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Blood in semen after biopsy

User
Posted 25 Sep 2021 at 08:23

Mark, I would suggest asking this in a new thread (and deleting it here), as it's unrelated to this thread.

User
Posted 23 Feb 2019 at 12:22
This is completely normal as your prostate which produces semen has been perforated by numerous needles. The more you ejaculate, the quicker the old blood will be expelled.

It can take up to six weeks to go from strawberry back to vanilla. Enjoy!

Cheers, John.

User
Posted 24 Feb 2019 at 11:46

Blood in semen lasted 3 weeks for me after transrectal biopsy (was told it could last up to 6 weeks, maybe if you don't try flushing it out as often as I did). Consultant said not to hold back ejeculating (might have been a hint it's a good thing, not sure). I did wait a day fearing it might be painful, but it wasn't.

First few days, it's bright red and quite horrific if you haven't been warned. If you are having sex with a partner, it might perhaps be polite to wear a condom, although (according to consultant) the blood is not harmful to a partner.

Then it turned rust coloured as the blood becomes stale (no fresh blood and the existing blood turns to different iron oxidation states which is same as rusty iron - just like a blood stain does as it ages).
It gradually faded back to normal after 3 weeks.

After transperineal biopsy, I held back 2 days before trying for an erection, given loads of needles had been pushed though base of penis, but again consultant said no need to hold back, and there was no effect caused by the needles when I did. By this stage I was on HT which reduces semen anyway. First time there was no blood, but subsequent times there was stale blood, although not as much as for the transrectal biospy. Again, took 3 weeks to clear, and it was always totally pain free.

Edited by member 24 Feb 2019 at 15:41  | Reason: Not specified

User
Posted 23 Feb 2019 at 09:46

Hi there had a biopsy 10 days ago and decided to ejaculate after 5 days .was totally shocked at the amount  of blood that came out ,tryed again 2 days later same result. Can and give me a guide to how long this lasts for or does it go away with the more times you ejaculate .sorry for been so crued 

User
Posted 01 Sep 2020 at 08:34

EdwardSprin,

Don't worry. Sounds perfectly normal after a biopsy. It seemed like I was just ejaculating blood to begin with. Gradually changes colour over time. Think It was a good 2 weeks for me before it cleared up.

User
Posted 01 Sep 2020 at 09:39

If it looks like tomato ketchup, don't be surprised.

Yes, the leaflets they give you are way off. Mine said something like "there may be some blood in your semen for up to 6 weeks". Fortunately, I'd read forums beforehand, and knew what was possible.

I do one-to-one support of patients, and I've had 2 or 3 cases of men contacting me in sheer panic having ejaculated tomato ketchup just after a biopsy. The warnings beforehand (where they exist at all) are massively inadequate.

User
Posted 12 Mar 2022 at 10:49

Just want to say a huge "thanks" to everyone who has posted on the forum about this delicate subject 😂

It is true that NONE of the pre-biopsy stuff tells you what is likely to happen the first time you come after the procedure - and I thought I'd read everything (I only found this forum via a hurried Goggle search after the first horror show ejaculation. )

It's a huge relief that "you may have some blood in your semen after the biopsy" actually means "Your ejaculate will most likely look like Heinz Ketchup for 3 weeks then HP Sauce for another 3 weeks"

I think I will mention it to the Urology team - as they are going to be updating their advice sheet pretty soon, they tell me.

For those of a scientific bent - this is an excellent paper on the subject in a very reputable journal.

https://www.nature.com/articles/4500955

(The technical term is for blood in semen used throughout the paper is - hemospermia - but it's pretty comprehensible for a non-technical audience)

Again - many, many thanks for the candid reports and discussion here. 👍

Edited by member 12 Mar 2022 at 11:34  | Reason: Spelling

User
Posted 23 Feb 2019 at 20:17
Yes, nothing to worry about. I'm a few weeks ahead of you, having finished a course of radiation three weeks ago. I'm not suggesting you will need rt at all, many people don't! But one of the side effects was burning urination and painful ejaculation. I finally managed the latter this morning and was pleased that it wasn't as bad as I thought. By the way, you can ask what you like on this site and no one will think you are being crude. There are some very knowledgeable and helpful people out there. Have you got the biopsy results yet?
User
Posted 01 Sep 2020 at 07:50

I was told to expect some blood in semen. But the urologist didn’t say how much! Am 5 days post biopsy. Decided to try sex and was horrified by the amount of blood. It was like all of it was blood! Thinking the same as others, should try to expel as much as possible and ejaculated myself later in the afternoon. Again the whole thing was blood. 

