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Diagnosed with cancer / blood in semen

User
Posted 14 Oct 2020 at 20:19

Hello everyone,

I know this subject has been discussed before, but I've never seen a conclusion to someone who reported this symptom.

For the past ten years I have had blood in my semen, not just now and then but every time.  Firstly just some brown blobs in what you could otherwise describe as normal semen, but increasingly more brown (blood) and thinner/watery semen, and increasingly very small pinhead sized pieces of tissue.  Every visit to my GP was met with the same reaction, and that is that this was nothing to be concerned about.  After 5 years of this I finally asked to see a different Dr, and she advised a PSA test.  My PSA was then 2.7 and I was referred to a urology dept at our local hospital.  A prostate scan showed a "grossly enlarged prostate" and some "areas of concern" and a biopsy was conducted.  The result came back as "inconclusive" so another biopsy was done, but again came back as inconclusive.  Now 5 years later a third biopsy was done, and again the result was inconclusive,  My PSA was now 5.7  I was then referred to a specialist cancer hospital for a transperineal biopsy.  After another 1 year wait the biopsy was done.  The outcome?  Prostate cancer was found in 1 sample.  Gleeson score of 3+3.

With the medication I am now on, (tamsulosin and finasteride) I have no semen but I still ejaculate a small amount of brownish red blood.

Now what concerns me is that I know that I have cancer, I also know that tumors (even small ones) can seep blood, but I am still being told that this blood is nothing to be concerned about,  I have a small tumor that is bleeding and has been doing so for many years apparently, but the standard response from GPs the NHS and sites such as this one, is to be told not to worry about this symptom. 

I was lucky to find a GP who thought this justified a PSA test.  I wonder how many people with this symptom are just left undiagnosed until it is too late to do anything about it.     

Christoph

  

User
Posted 15 Oct 2020 at 07:22

Chris

 My quantity of ejaculated semen got less and it was not as thick,  probably from my late fifties. I do not recall having blood in the semen at any time before the start of having biopsies.  The quality and quantity reduction may just be a natural ageing process. 

A missed PSA at 59 was 6.9 and diagnosis at 62 was 7.7. I did start experiencing terminal dribbling from  around 50 that got progressively worse.

Thanks Chris

Edited by member 15 Oct 2020 at 07:23  | Reason: Not specified

User
Posted 15 Oct 2020 at 08:14

I started ejaculating blood (no semen) about a month ago after 16 months of dry orgasms, chemo, RT and hormones, it seems to be getting less now but the MDT/Onco put me straight onto urgent referral to urology for investigation. My hormones finish 21st of next month so not sure what's going to come out then!

 

User
Posted 15 Oct 2020 at 22:24

Christoph,

Do note that as you are on finasteride (and it would be the same for dutasteride), you need to double your PSA readings for the purpose of assessing risk. Do make sure your urologists know you are on finasteride (it may be in your notes, but that doesn't mean they've noticed).

User
Posted 15 Oct 2020 at 22:50
Even after a transperineal template biopsy, all they have found is one small core of G6 - it is highly unlikely that this has been the source of the blood for all these years, and there is no certainty that you even had that small cluster when you first started having problems. The blood is more likely to be unrelated to the cancer.

Blood in the semen is an indicator that there is a problem that needs exploring, but it isn't a common indicator of prostate cancer and the vast majority of men diagnosed with PCa have no symptoms at all, even with advanced cancer.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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