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When it comes to your urological health, this can be a very sensitive topic for not only men but also females. Women are more likely to go to clinics to determine if there are any gynecological concerns whereas men typically will try to tough out symptoms and hope they go away. In some cases, this is possible, but it is a not a habit that you should get accustomed to. 

One aspect that can be concerning for male patients would be noticing discolorations in their sperm. Patients may comment with something along the lines of saying they have black specks in their semen but what does this signify? 

Although I don't claim to be a urologist by any means, I'll take a crack at what could be the root of your problem. Generally speaking, black specks in anything, whether that be stools, vomit or semen signifies that there could be bleeding somewhere along the tract. When you notice black particles in your semen, the likely source of the bleeding would be from your prostate. 

There are a few different causes of this inflammation to your prostate that could be concerning. You could be suffering from a bacterial infection in your prostate, somewhere along the seminal vesicles, or even in the ejaculatory duct. 

Another potential cause could, in theory, be from your kidneys. In most cases, if you are suffering from a kidney stone, you will notice a large amount of red blood and a significant amount of lower back pain. In the event you have a small stone, there may be a small bleed that could oxidize before you urinate and lead to dark specks in your urine or semen. 

Should you be unlucky enough to be suffering from this condition, my advise to you is to be proactive and seek help from a specialist. A urologist will be able to quickly get to the root of what is a true cause of these black particles and be able to prescribe you appropriate therapy. In reality, you will probably be asked to provide a semen sample that will be tested for blood using a simple diagnostic test and the doctor will then ask permission to use a cystoscope to visual your bladder to rule out obvious bleeds from the bladder. 

You can be more confident in thinking you have some type of prostate infection if you have recently suffered from an infection, specifically with a high fever and a sore throat. You may notice pain with urination but there is no guarantee that you will indeed feel these symptoms so don't self-rule it out before having a doctor examine you. 

In the event you are ultimately diagnosed with this prostatitis infection, you will be able to find relief after taking antibiotic medication in most cases. If doctors determine that you have chronic prostate infections, you may require hospitalization to use an IV bag to provide stronger antibiotics. If you don't get this taken care of, you risk having prostate abscesses form that is not only extremely painful but also able to lead to sepsis if left unchecked. [1] 

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