My question is.. how much blood should i expect. When i used my open palm to hold all the liquid. It was all blood. Like a pool of blood in my cupped hand. I know advice is it is expected. But can anyone provide a guide as to how much blood to expect please. Thanks. 

User
Posted 11 Sep 2021 at 13:16

Depends how often you ejaculate.

Bright red suggests bleeding within last 3 days as the blood goes brown after about 3 days after bleeding, which in turn suggests you might still be bleeding.

There are some suggestions it's good to get it out. It took 3 weeks to go with daily ejaculation for me, but that was with no further bleeding after the biopsy.

User
Posted 12 Mar 2022 at 11:05

Yes I've found that there's a lot of stuff that happens to us blokes with all these procedures and treatments that isn't in the brochure!

HT giving you mental and emotional breakdowns.

If you don't do penile rehabilitation, your cock won't return to it's magnificence after coming off HT!

 

This forum can help prepare and aid men going thru all this.

Have a look at my blog...I've gone thru PSA test over a year ago...thru MRI, trus biopsy, bone scan, CT scan, PSMA PET scan, mixed HT, sorry, Chemical Castration, and just finished RT. Plus a litany of NHS failures and cock ups!

 

Always happy to chat with other sufferers...via my blog.

 

Cheers

Steve

Blog: prostatecancer.vivatek.co.uk

User
Posted 23 Feb 2019 at 12:34
Yep, completely normal. You should find that the colour changes from red to brown over time (ie it's dead blood rather than fresh blood) and it will gradually diminish. It'll probably take a month or so to completely disappear, though.

Absolutely nothing to worry about.

Chris

User
Posted 18 Jan 2021 at 21:32

I've had a couple of support line calls from guys who waited a couple of months before daring to ejaculate, and were horrified to find it was black. It's the iron from the hemoglobin which has broken down and literally gone rusty. Not anything to worry about, but it may be better to get it out than leave it in there.

I didn't manage to get it all out from my second biopsy - I was already on hormone therapy and no longer ejaculating much. When I had a full body MRI scan a few months later, there's a bright white dot showing in my prostate. I asked the radiologist if that was the cancer because I didn't think it showed up that clearly. He said no, it's iron oxide left from blood which the body failed to reabsorb, and because iron oxide is magnetic there was enough there to show up bright white on an MRI scan.

Edited by member 18 Jan 2021 at 21:33  | Reason: Not specified

User
Posted 11 Sep 2021 at 13:20

Mine got lighter as the weeks went by and had gone completely by 10 weeks. Though, unlike Andy62, I was not ejaculating daily

 

I am due to have a 30 core biopsy extraction on Thursday (16/09) so will experience the whole thing again

User
Posted 11 Sep 2021 at 13:31

Good luck with your next biopsy, I hope all will go well for you

User
Posted 15 Sep 2021 at 10:13

Most exercise is unlikely to be a problem. If you have a blood clotting disorder or you are taking blood thinners then more cautions is required. I think I would not do any cycling for quite a few days (perhaps a week, two if I were very cautious). Walking no big deal, Yoga: I wouldn't be doing the splits,  running maybe a few days, hurdling, high jump pole vault, maybe a bit longer. I can't imagine press-ups being a problem. 

 

Dave

User
Posted 19 Sep 2021 at 09:22

I have had 2 TP biopsies now (one on 04/06/21 and one on 16/09/21), with the first one being performed under a local anaesthetic and the second one under a general.

With regard to the first one, my urine was clear within 24 hours and my semen within about 10 weeks (though I did not ejaculate that often, hence the reason I think it took a while to clear). The paperwork I was given after my biopsy at Addenbrookes in Cambridge was that blood could be in the urine for up to a week and in the semen for up to 12 weeks. I did have a swelling around the area where the needles went in after about 4 days, and my testicles were a little tender too, but both cleared up a week or so after I first noticed the issue.

With regard to the second biopsy, I have detailed this on a post under my name but to save you searching this out will say this: I only had blood in my urine for a few hours after the procedure and 3 days after my semen is still blood red. I have, to date, had no pain or discomfort from the procedure.

Hopefully, others will come on and comment too, but if your testicles are still swollen after 10 days it might be worthwhile having a word with the doctor who undertook the biopsy to see what he thinks.

