50 Shades of Semen: What Does The Color of Your Ejaculate Say About Your Health?

Thanks for tuning in to the Armor Men’s Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.

In this segment, Dr. Mistry and Donna Lee answer a listener question about semen. Our listener asks, "Upon discharge, I noticed my semen color is greenish gray for the last 10 months, approximately. Do I need to be worried? My last blood work showed up that all is well with my blood. Not eating anything different from before, and then this started happening." This is a great question, and one Dr. Mistry hears often from his patients. While many people assume that semen is the main component of ejaculate, it is actually composed of material from the prostate gland. Ejaculate stored in the seminal vesicles exits through the urethra, and in the course of this journey out of the body, color change can occur for a variety of reasons. Most often, discolored ejaculate is a sign of prostate infection. It is very rarely associated with fertility. Red ejaculate is generally from blood in the sperm, also called hematospermia, and this is usually caused by prostate infection. If you ejaculate and your sperm is red, then don't ejaculate again for a while, it may be a darker red or brown at that time. Any discolored ejaculate must be discharged before normalcy can return. A greenish discharge may be associated with venereal infections like chlamydia or gonorrhea, but not in every case. In addition, smelly ejaculate can signify an infection, and should be evaluated by a urologist. Usually a semen culture can help identify the cause. In other situations, placing a tiny camera in the bladder to rule out other causes of infection may be necessary. If the ejaculate is highly suspicious, a PSA and an MRI of the pelvis and seminal vesicles is usually helpful in ruling out serious illness. If you or someone you love is concerned about the appearance or quality of their ejaculate, please give us a call today!

This episode previously aired on 11.6.21. Don’t forget to like, subscribe, and share us with a friend! As always, be well!

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Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

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