Brown Semen

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User

Posted 08 Oct 2025 at 03:37

I am 52 years old. I have had urgency and mild starting and stopping of urine for over a year now. My PSA has been steady at 1.3 for several years. I have had to CT scans that showed mild enlargement of prostate. Last year I had an episode of brown blood in semen. I went to urologist who said it was nothing to be concerned about. It cleared up until now which is almost a year later. This time it has been 4 times in a row. I do take Eliquis as a blood thinner for Afib. I am really scared. I have messaged my Urologist and haven't got a response yet. I have been trying not to worry so much, but this is taxing. I have researched intensely and one website says no big deal, the next will say you may have prostate cancer. I am here to learn from you. I appreciate any of your experiences that you could relay. The only test my doctor gave me last year was a urine test for blood and a external ultrasound of my bladder. I have many health problems that leads me to always thinking the worst. I am diabetic, have a history of high blood pressure which is well controlled with medication. I am just tired of being sick. My birthday is on August 31st and I tested positive for Covid this year for my birthday (great birthday gift). Two weeks later I had E-Coli from bad beef, then a Afib attack the following week, and now this. I am so tired of the unrelenting wave of issues. Thank you in advance for your reply. This is the first time I have reached out in a forum

User

Posted 08 Oct 2025 at 06:42

Hi Ed

Im sorry your having such a rough time and I know how anxiety can consume you when your worried about your health My Husband had an episode of pink tinged semen earlier this year, his urine test was fine but Dr ordered a semen culture as well which showed he had an ecoli infection in his semen. Your semen has a brown colour which would most likely signify old blood which may also be an ecoli infection as you say you recently had ecoli. Wishing you All the best .

User

Posted 08 Oct 2025 at 07:17

Thank you so much for your reply. I have been through the ringer the past month.

User

Posted 08 Oct 2025 at 07:37

Hi Ed,

I can't recall having seen anywhere that dark/blood in semen is a typical symptom of untreated PCa. We see it mentioned after a man has had a biopsy or surgery and very occasionally after RT. It can also happen to any man following very vigorous sex.or masturbation. I think it is more likey to be due to an infection, (some are very difficult to eradicate), A culture test would seem to be a good idea.

Sorry you have been beset by medical problems. No doubt you will continue to have regular PSA tests as men tend to be more proactive in the US and as you will be aware, the incidence of PCa increases with age.

Barry

User

Posted 09 Oct 2025 at 02:01

Thank you so much for responding Barry. I contacted my urologist today and they can't get me in until the 4th of December. We have a health clinic in the plant where I am the facilities manager. I stopped by there this afternoon and the nurse practioner wanted to do a urine dip test. The results showed no blood in my urine, but did show a moderately high Leukocyte positive and no nitrites. She had me to message my urologist and ask if they still thought it was okay to wait until December for my appointment. So I guess it is hurry up and wait as usual.

User

Posted 09 Oct 2025 at 07:07

Hi Ed

It can be many things from infection, localised injury to PCa. My first symptoms were brown/blood in semen July 2015 to January 2016 and doctors weren’t concerned at all but I kept on the case.

Keep an eye on PSA numbers over time. A trend upwards (velocity) can be a tell tale sign. mpMRI are useful as gives a further level of visibility. The gold standard is fusion (MRI +ultrasound) guided biopsy. All have strengths and weaknesses but give increasing levels of what’s going on.

If you are near UCLH (London) or have private the team there have excellent scanners and radiologists. Try and connect with a consultant with a proven track record and well published. Like all skill sets there are average folk all the way through to rock stars in their field.

Best of luck and try not to stress too much at this stage but keep the pressure on for and accurate and evidence based diagnosis.

Edited by member 09 Oct 2025 at 07:09 | Reason: Not specified

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