 

 

Edited by member 19 Sep 2021 at 09:29  | Reason: Not specified

User
Posted 05 Dec 2021 at 21:57

Originally Posted by: Online Community Member

just had my first transperianial mri fusion biopsy. one week ago. My perineum and balls are black and blue but no pain. blood comes at the start of each pee but then goes away. my first ejacuation was like tomato sauce. scary! from reading this thread it seems i am normal!!!   waiting biopsy results still.

Yes, quite "normal". The blood in semen/urine is something of a shock and it can persist for quite a while. Sorry, I've forgotten exactly how long but maybe 2 weeks at slowly diminishing scariness.

User
Posted 22 Dec 2021 at 18:41

I just wanted to post my gratitude at having found this forum. Had a transperineal biopsy on 16th Dec. Listened to the nurse and read the leaflet about there sometimes being a bit of blood in the urine or semen - got the impression that there might be the odd trace or fleck or spot (I'm laughing at my naivete now! :-) . I saw a tiny bit in the urine on 16th and thought that was that. I am not particularly sexually active at the moment (though not dead in the water!) and thought I just wouldn't masturbate anyway for a few weeks. However I think my curiosity as to the idea of blood in my semen got the better of me and I thought I would see what it was like. Also I have an ongoing 'fairly casual' sexual relationship with someone and am likely to meet them in January so I thought it might be best to see what was in store for both of us. Well......I have to say (and apologies for the bluntness here)  that I was traumatised by what came out of my penis! First of all - there was a lot of it - more than I would normally ejaculate! Secondly there was the colour of it - this was not semen slightly tinged or a bit rust coloured as I had been led to believe. This was rivers of red blood. This was horror movie stuff! 

I spent the rest of the day quietly worried about this and re-read the leaflets to see if I had missed something. I hadn't. There was no warning of anything other than the phrase 'Your semen may be discoloured (pink or brown). I felt very worried about masturbating again and was beginning to really regret letting those medical people at me with their knives and needles. But eventually I did a bit of research. I never thought the day would come when I would enter the phrase 'I have just ejaculated a lot of blood..is this normal...biopsy...' into Google but was so relieved to find this thread and this forum generally. 

and now in far more information than anyone needs can say that I have 'done it again' with similar results but at least feeling very reassured that it will pass and that I am not alone.

I am also going to tell my urologist and the specialist nurse that they really do need to be warning people that when they say that there could be blood in the semen that they mean that you will actually give the appearance of ejaculating lots of blood and that this is ok.

Thanks for posting your stuff. I imagine that I may use this forum a lot in the coming weeks and months. I won't have my biopsy results until mid to late January apparently and so I am just carrying on 'as normal' until then. 

User
Posted 22 Dec 2021 at 22:18

Dear LJ

 

I had an identical horrifying experience after my TP Biopsy in May. Like you I was not warned of the extent of the bloodbath. But it will pass. I wanted it to be clear by the time my RARP operation took place end June so wanked a lot and it cleared up about a week before it.  So dont worry too much. 

User
Posted 14 Feb 2022 at 00:26

Shouldn't be anything to worry about. That sounds pretty normal. Mine was bright red for several days. Then gradually faded within a couple of weeks. I ejaculated daily to get it clear as soon as possible.

Cheers 

J

User
Posted 14 Feb 2022 at 02:04
Best to face up to it and flush it out as much as you can. otherwise, you will find it lingers for weeks or even months and turns a horrible rusty brown colour.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 12 Mar 2022 at 11:17

Quote:
Bloke 101;265709

For those of a scientific bent - this is an excellent paper on the subject in a very reputable journal.

https://www.nature.com/articles/4500955

That's an interesting paper. I suspect the levels of anxiety would be lower in the study just because you are part of a study looking at the matter, rather than it just coming as a horrible surprise.

It would also be worth warning that men who don't ejaculate for months (which is probably not a good idea) will likely find their semen is black. I've had some extremely worried helpline calls on this.

User
Posted 07 Apr 2023 at 07:10
Always good to have a rant! Yes, it can last a few days and also your pee can be a bit pinkish at times. I’m amazed you weren’t told about this when you had your biopsy.
User
Posted 20 Apr 2023 at 06:42

There's no medical guidance on this. The body does try to absorb leaked blood (the mechanism by which bruises fade away), but if there's a lot (as there might be), then the iron from breakdown of hemoglobin can be left. This is harmless to the body, but being magnetic, it will interfere with and locally reduce the quality of any subsequent MRI scan of the prostate. Some treatments (such as focal therapy or brachytherapy or active surveillance) might require more MRI scans of the prostate, as might investigating any later recurrence. So it probably is a good idea to try and flush it out. After about 3 days, the red blood cells break down, causing the iron to "rust", so it goes from bright red to rust colour. Any bright red after that would suggest fresh bleeding.

