OpenHealth Q&A

It's understandable to be concerned about changes in semen color, especially when they persist without clear explanations. The varied colors you're experiencing—yellow, orange, red, or brown—can be influenced by several factors, including diet, hydration, or potential underlying health conditions.

Explanation:

1. Yellow or Orange Semen: This may sometimes be due to the presence of certain vitamins (like B vitamins) or dietary elements. Dehydration can also concentrate semen, giving it a darker appearance.
2. Red or Brown Semen: These colors could indicate the presence of blood, which might suggest a condition like inflammation (possibly in the prostate, seminal vesicles, or urethra) or injury. It can also signal a more serious issue that warrants further investigation, particularly since this has been ongoing for two years.

Next Steps:

1. Document Changes: Keep a symptom diary noting the colors, frequency, and any potential triggers (like diet or activity) to identify patterns.
2. Hydration: Ensure you are drinking enough water daily, as dehydration can affect bodily fluids.
3. Diet Evaluation: Consider reviewing your diet—high consumption of certain foods or supplements can alter semen color.
4. Prostate Health Monitoring: Since you've been suggested a prostate infection, you might consider regular monitoring of your prostate health, including discussing a potential ultrasound or other imaging studies with a healthcare provider to investigate the issue more thoroughly.
5. Seek a Second Opinion: If your current healthcare providers aren't offering clarity, it may be helpful to seek a second opinion from a urologist who specializes in male reproductive health for further investigation.

Your situation is understandably distressing, and seeking clarity is important for your well-being. If you notice any new symptoms such as pain, discomfort, or changes in urination, prioritize reaching out to a healthcare professional right away.