Seman discolored

Hello, Today is tuesday and on friday of last week I felt a sharp pain as I pulled something in my lower left part of my stomach. That whole day I felt as I was in pain that continue onto saturday.Saturday night I drink heavily at a party Sunday the problem started to go away but when I ejaculated brown and white seman came out. I look online and I know this might be a common problem so I thought nothing of it. I dont know if the alchol could have affect or not. Today is tuesday and the pain is gone by when I ejaculated it was more yellow with no white. I cant see a doctor  until the 9/15/09. I don't have insurance so it going to be $300.00. Will this problem clear itself up by then? I also have a sore throat today is that connected? Is there anything I can take or do in the meanwhile. I'm 23 years old and haven't had sex two weeks prior to this happening

[Stephen Liroff, MD]

One can get blood in their semen. Usually this is obviously bloody. Old blood, however, can have an increasingly dark to rusty color. The cause of what is known as “hemospermia” or “hematospermia” is not clear, but this is usually self-limited (clears up on it’s own) and is of no significance.
In your case, I wonder if you had had a previous episode of hemospermia without realizing it and now you have seen some of the old blood ejaculated. Pain is usually not a feature of this problem and probably was unrelated to the semen.
The workup for hemospermia usually consists of a good urologic physical exam and urinalysis. If nothing is found to be abnormal, nothing more needs to done. If you were experiencing a lot of uregency and frequency of urination, I might consider a sperm culture to look for an infection in your case As far as the pain is concerned, if that recurs it will need further evaluation.
S.A.Liroff, M.D.