I wouldn't worry about leaking spots of blood while you're still ejaculating it.

User
Posted 11 Jul 2023 at 07:15

To me this is either incompetence or neglect. Surely the professionals ought to be aware that at time when a man is feeling vulnerable and anxious the last thing they need is a shock like seeing their semen coloured red, green or brown. They also need to make men aware of catheter care after a prostectomy, I certainly wasn't.

User
Posted 11 Jul 2023 at 10:35

Originally Posted by: Online Community Member
... I don't think I've seen on any Dulux colour chart, though I expect Farrow and Ball probably do it :)
 

It's going to take a long time to redecorate the living room though.

Dave

User
Posted 31 Jul 2023 at 13:53

Originally Posted by: Online Community Member
It is currently still a very dark reddy brown that I don't think I've seen on any Dulux colour chart, though I expect Farrow and Ball probably do it :)

 

 

I think it's called "Transperinial Russet" 😉

Edited by member 31 Jul 2023 at 13:54  | Reason: Not specified

User
Posted 09 Aug 2023 at 19:16

Originally Posted by: Online Community Member

im not afraid to admit I’ve been bawling my eyes out whilst looking as I was scared so much…..and I still have to admit to the missus how I found out…..not that I should be embarrassed but……I am.

I let my wife know that I was told this needed to be done to ensure that it was cleared out over the course of the first week or so... 😉

Show Most Thanked Posts
User
Posted 25 Sep 2021 at 11:57

Originally Posted by: Online Community Member
Yet another question: My doctor said I would have to either have radical prostatectomy without nerve sparing due to the position of the cancerous cells or radiotherapy. In the research I've been doing, it sounds like after after non nerve-sparing surgery, ED medications like Cialis and Viagra do not work. Does anyone know about this? Am I better to opt for radiotherapy in terms of ED issues?

As Andy has advised, this question should be in a new thread of its own or posted on an existing thread about ED or treatment options. In the meantime (or if you are giving trouble starting your own thread) -

Yes, it is true that cialis and viagra need nerves to work. If you are having non-nerve sparing RP, you will be relying on either a vacuum pump with restriction rings or injections such as caverject / invicorp. RT may be a better treatment option in terms of where the cancer is situated, but don't choose it because of erectile function- the RT will probably be designed to include your nerve bundles (because of where the cancer is) plus you will presumably be on HT for 2 or 3 years so even if you could get an erection, you might struggle to remember what to do with it!

I think you are going to have ED whichever way you go - best to choose the treatment most likely to get rid of the cancer. 

If it is any consolation, even men who have full nerve sparing can be left with permanent ED; cialis and viagra don't work for everyone and lots of men use the vacuum or injections (although even those don't work for everyone)

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

User
Posted 08 Oct 2021 at 13:13

I am 5 months down the tracks from template biopsy and still have bllod in my semen and they will not even give me an appointment with the consultant

User
Posted 08 Oct 2021 at 13:31

jetjockey,
What colour is the blood/semen?
How often do you think you've ejaculated in the 5 months?

User
Posted 19 Oct 2021 at 17:02

Has anyone had blood in the semen prior to the initial TRUS biopsy? I had this last week and only just had my biopsy procedure yesterday, I get the results 2nd November.

K

User
Posted 19 Oct 2021 at 17:24

I had blood in semen for 5 weeks  after biopsy but cleared now. Hope all goes well with you.

User
Posted 19 Oct 2021 at 20:08

Originally Posted by: Online Community Member

Has anyone had blood in the semen prior to the initial TRUS biopsy? I had this last week and only just had my biopsy procedure yesterday, I get the results 2nd November.

Other than after biopsy or treatment, blood in semen can be caused by infection or prostate cancer or high blood pressure, but most commonly, for no reason anyone ever discovers.

User
Posted 03 Nov 2021 at 00:08

Thanks for sharing your experience. Very helpful. I wonder if ejaculating more often will help speed up the blood dissapearing. 

