Sperm in Urine Sample

Has a doctor ever told you they saw sperm cells in your urine sample?

This hasn't happened to me personally but, curious if it has happened to anyone.

I don't think you will get much of a specific reply on this one.If you are requested to submit another urine specimen. More than likely they will use a blanket term such as "contaminated" or "compromised". Even the doctor will not typically know what happened beyond those words.

It happens about 5 times in 100, in my practice experience. I did not consider it "contamination" and usually wouldn't report it back to the patient to avoid embarrasing them. Can happen if the sample is taken soon after ejaculation (a couple hours) or if there is retrograde ejaculation.

It can also happen if you undergo the 3cup testing… Urin sample before and after expressing the prostate. They do the test to check for prostatitis. Had it twice since I have issues in thst department. First time the doctor was a bit rough and I ended up ejaculating just a little bit during the exam. It surprised and embarrassed me. My penis was soft/semi, bit it kept on spitting some clear/milky watery fluid: definitely not normal semen.

In another lifetime almost I went to the local health department to be tested for a possible std. I advised the nurse there might be semen in my urine sample, but she wasn't concerned in the least.

Working in an ED, yes, I have seen many urinalysis results with microscopic semen noted in their urinalysis results. Typically when I see that I joke among my co-workers, "wonder what he was doing before he came in to the ED." Of course, there is no reason to discuss this with the patient as this is a commonality and not an abnormal finding. The first, and sometimes second urination after ejaculation is going to have some residual semen in the urinary tract.

This can happen if you ejaculated and haven't urinated before producing the urine sample. Another possible explanation is retrograde ejaculation where the semen is released into the bladder instead of through the penis. In that case your entire ejaculate would end up expelled in your urine.