction. Those who have not ejaculated for a long time may have slightly yellowish semen. Hematospermia is characterized by semen appearing bright red, pale red, dark red, or soy sauce-colored, containing a large number of red blood cells. The occurrence of hematospermia is often due to bacterial infection, but it can also be caused by frequent sexual activity or prolonged abstinence, where sexual tension is not released, leading to organ congestion.Clinical manifestations: Seminal vesiculitis is primarily characterized by hematospermia during sexual activity, accompanied by reduced libido, premature ejaculation, mild perineal pain or a sense of fullness, painful ejaculation, frequent urination, and dysuria. Prostatitis is also accompanied by a burning sensation during urination, urinary urgency, incomplete urination after urination, or the presence of milky sticky fluid at the urethral opening after urination, non-localized pain, and even sexual dysfunction such as premature ejaculation, nocturnal emissions, or weak erection.
It is recommended that you abstain from sexual activity for 5-7 days and then visit the hospital for routine tests of semen and prostatic fluid to identify the specific cause. After confirming the cause, active treatment should be taken accordingly. Wishing you good health! 21