User
Posted 13 Nov 2021 at 09:20

I had a 25 core trans biopsy in Sept including both seminal vesicles. A small G3+4 tumour was found which is staged T3b as it has moved outside the prostate to the left SV. I had some minor rusty bleeding for a coupe of weeks after sex, but last time there was more and it was fresh blood. I have groin and back pain and pain below my navel for 10 days. Doc gave me a week of Ciproflaxin. Is this normal after 7 weeks and it it the tumour bleeding or something else? I'm having problems getting any serious answers from the doc and Macmillan nurse said bleeding and pain can last for 6 months! ... Worried. 

User
Posted 13 Nov 2021 at 09:48

Rust coloured blood is old blood working its way out, and not a problem.

I would be more concerned with fresh blood though at this stage. That and the pain might be an infection. See how the Cyprofolxacin goes, although a week is a bit short if it is an infection in the prostate - it's difficult to get antibiotics into the prostate, and Cyprofloxacin is one of the few that can get in at all. I don't think the advice from your Macmillan nurse was very good.

Was is a transperineal or trans-rectal biopsy?

Just a note on Cyprofloxacin, avoid putting lots of force on tendons during and for a while afterwards, as it can weaken tendons. Also note that taking it with diary products makes it less effective (instructions will have details for your particular tablets).

User
Posted 13 Nov 2021 at 10:08

Thanks Andy for your comments. Yes, it was a transperineal biopsy. 

Agree, cipro is better in my opinion over Amoxycillin or Trimethaprol and yes, I'm aware of the tendon issues as I suffer from achilles tendinitis, so have to watch this.

I think that any biopsy cores taken from the seminal vesicles can cause more discomfort and pain than the prostate gland itself. But after 7 weeks does seem a long while and as u suggest, any infection might need a longer course of antibiotics.

I have also just started HRT with bicalutimide and later LH injections prior to Radiotherapy, although the bleeding and pain started before taking the bicalutimide.... But I guess these don't help as abdominal pain is identified as a possible side effect... 

User
Posted 05 Dec 2021 at 11:39

just had my first transperianial mri fusion biopsy. one week ago. My perineum and balls are black and blue but no pain. blood comes at the start of each pee but then goes away. my first ejacuation was like tomato sauce. scary! from reading this thread it seems i am normal!!!   waiting biopsy results still.

User
Posted 05 Dec 2021 at 21:52

Originally Posted by: Online Community Member

Has anyone had blood in the semen prior to the initial TRUS biopsy? I had this last week and only just had my biopsy procedure yesterday, I get the results 2nd November.

K

 

Yes, blood in semen and urine were the trigger for me to have the various tests to produce a diagnosis of PCa. At the time my psa was ~10 and a DRE was clear but a biopsy yielded a Gleason 9. Different people, different paths.

User
Posted 05 Dec 2021 at 21:57

Originally Posted by: Online Community Member

just had my first transperianial mri fusion biopsy. one week ago. My perineum and balls are black and blue but no pain. blood comes at the start of each pee but then goes away. my first ejacuation was like tomato sauce. scary! from reading this thread it seems i am normal!!!   waiting biopsy results still.

Yes, quite "normal". The blood in semen/urine is something of a shock and it can persist for quite a while. Sorry, I've forgotten exactly how long but maybe 2 weeks at slowly diminishing scariness.

User
Posted 22 Dec 2021 at 18:41

I just wanted to post my gratitude at having found this forum. Had a transperineal biopsy on 16th Dec. Listened to the nurse and read the leaflet about there sometimes being a bit of blood in the urine or semen - got the impression that there might be the odd trace or fleck or spot (I'm laughing at my naivete now! :-) . I saw a tiny bit in the urine on 16th and thought that was that. I am not particularly sexually active at the moment (though not dead in the water!) and thought I just wouldn't masturbate anyway for a few weeks. However I think my curiosity as to the idea of blood in my semen got the better of me and I thought I would see what it was like. Also I have an ongoing 'fairly casual' sexual relationship with someone and am likely to meet them in January so I thought it might be best to see what was in store for both of us. Well......I have to say (and apologies for the bluntness here)  that I was traumatised by what came out of my penis! First of all - there was a lot of it - more than I would normally ejaculate! Secondly there was the colour of it - this was not semen slightly tinged or a bit rust coloured as I had been led to believe. This was rivers of red blood. This was horror movie stuff! 

