Sperm that has a cottage cheese-like appearance may be experiencing a condition called sperm granuloma, which is a small, noncancerous lump that can form in the vas deferens, the tube that carries sperm from the testicles to the urethra. Sperm granuloma is typically caused by a blockage in the vas deferens, which can cause the sperm to become congested and form a lump.

Sperm granuloma is relatively rare and is most commonly seen in men who have undergone a vasectomy, a surgical procedure that involves cutting and sealing the vas deferens in order to prevent pregnancy. Sperm granuloma can also occur in men who have had other types of surgery on the vas deferens, such as a vasectomy reversal, or in men who have a congenital abnormality of the vas deferens.

Symptoms of sperm granuloma may include a lump in the scrotum, pain or discomfort in the scrotum, and abnormal discharge from the penis. Sperm granuloma is typically diagnosed through a physical examination and may be confirmed with imaging tests such as ultrasound or MRI.

Sperm granuloma is typically treated with medications that can help to reduce inflammation and swelling, as well as hot compresses or warm baths to help alleviate discomfort. In some cases, surgery may be necessary to remove the granuloma.

In summary, sperm that has a cottage cheese-like appearance may be experiencing a condition called sperm granuloma, which is a small, noncancerous lump that can form in the vas deferens. Sperm granuloma is typically caused by a blockage in the vas deferens and is most commonly seen in men who have undergone a vasectomy. Sperm granuloma can be treated with medications and hot compresses or warm baths, and surgery