Blood in semen after biopsy

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. 

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

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.