I spent the rest of the day quietly worried about this and re-read the leaflets to see if I had missed something. I hadn't. There was no warning of anything other than the phrase 'Your semen may be discoloured (pink or brown). I felt very worried about masturbating again and was beginning to really regret letting those medical people at me with their knives and needles. But eventually I did a bit of research. I never thought the day would come when I would enter the phrase 'I have just ejaculated a lot of blood..is this normal...biopsy...' into Google but was so relieved to find this thread and this forum generally. 

and now in far more information than anyone needs can say that I have 'done it again' with similar results but at least feeling very reassured that it will pass and that I am not alone.

I am also going to tell my urologist and the specialist nurse that they really do need to be warning people that when they say that there could be blood in the semen that they mean that you will actually give the appearance of ejaculating lots of blood and that this is ok.

Thanks for posting your stuff. I imagine that I may use this forum a lot in the coming weeks and months. I won't have my biopsy results until mid to late January apparently and so I am just carrying on 'as normal' until then. 

User
Posted 22 Dec 2021 at 18:55
Do seek advice if the blood doesn't darken in colour after a week or so. Red blood is fresh blood, and you shouldn't continue to bleed for more than a few days. Old blood is brown, the colour of HP sauce.

Best wishes,

Chris

User
Posted 22 Dec 2021 at 19:21

Thanks Cheshire Chris. I will do. I think it may already be a bit darker than fresh blood. But will definitely keep an eye on it.

Thanks

User
Posted 22 Dec 2021 at 22:18

Dear LJ

 

I had an identical horrifying experience after my TP Biopsy in May. Like you I was not warned of the extent of the bloodbath. But it will pass. I wanted it to be clear by the time my RARP operation took place end June so wanked a lot and it cleared up about a week before it.  So dont worry too much. 

User
Posted 24 Jan 2022 at 10:00

Just joined and wanted to thank you all for your frank, informative and helpful comments. Very re-assuring not to be in my own corner.

User
Posted 25 Jan 2022 at 04:10

Originally Posted by: Online Community Member
Listened to the nurse and read the leaflet about there sometimes being a bit of blood in the urine or semen - got the impression that there might be the odd trace or fleck or spot (I'm laughing at my naivete now! :-)

Yes, I really don't understand why the advice is so tame but there's every reason to be worried when your own experience far exceeds the "trace-fleck" level into something that looks like pure blood, instead of urine or semen.

Jules

User
Posted 14 Feb 2022 at 00:17

Hey all, 

Thank you for all the posts. I had a prostate biopsy on Feb the 9th.   I ejaculated today Sunday the 13th for the first time since.  It looked like pure blood, bright red.   I am not concerned yet, but now afraid to try again.   I feel like i need to let blood vessels heal a bit.   Just me, I guess.   I fear attempting to flush it out.   again, just me.   

Edited by member 14 Feb 2022 at 00:18  | Reason: Not specified

User
Posted 14 Feb 2022 at 00:26

Shouldn't be anything to worry about. That sounds pretty normal. Mine was bright red for several days. Then gradually faded within a couple of weeks. I ejaculated daily to get it clear as soon as possible.

Cheers 

J

User
Posted 14 Feb 2022 at 00:58
Thank you 57. That is a bit more reassuring. While was painless, it was just rather shocking
User
Posted 14 Feb 2022 at 02:04
Best to face up to it and flush it out as much as you can. otherwise, you will find it lingers for weeks or even months and turns a horrible rusty brown colour.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 14 Feb 2022 at 14:48

Thank you. I’ll man up and just do it!

User
Posted 14 Feb 2022 at 17:34
Not sure I would have used the phrase 'man up' but perhaps 'close your eyes and don't peek'!
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 12 Mar 2022 at 10:49

Just want to say a huge "thanks" to everyone who has posted on the forum about this delicate subject 😂

It is true that NONE of the pre-biopsy stuff tells you what is likely to happen the first time you come after the procedure - and I thought I'd read everything (I only found this forum via a hurried Goggle search after the first horror show ejaculation. )

It's a huge relief that "you may have some blood in your semen after the biopsy" actually means "Your ejaculate will most likely look like Heinz Ketchup for 3 weeks then HP Sauce for another 3 weeks"

I think I will mention it to the Urology team - as they are going to be updating their advice sheet pretty soon, they tell me.

For those of a scientific bent - this is an excellent paper on the subject in a very reputable journal.

https://www.nature.com/articles/4500955

(The technical term is for blood in semen used throughout the paper is - hemospermia - but it's pretty comprehensible for a non-technical audience)

Again - many, many thanks for the candid reports and discussion here. 👍

Edited by member 12 Mar 2022 at 11:34  | Reason: Spelling

User
Posted 12 Mar 2022 at 11:05

Yes I've found that there's a lot of stuff that happens to us blokes with all these procedures and treatments that isn't in the brochure!

