Blood in semen after biopsy

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)

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

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

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

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).

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.

Best wishes,

Chris

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

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. 

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.

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.

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.

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.”

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

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?

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..

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!

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