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Concerned - Haematospermia but low PSA

User
Posted 26 Jul 2015 at 15:17

Hi - new member to this online community and grateful for the supportive messages I have been reading to other posts.  My story, so far, is that a year ago, I found blood in my semen. This was not just a small amount, but quite considerable.  At the time, my GP arranged a PSA test which came back with a "normal" result for my age (54) .... After reading about Haematospermia, I became more reassured.  Eventually, it stopped on its own and I thought that was the end of that.  Unfortunately, it returned and I have had it off and on every since.  Sometimes I go  a month or so without it, but find that if I don't ejaculate every day, it comes back for a day or so.

Due to this, I was again referred to Urology.  I have had 2 DRE's and both were normal.  I have had a further PSA test, now a year since the original one, and this came back at 0.81.  I have also been sent for a MRI scan.  Currently, I am waiting for the radiologist to look at this properly, but the urologist said that there are a couple of abnormalities in it (grey area's).  He told me that this could be a number of things, not necessarily PCa, and that if "10 men had an MRI scan, 9.5 of them would show abnormalities" ....  Despite my low PSA readings and no other symptoms, I am worried sick .......

If nothing else, thanks for letting me debrief !

 

User
Posted 27 Jul 2015 at 08:33

Hello Wayne and Welcome to the site.

Yours and Wishes problems appear to be two sides of the same coin but the sides are showing differently.

Wishes husband has already been told he has cancer, despite starting with a very low PSA.
Now for Wishes and her husband it's decision time because of that confirmation.

You, on the other hand, have a low PSA with few of the normal indicators.

There is a chance that you could be over treated for something that you could possibly live with, despite the inconvenience.

Time to take a step back and take a deep breath. Give the medics time to sort out what the problem is.
Don't go looking for trouble.

If it's there it will be confirmed soon enough.

If cancer is there then treatment options are many and varied. Prostate cancer can be, indeed IS, treated successfully in many many cases. It isn't all doom and gloom.

By answering I have bumped your post again so hopefully somebody with experience of Haematospermia will be able to offer more practical advice.

All the best in the meantime
Sandra

We can't control the winds - but we can adjust our sails
User
Posted 26 Jul 2015 at 20:42

Hi, I am a female with a husband who has PC Gleason 7 but low PSA, I can understand your worry, we are in a grey area as we have a low PSA but cancer present, they are monitoring him every 3 months but it is very hard to cope with the unknown, we are not sure what to do as it might never grow any more then where it is now they ave to;;d him that they are unable to tell from his bloods and would not be able to tell if treatment has worked as the PSA is the indicator. It is not easy stay strong and positive

User
Posted 27 Jul 2015 at 14:28
Sandra - I can't thank you enough for your measured response and your rational grasp of my situation. These supportive words helped me very much today and I am extremely grateful to you .....
User
Posted 28 Jul 2015 at 11:38

Sandra you are a star :)

User
Posted 05 Dec 2015 at 20:47

Well fingers crossed the Cipro weeks for you.

It's good that your problem is being taken seriously and being monitored..

Keep us posted. As I've said on numerous occasions to people. We are a nosey/curious lot!

Actually,although the above is true, situations like yours helps build our knowledge for offering future advice to others.

All the best
Sandra

We can't control the winds - but we can adjust our sails
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User
Posted 26 Jul 2015 at 20:42

Hi, I am a female with a husband who has PC Gleason 7 but low PSA, I can understand your worry, we are in a grey area as we have a low PSA but cancer present, they are monitoring him every 3 months but it is very hard to cope with the unknown, we are not sure what to do as it might never grow any more then where it is now they ave to;;d him that they are unable to tell from his bloods and would not be able to tell if treatment has worked as the PSA is the indicator. It is not easy stay strong and positive

User
Posted 27 Jul 2015 at 08:33

Hello Wayne and Welcome to the site.

Yours and Wishes problems appear to be two sides of the same coin but the sides are showing differently.

Wishes husband has already been told he has cancer, despite starting with a very low PSA.
Now for Wishes and her husband it's decision time because of that confirmation.

You, on the other hand, have a low PSA with few of the normal indicators.

There is a chance that you could be over treated for something that you could possibly live with, despite the inconvenience.

Time to take a step back and take a deep breath. Give the medics time to sort out what the problem is.
Don't go looking for trouble.

If it's there it will be confirmed soon enough.

If cancer is there then treatment options are many and varied. Prostate cancer can be, indeed IS, treated successfully in many many cases. It isn't all doom and gloom.

By answering I have bumped your post again so hopefully somebody with experience of Haematospermia will be able to offer more practical advice.

All the best in the meantime
Sandra

We can't control the winds - but we can adjust our sails
User
Posted 27 Jul 2015 at 14:28
Sandra - I can't thank you enough for your measured response and your rational grasp of my situation. These supportive words helped me very much today and I am extremely grateful to you .....
User
Posted 27 Jul 2015 at 15:16

You're very welcome. Glad to have been of service!!

Don't tire yourself out worrying about what might not even happen.

We can't control the winds - but we can adjust our sails
User
Posted 28 Jul 2015 at 11:38

Sandra you are a star :)

User
Posted 05 Dec 2015 at 19:30

Hi all - well for better or worse, thought I might provide an update to my situation. The MDT decided that although my MRI scan was more than likely inflammation, they would do a biopsy.  I attended for the biopsy but was so anxious they decided to delay it and bring me back for a further one under some form of sedation.  Before this could happen, the Urology dept rang me 2 weeks later and said that the MDT had looked at my scans again and decided that there was no significant evidence of Pca and that I didn't need the biopsy after all.  However, they would keep an eye on me and repeat my PSA test.  This was done, and it was lower than the last time 0.78.  They have now decided to put me on an 8 week course of Cipro to treat assumed inflammation and repeat the MRI in January.  The haematospermia continues on and off (episodes approximately 4 -5 times per 30-ish ejaculations, but rarely severe), and I am half way through my antibiotic regime currently.  Still worried, but have had some reassuring advice from the staff on this site, and am thankful to this community for letting me debrief !!http://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-smile.gif

User
Posted 05 Dec 2015 at 20:47

Well fingers crossed the Cipro weeks for you.

It's good that your problem is being taken seriously and being monitored..

Keep us posted. As I've said on numerous occasions to people. We are a nosey/curious lot!

Actually,although the above is true, situations like yours helps build our knowledge for offering future advice to others.

All the best
Sandra

We can't control the winds - but we can adjust our sails
 
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