HT giving you mental and emotional breakdowns.

If you don't do penile rehabilitation, your cock won't return to it's magnificence after coming off HT!

 

This forum can help prepare and aid men going thru all this.

Have a look at my blog...I've gone thru PSA test over a year ago...thru MRI, trus biopsy, bone scan, CT scan, PSMA PET scan, mixed HT, sorry, Chemical Castration, and just finished RT. Plus a litany of NHS failures and cock ups!

 

Always happy to chat with other sufferers...via my blog.

 

Cheers

Steve

Blog: prostatecancer.vivatek.co.uk

User
Posted 12 Mar 2022 at 11:17

Quote:
Bloke 101;265709

For those of a scientific bent - this is an excellent paper on the subject in a very reputable journal.

https://www.nature.com/articles/4500955

That's an interesting paper. I suspect the levels of anxiety would be lower in the study just because you are part of a study looking at the matter, rather than it just coming as a horrible surprise.

It would also be worth warning that men who don't ejaculate for months (which is probably not a good idea) will likely find their semen is black. I've had some extremely worried helpline calls on this.

User
Posted 02 May 2022 at 14:53

Had my biospy 12 days ago, been in a fair bit of pain since. Had a TURP about 5 years ago so don't really produce a huge amount of ejaculate but tried to ejaculate this morning. Produced what I consider a large amount of claret coloured ejaculate, fairly watery. Was expecting a fair amount of pain later in the day, glad to say fairly good at the moment. Amazed I managed given how painful I was expecting it to be. Was all good thankfully. 

User
Posted 01 Nov 2022 at 00:28

Thank you all for these comments, I just had a wank, 5 days after a perianal prostate biopsy and was horrified by the amount of bright red blood (On Halloween no less!) though I was warned it could happen I imagined just a bit like I've been experiencing in my urine. I'm so glad I found this site, I went from panic to laughing out loud relating to the posts here.

Cheers,

 

Roderick

User
Posted 30 Mar 2023 at 18:41

During my TRUS biopsy my Uro commented that I had some "prostate calcification" which he said was completely normal. I am wondering if calcification could explain the blood in semen prior to biopsy that some have reported.

Years ago I was diagnosed with hematuria (blood in urine, but not visibly detected) and sent off to a Uro. He did all sorts of tests and sent me off for an IVP. During the procedure, I said to the tech "I know you are not allowed to make a diagnosis, but why do you think I have hematuria?" She said that some people have tiny uric acid crystals in their kidneys, large ones cause stones and gout, that abrade the tissues which then leak a bit of blood. Don't tell the radiologist I told you that 😉"

Anyway, my Uro finally gave up and labeled it "idiopathic hematuria" which is what they call something when they don't know what is causing it.

So maybe those calcium crystals are causing some blood to show up in the absence of any other factor.

User
Posted 30 Mar 2023 at 18:44

Apparently the magic number is 8.

User
Posted 07 Apr 2023 at 03:56

I am 76 yrs old, had a biopsy 3 days ago, and have been extremely "upset" about all the blood when I ejaculate. Somehow I've stumbled on this website and I'm no longer disturbed. What p***** me off is that NO-ONE told me this is common and how long it can last! I thank the powers that be behind this site for the opportunity to not go off the deep end.

User
Posted 07 Apr 2023 at 07:10
Always good to have a rant! Yes, it can last a few days and also your pee can be a bit pinkish at times. I’m amazed you weren’t told about this when you had your biopsy.
User
Posted 07 Apr 2023 at 12:49

I was not told a thing, but given that my gland was punctured 12 times with a LARGE needle, I knew it was not going to get normal for a while. I visited this site along with some "What happens after prostate biopsy?" Googling.

My biopsy was two weeks ago. The first ejaculate was basically thick blood, very weird, horror show. The second, yesterday, was watery black blood with clots, so it is clearing up. I have heard of this going on for weeks, we will see.

Obviously tied to your age and ability to heal. At 69, healing has slowed down.

User
Posted 07 Apr 2023 at 13:15
Drink loads and loads of water..did they tell you that?
User
Posted 07 Apr 2023 at 14:19

Originally Posted by: Online Community Member
Drink loads and loads of water..did they tell you that?

I was told pretty much nothing, but I already drink a lot of water.

