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Sperm with brown blood: causes, symptoms and treatment

by Alivia Nyhan
Published: Last Updated on

The brown coloration in the sperm is due to blood and is known as hematospermia or hemospermia. In some cases, it is a situation that, for the man, and even for the couple, generates nervousness to understand what is happening in his body and why the color of the semen changed.

Fortunately, it is a mild symptom that passes quickly since, depending on the cause, it can be treated promptly. Sperm with brown blood is visualized by the patient himself after ejaculation or can be discovered by requesting a complimentary test.

For this reason, we invite you to continue reading this article by FastlyHeal, where you will learn more about sperm with brown blood: the causes that give rise to its appearance, symptoms, and how to treat it.

Sperm with brown blood from infection

The appearance of blood in the sperm depends on the alterations in the organs that make up the male genitourinary system. Among the causes of bloody brown sperm are infectious processes.

The infectious diseases affect the genitourinary system and can trigger the appearance of brown sperm. The most common are:


It is the inflammation of the prostate. It may or may not be due to a bacterial infection, triggering several symptoms, including brown bloody sperm and pain during ejaculation.


The appearance of an infectious process in the urethra generates inflammation. This alteration occurs during active sexual life. The bacteria capable of triggering this alteration are E Coli, Chlamydia, and Gonorrhea. Among the symptoms that this alteration generates is blood in the sperm or the urine.

If you want to know more about urethritis, you can consult the article Urethritis: causes, symptoms, and treatment.


It is the inflammation of one or both testicles. This can be produced by an infectious process of bacterial origin, where sexually transmitted diseases are possibly involved. When it is of viral origin, they are related to the mumps virus, better known as “mumps.” This virus affects the parotid or salivary glands located at the back of the jaw.

Orchitis, in this case, can be the product of a complication that is evident through symptoms such as testicular pain, increased volume in the testicles, or the presence of blood in both semen and urine.


It is an inflammation in the epididymis, a tube responsible for storing and transporting sperm. This is located at the back of the testicles. It should be noted that this alteration tends to occur at any age. It is caused by a bacterial infection that can be sexually transmitted, caused by gonorrhea or chlamydia.

More on epididymitis in the article Epididymitis: causes, symptoms, and treatment.

Other causes of bloody brown sperm

In addition to infectious processes, other causes can cause sperm with brown blood:

Prostate tumors

The presence of tumors in the prostate can cause:

  • Obstruction.
  • Decrease in the caliber of the urinary stream.
  • Increased frequency of urination.
  • Depending on the size of the tumor, blood may appear in the semen.

Tumor testicular

Tumors in this area can cause blood to appear in the sperm. Cancer creates a network of new and poorly formed capillaries, thus feeding the tumor cells present in this lesson.

Trauma to the testicles, penis, and perineal region

They can cause capillary rupture, and if ejaculation occurs, it can stain the blood sperm.


Performing surgical procedures in the abdominal or pelvic region can generate sperm with brown blood or blood in the urine. These procedures include vasectomy, prostatectomy, or studies such as cystoscopies.

Diagnosis of hemospermia

Hesperia confirms the presence of blood in the semen. To reach the diagnosis of Hemospermia or Hematospermia, a specialist in urology should be resorted: he will be in charge, through a physical examination, of reviewing the penis and prostate through a rectal exam, which will determine if there is a presence of increased volume or lump in the genital area.

If necessary, additional studies will be requested, such as:

  • Urine test.
  • Urine and semen culture to rule out infectious process.
  • Testicular or transrectal ultrasound.
  • Prostate antigen levels.
  • Prostate biopsy.

If an indicator of the cause that generates the alteration is not obtained, an MRIcomputed tomography of the pelvic area, or a cystoscopy should be used if necessary.

Symptoms of bloody brown sperm

In addition to the change in color of the sperm, in some cases, the presence of blood in the sperm is usually accompanied by other symptoms such as:

  • Fever and chills
  • Painful ejaculation
  • Blood in the urine.
  • Pain when urinating
  • Dolor perianal.
  • Pain in the groin.
  • Pain in the back

Treatment of blood in sperm

If you have blood in your sperm, the treatment will depend on the cause that produces it. The urologist is the specialist in the genitourinary system. He will only be in charge of indicating the treatment to follow, according to the cause that gives rise to the sperm with brown blood.

At a general level, treatment is based on antibiotics in cases where the origin is due to an infectious process.

If you have pain and inflammation, what is indicated will be analgesics and anti-inflammatories to control the symptoms.

If you find yourself in this situation, you should go to a specialist who will guide you correctly according to the cause that is giving rise to the sperm with brown blood and the other symptoms that may be accompanying this alteration. In this way, he will prescribe the correct treatment to follow to overcome this situation.

This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor if you present any condition or discomfort.

If you want to read more articles similar to Sperm with brown blood: causes, symptoms, and treatment, we recommend that you enter our category of Male reproductive system.

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