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Pain While Urinating, Semen In Urine. What Is Wrong?

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Posted on Sun, 16 Sep 2012
Twitter Sun, 16 Sep 2012 Answered on
Twitter Thu, 4 Oct 2012 Last reviewed on
Question : hello. i had pain while urinating and looked down to find a decent amount of semen in my urine. Whats wrong with me? I am 99% sure it was semen.
doctor
Answered by Dr. Sudhir (1 hour later)
Hello,

Thanks for the question.

Sphincter mechanism at bladder neck and in urethra normally manages to keep semen and urine separate.

One of the important cause of semen mixing with urine is retrograde ejaculation, that is instead of ejaculating outside through urethra the semen goes back into urinary bladder as urinary bladder sphincter is unable to close during ejaculation. After that when you urinate both urine and semen comes out.

Ideal next step would be to see a urologist for this.If the problem persists then this can be cause of infertility.

Please ask if there are doubts.Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir (12 hours later)
I tried anal stimulation the day before, do you think that could have caused the problem with my sphincter?
doctor
Answered by Dr. Sudhir (27 minutes later)
Actually that should not cause this.I think you can wait for this to repeat and if it happens again then you will have to see your doctor.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir (35 minutes later)
Okay thank you for the information. I hope it doesn't happen again to me.
doctor
Answered by Dr. Sudhir (7 minutes later)
You are welcome.Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Pain While Urinating, Semen In Urine. What Is Wrong?

Hello,

Thanks for the question.

Sphincter mechanism at bladder neck and in urethra normally manages to keep semen and urine separate.

One of the important cause of semen mixing with urine is retrograde ejaculation, that is instead of ejaculating outside through urethra the semen goes back into urinary bladder as urinary bladder sphincter is unable to close during ejaculation. After that when you urinate both urine and semen comes out.

Ideal next step would be to see a urologist for this.If the problem persists then this can be cause of infertility.

Please ask if there are doubts.Regards.