Blood in the urine ended the second day but clearing the semen of it takes longer. I also discovered that a clot coming out of the gland can plug you up necessitating a trip to the ER for a catheter. I had my Uro give me one after the procedure “just in case.”

User
Posted 07 Apr 2023 at 20:02

If at 69 healing has slowed down, at 76 is it in reverse??

Just sayin......................

 

User
Posted 08 Apr 2023 at 10:10

I had a transperineal biopsy on Wednesday, and was told to expect "some" blood in my urine and semen. I wasn't told that it would look like I was having a period when I ejaculate!

Hospital has been in touch and want me in on the 20th of this month to discuss my results. Bricking it.

Edited by member 09 Apr 2023 at 12:12  | Reason: Not specified

User
Posted 08 Apr 2023 at 20:14

Welcome to my nightmare! Started with that this past Tuesday. I fully sympathize. It would have been nice to be "forewarned"................

 

User
Posted 20 Apr 2023 at 06:23

I just wish I’d found this forum before I had my first ejaculation after a transperineal biopsy. I’d waited a couple of days and had not had any blood in my urine at all, so I expected some discolouration in the semen. What I got was a discharge of bright red blood that alarmed me considerably, and that led me to search online and find this forum and then find what had happened was perfectly normal.

The description in the otherwise excellent pre-procedural briefing is somewhat misleading. The doctor performing the biopsy told me that I might experience blood in my semen for up to three months. Having read comments on here, can I say thank you because I now know what to expect.

Two concerns: do I need to keep ejaculating on a regular basis to clear out the blood or will it eventually be reabsorbed by my body? Also, I experienced very small amounts of blood for the next few hours left on toilet paper that I’d put inside my pants. Is this normal?

User
Posted 20 Apr 2023 at 06:42

There's no medical guidance on this. The body does try to absorb leaked blood (the mechanism by which bruises fade away), but if there's a lot (as there might be), then the iron from breakdown of hemoglobin can be left. This is harmless to the body, but being magnetic, it will interfere with and locally reduce the quality of any subsequent MRI scan of the prostate. Some treatments (such as focal therapy or brachytherapy or active surveillance) might require more MRI scans of the prostate, as might investigating any later recurrence. So it probably is a good idea to try and flush it out. After about 3 days, the red blood cells break down, causing the iron to "rust", so it goes from bright red to rust colour. Any bright red after that would suggest fresh bleeding.

I wouldn't worry about leaking spots of blood while you're still ejaculating it.

User
Posted 12 May 2023 at 17:30

Hi..had prostate biopsy 9 days ago..First ejaculated today..my god how bad ..frightened the life out of me dark semen ..old blood I guess but lots of it..very scary ..testicle feel tender too...I had no idea about this my consultant I'm thinking was a bit slow on the info..I had a general and afterwards the nurse said you can go home..I was given 1 antibiotic before the biopsy thought I'd be given a course but just the 1 pre biopsy..glad I found this forum ..seems brown semen is normal for a while..

User
Posted 25 May 2023 at 13:05
Similar to Shauny - had a biopsy last Friday and no shortage of blood in pee. What I didn’t realise was that blood could leak out regardless so messed up bedsheets.

Hadn’t tried ejaculation until I read this thread today. Just blood I think. Glad I read this before though or I’d be really worried.

User
Posted 21 Jun 2023 at 20:55
Had my biopsy on 13 June, first bit of "relief" on 17 June and blood bath, not as doc said may be a bit of blood in semen. Second one today and still same blood everywhere.....just have to persevere and get it all out. Glad found this forum and found this forum.
User
Posted 28 Jun 2023 at 07:35

Had my biopsy in April and still experiencing blood in semen. It's still a brown/rust colour,  not red like 'fresh' blood. Some sources seem to indicate this can last up to 12 weeks after the procedure(?), so I have a while to go yet I suppose. 

 

User
Posted 02 Jul 2023 at 15:06

It amazes me that guys who have biopsies are still not being told that their semen is likely to dark brown or green for a while. Scared the hell out of me when I decided to have some relief after a couple of weeks. The same with catheter care, just some advice fromthe nurses/urologist would be good!

User
Posted 03 Jul 2023 at 23:20

I had my biopsy 6 weeks ago.my semen had quite a lot of fresh blood for a while then it cleared up over time. I was horrified tonight as when I came it was fresh red blood again, should I be overly worried about this?

User
Posted 04 Jul 2023 at 06:44

That would suggest fresh bleeding in last few days. Has anything happened which might have caused this?

 
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