I'm interested in conversations about and I want to talk about
Know exactly what you want?
Show search

Notification

Error


Blood in semen after biopsy

User
Posted 10 Oct 2023 at 16:46

Hi. Thank you to this forum and all who have posted here! My husband had a transrectal biopsy on 10/5 (results on the 12th). We were told, like all of you, to expect "some" blood in the urine, stool and semen. We were told to avoid sexual activity for 48 hours, so on the 8th I helped my husband (he wanted intercourse, I said no) and was shocked and horrified at what came out of his penis. I was completely unprepared. Like others described it, it looked like ketchup. Again last night, same thing. So having not been told the extent nor the color to expect, I called his urologist this morning and started searching online. I'm so glad to have found this and hope you do not mind a wife posting her relief at finding it is normal. And just so you know, the US is similarly deficient at describing what to expect post biopsy!

I know I can't speak for all partners, but I do think a condom for the first few to several weeks would be much appreciated to keep things more hygenic.

User
Posted 10 Oct 2023 at 17:09

Originally Posted by: Online Community Member
Was just wondering whether ejaculation of semen with blood could spread cancer cells to other parts of body.

I've never heard of any suggestion of this. Your cancer is not infectious to anyone else either, unless they are severely immunocompromised or on immunosuppressant drugs for organ transplant.

User
Posted 10 Oct 2023 at 17:27

LadyS, also bear in mind the colour will probably change over a period of time to pink and then possibly dark brown. My semen also got quite watery.

Hope all goes well and partners always welcome.

Thanks Chris 

User
Posted 01 Mar 2025 at 15:26

I realize this particular "conversation" hasn't been touched upon with new comments in some time, but I just wanted to say that I was brought to this forum via a Google search after having the scare of my life yesterday with the blood approximately 48 hours after my TRUS biopsy procedure.  In any case, reading through other's experiences in this "conversation" topic has been extremely reassuring to me that all is normal. Thank you to everyone for your contributions!

User
Posted 22 May 2025 at 18:12

Same has happened to me 

User
Posted 22 May 2025 at 18:48

Originally Posted by: Online Community Member

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 22 May 2025 at 18:51

I had my biopsy done 3 weeks ago  I masterbated 5 days after was shocked by the blood , I tried again today blood also but it’s a dark in  colour 

User
Posted 22 May 2025 at 19:55

I’m only 3 weeks after biopsy I masterbated after 5 days was shocked with amount of red blood , now 2 weeks later did it again but it’s dark blood .Why don’t they tell you about these things think I’ll do it everyday to see if helps clear it up quicker 

User
Posted 22 May 2025 at 20:40

Originally Posted by: Online Community Member
Why don’t they tell you about these things think I’ll do it everyday to see if helps clear it up quicker 

Bloomin' eck Derek. You might get repetitive wrist injury.

Joking apart mate. They should have told you about this side effect.

This is from a NHS information sheet: 

 You may pass blood-stained semen (fresh bright red blood, or ‘rust-coloured’ older blood) when you ejaculate for months after your prostate biopsies; it takes approximately 20 ejaculations for this to clear if it occurs.

User
Posted 22 May 2025 at 20:59

But when I ejaculte it’s just dark blood no sperm 

User
Posted 22 May 2025 at 21:34

This has just happened to me I’m only 3 weeks since had biopsy going next week for results , but it just seems like blood and not any sperm only my second time ejaculating 

User
Posted 22 May 2025 at 21:44

I’m just now at that stage  my 3rd time and just seems like blood and no sperm , how long did it last for you 

User
Posted 22 May 2025 at 22:10

I've had two prostate biopsies. I had blood in my semen for about 6 weeks after each. I suppose, like everything with this disease, it varies considerably. If you are really worried I'd seek medical advice, mate.

User
Posted 23 May 2025 at 07:50

It's usually bright red for the first few days. Think tomato ketchup. It's not all blood even though it looks like it, or it would be a clot.

After the first few days, the red blood cells which had leaked out break down, and the bright red iron oxide which was in their hemoglobin turns into rust (a different iron oxide) and hence the bright red turns brown (it literally is rust). This is a bruise (leaked blood). Any presence of bright red after a few days means new bleeding, whereas brown means it's from old bleeding.

If you don't ejaculate for many weeks, you can find your semen is black by the time you do.

We get very worried calls on the helplines for red/blown/black semen. The hospital leaflets are woefully inadequate in setting expectations.

It is worth trying to get it out. Your body will try to break down and reabsorb the leaked blood/bruise, but with the amount in the prostate after a biopsy, it won't usually manage to do it that way. This can leave you with literally rust in your prostate. This is magnetic, and it can interfere with future MRI scans, and prevent getting high resolution images of your prostate, e.g. due to later recurrence. So it is worth trying to ejaculate it too. If you are on hormone therapy already, you might find you can't ejaculate the blood.

User
Posted 23 May 2025 at 08:01

Cheers that’s re assuring as no one  at hospital tells you these things plus I’m just a worrier 

User
Posted 23 May 2025 at 12:12

I had my biopsy 3 weeks ago go for results in another week fingers crossed . I expected blood in pee which cleared up after 9 days but had play and was amazing with the blood when climaxed , so waited 5 more days did it again yesterday and today and looks a brown colour . The hospital don’t tell you anything about this 

User
Posted 23 May 2025 at 12:19

I had my biopsy 3 weeks ago had blood in pee for 9 days had a play on 7 th day was amazed with blood , so left it another 5 days a had another go yesterday dark colour blood and again this morning . People say the more you do it the quicker it gets sorted how long did it take you for it to clear 

User
Posted 24 May 2025 at 00:35

It really is annoying that the doctor and the hospital where we have these biopsies performed don't warn us.  Scared the living daylights out of me. It was like a murder scene.  My biopsy was way back in ~Feb. 2025, and I'd say it took about 15 or so times to clear it. I do recommend doing so to the best of your ability. I'm now on active surveillance for a 0.5 mm spot in there (3+3 = 6 Gleason), so if the next PSA has escalated, I'd expect another MRI, blah blah. 

At least if I have to have another biopsy, I'll be mentally prepared for the after effects.

But, you really have to keep going if you have to have another biopsy. A true case of sucking it up and all that for your own health rather than avoiding it.

User
Posted 24 May 2025 at 06:31

Hi thanks for commenting on the subject , I’ll keep going with it plus it’s reassuring that everyone goes through it . It’s just a shock when you do it but good to know it’s just a normal process and will clear up . I only came across this site by chance and glad I did as its eased my mind knowing it’s normal to have dark blood when masterbate, blood in my pee stopped week ago 

User
Posted 24 May 2025 at 14:47

Originally Posted by: Online Community Member

It really is annoying that the doctor and the hospital where we have these biopsies performed don't warn us.

It's in the patient information document that most if not all NHS Trusts will pass on before the procedure is performed. Here's an example from Gloucestershire: https://www.gloshospitals.nhs.uk/media/documents/Transperineal_biopsy_of_the_prostate_GHPI1563_03_21.pdf

 
Forum Jump  
©2025 Prostate Cancer UK