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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 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

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. 

 
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