What Does Presence Of Black Discharge In Semen Indicate?

Posted on Wed, 20 Jul 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 20 Jul 2016 Answered on

Tue, 6 Sep 2016 Last reviewed on

Question :
Hi I see there is a black thread kind of stuff coming with my sperm for the past one month. On surfing in the internet I see its an thread kind of fluid from prostate gland. I am worried is it an problem and it should be treated or not. Can you please advise on this?

Answered by Dr. Dr. P. T. Patil (30 minutes later)

Brief Answer:
It is likely to be a blood clot (Hemospermia).

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have noticed black thread like stuff being discharged with semen during ejaculation .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Are you married ?
2) Do you have Hematuria (Blood in urine)?
3) Do you have painful ejaculation ?

The blood clot that is ejaculated with semen is mostly from the superficial vein on the surface of prostate which bleeds and get sealed off immediately .

Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to establish diagnosis .
1) Semen examination and culture
2) Ultrasound Scanning of abdomen and pelvis
3) Endoscopic examination of bladder and prostate (Cystoscopy).

In the mean while start taking Doxicycline and Diclofenac twice daily .

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (6 hours later)

Hello doctoer.

Thanks for the response.
I am not married.
I have never seend blood and i dont have pain also.
Is this a common problem and is it a curable one ?

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
It is curable .

Detailed Answer:
Hello
Thanks for follow up .

The problem that you have is not serious at all however needs to trace out the source of bleeding .

You can take antibiotics like Doxicycline twice daily for 2 weeks and observe for any improvement and take a call to consult Urologist and to do investigations depending upon the situation at that particular time.

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar