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

Notification

Error

Blood in semen infection?

User
Posted 10 Mar 2024 at 15:05

Hi, was hoping to get some insights into my haematospermi I currently have. About 1 year ago after a trip to Greece I noticed my semen was almost brown, which cleared through pretty quickly. Since then I had several reoccurrences, but more red coloured sperm and spaced apart by a few weeks. I was a little concerned as you can imagine so booked in with GP, who performed a urine test there and send some away (both came back normal) On top of this I had a physical prostate exam and blood test. I have private medical insurance so was referred to a Urologist, who again performed a physical prostate exam and a PSA blood test. The Dr explained how common this is and most of the time is a begine condition that will clear up. He said that if my PSA and blood test comes back fine then I have nothing to worry about. My bloods came back all within range and the PSA I had were 1.08 and 1.18

I did feel reassured and thought nothing more of it, until I had several more episodes during the rest of last year. I did have around 2 months of normal ejaculate until Jan this year when I started ejaculating blood again, so decided to go for a second opinion (private), and have had an MRI on prostate ( no discernible tumour, focus blood degradation products in right seminal vesicle). Also had an ultrasound upper tracts which came back normal. As a second opinion I was reviewed at the MDT discussion and response was the MRI showed no concerning features that required any further follow up. However as I was still incredibly anxious he booked me in for another ultrasound but of my testies and also a flexible cystoscopy. The results from my flex were ‘normal anterior and posterior urethra with non-occlusive prostate and a normal bladder neck. The bladder was inspected 3 times and was macroscopically normal. Both ureteric ori􏰂ces were seen at the inter-ureteric bar’. The results from my ultrasound scan of testes was ‘commensurate with epididymitis’.

My Doctor did sign me off after prescribing another 28day course of  Doxycycline 100 mg and put the haematospermia cause down to lifestyle (I do 4-5 HIT sessions a week as well as cycle). I did ask if the infection could be the root cause of this and was told it was not, which really confused me as one of the main symptoms of epididymitis is blood in semen, which is the main reason for the incredibly long post. What are your opinion on the infection being root cause of this as I am still encountering red/brown semen.

Also how long could I have had this infection (way back to last March, when this all started) and how long can it take to clear up?

Any thoughts opinions most welcome

Cheers

Si
User
Posted 12 Mar 2024 at 12:16

I do know that blood in the urine is not necessarily uncommon for someone who does extensive cycling or running, however that is when they do the dipstick or look microscopically, not generally visible to the eye. I now know visibly what blood looks like in semen from ejaculation in the first weeks after prostate biopsy. I was repeatedly told about it before the biopsy to get myself I guess prepared but certainly disconcerting the first time observed. My first MpMRI was basically negative with scarring appearing it was said from past prostititis. In between my first and second MpMRI 18 months apart, with my PSA going up and down, but no higher than a 4 and back down to a 2.4 but going back and forth like a yo-yo (had been stable for years at 1.9) my urologist had me do the ExoDx urine marker test which the cutoff for likely cancer needing a biopsy was 15, and I came back 60, which resulted in the 2nd MpMRI and ultimately the biopsy.


You know your body and stay persistent. You seem like you have been a good advocate for yourself and going down each path eliminating possibilities. It seems like the cystoscopy would have cleared up a lot of things also.  There are prostate cancers your PSA does not rise high and can remain relatively low. You could see about the ExoDx urine test and if you were under the 15  you could get some relieve there is nothing in the prostate you likely have to address immediately as that infers a slower growing low level Gleason. 

User
Posted 12 Mar 2024 at 14:41

Hi thanks for getting back, I’m relatively reassured that I have nothing to be concerned about regarding cancer and prostate. Was after people’s experience/ opinion regarding the correlation between the testicular infection and blood being present in semen and blood being picked up via scans/mri in right seminal vesicle? Cheers

User
Posted 12 Mar 2024 at 19:47

This has come up a couple of times in a local support group where we have urology consultants to answer questions. Their response is that you need to be checked to rule out that there's anything nasty going on (which you have been), but usually the cause is never found. It sounds like the location of the bleeding has been identified in your case, right seminal vesicle. Bleeding which wasn't fully re-absorbed by the body shows up very brightly on MRI scans, because the iron left behind when the red blood cells break down goes rusty and is strongly magnetic (and is also what causes rust coloured semen).

I saw a statistic from one US hospital which said 14% of haematospermia cases referred to them turned out to be prostate cancer, but you've been checked for that. (I suspect the total incidence rate may be lower, as many cases will never be referred to hospital.) High blood pressure is another possible cause, but no cause found is the most common outcome.

User
Posted 18 Jun 2024 at 16:22

Hi, I have recently had blood in semen for the past 4 weeks now. Has been bright red 3 times but did appear clear in colour in between. Have had blood test for a PSA so waiting for results and have an ultrasound booked in for next week. Very anxious.

User
Posted 02 Jul 2024 at 11:53

Hi guys, i suffered for prostatitis for some time, resolved and than reappeared after years.

i discovered 2 days ago blood in semen, and today it repeated, I am freaking out.

before this I had 3 nights of intensive sex with my new girlfriend.

i am 48

any similar experiences?

i am bringing samples of semen for analysis 

User
Posted 16 Aug 2024 at 03:58

Hello scc32

After a return trip from janaica I experienced blood in the semen 7 days  later when i had sex with the wife. I had 3 other episodes and I'm scare to continue to leak red bright blood again. 

This is the August 60 days later on the 26th coning soon. I had a physical exam  urine test blood test std labs manual rectal exam for the prostate including a cystoscopy. My 3rd procedure is in 3 days an MRI. The doctor said so far they can't fine nothing. My psa level is 2.9. Nothing to worry I was told.

When u had the MRI the testicle infection was diagnosed with epididymitis right?

How many weeks u been cleared?

I need moral support I want to talk to people like me.i and loosing faith on science. They can't find nothing so far. 

Please help ease my worries .

 

 

 

 

Man7679

User
Posted 19 Aug 2024 at 05:14

Hello Massi

I experienced the same thing once I arrived from jamaica June 23. I haven't  been the same and  it kinda freak me out to see blood after sex.

What freaks me the most is that when I urinate  for the next 24 hours after having sex I pee bright red  until it get purple  dark and clears up to yellow again.

Had this happen to you ?

 

Man7679

User
Posted 16 Sep 2024 at 02:06

Hello i am in the same boat. I will get an MRI on my prostate Sept 28th. To determine why I have blood in the semen.

That condition you was diagnosed is still giving you issues? Have you stopped bleeding ? Please reply. It's very concerning  I still have bloody semen.

Man7679

User
Posted 04 Oct 2024 at 05:46

Hello please help me. Your story is very relevant to my right seminal vesicles with focus blood based on the MRI.

I do not know what to do. Every time I have sex I see blood then it takes 3 to 4 cycles of future urinations of pure red urine. I stated june 2024 to present date. I have all the studies you has my last study was the MRI last week . My right seminal vesicles with some focus on blood with no health treatment or further care.

Can we communicate on wassup app?

My name is Ernie from California  48 yrs old .

Man7679

User
Posted 04 Oct 2024 at 12:03

Bleeding in your prostate (or seminal vesicles) wouldn't normally get back into your bladder to appear when you pee later, unless perhaps you have some level of retrograde ejaculation which is common if you are on Tamsulosin.

Blood in your prostate (or maybe seminal vesicles, not sure) can cause visible blood when you very first start peeing or after you finished peeing, but generally not visible in the mid-stream urine.

I think you need some more investigation. Have you had a flexible cystoscopy (camera up in to your bladder) and scan of your kidneys (may be by ultrasound initially)?

Edited by member 04 Oct 2024 at 12:07  | Reason: Not specified

User
Posted 17 Oct 2024 at 06:46

Hello thank you for your response. 

I had a cystoscopy in July.  Rectal and psa labs in June along with  blood work urine and STD panel. This past Sept 26th I had MRI on prostate. The results right seminal vesicle focus with blood. 

The dr didn't gave me  a care plan or explanation  for blood in the urine after ejaculation.  He said in a email no worries  no cancer nothing to be worried. 

What other studies you recommend me to ask? Your story really encourages  me not to feel alone. 

 

Man7679

 
Forum Jump  
©2024 Prostate Cancer UK