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Worried again, watery and less semen, and high psa

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User
Posted 23 Apr 2025 at 20:04

In recent months, I’ve noticed my semen is more watery and there's significantly less volume. I'm currently 55 years old. Psa 5,70.

I have had two episodes of psa rising, that have been resolved, one without doing anything, and the other one in 2019, which lasted for several months by a course of antibiotics.

Honestly, I'm a bit scared. I've never had semen this watery and in such small amounts.

Thanks in advance for your thoughts.

 

Edited by member 09 Jan 2026 at 15:50  | Reason: Not specified

User
Posted 26 Apr 2025 at 22:34

Hi Chema.

SVI means the cancer has spread to the seminal vesicles (invasion).

User
Posted 27 Apr 2025 at 22:56

A change in semen is something that needs checking.

The watery part of the semen (which is mainly PSA) comes from the prostate. The thick white part comes from the seminal vesicles, via the ejaculatory ducts in the prostate, which can get blocked by prostatitis or cancer.

User
Posted 15 May 2025 at 20:37

Hi chema, I would hope you have a biopsy next. We have had people with pirads 5 lesions getting the all clear. Until you get the biopsy results it is unknown whether you have cancer.

Dave

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User
Posted 25 Apr 2025 at 11:00

I don't think you can read much into the consistency of your semen, it may suggest a prostate problem, and the PSA readings do warrant investigation. The urologist is going to be able to help better than us. However do keep us updated as this may help the next person posting on here with watery semen.

Dave

User
Posted 25 Apr 2025 at 11:21

Thx.

Yesterday I had a consultation with the urologist. He told me that he firmly believes that the PSA and the watery semen and everything is due to infection. He did a DRE and told me he didn't found anything suspicious (enlarged prostate) but nothing other than that.

Anyhow, for being in the safe side he prescribed a mpmri. I'll update as soon as I have more info.

Thx again.

Edited by member 09 Jan 2026 at 15:47  | Reason: Not specified

User
Posted 25 Apr 2025 at 14:23

Hi Chema

I was also diagnosed with prostatitis at the age of 55, but with different set of symptoms from you. My only concern would be the rate of rise of your PSA for the past 9 years, particularly since 2019. My reaction is entirely based on my own experience. I had noticed that my PSA over 4 years rose quite steeply which I thought was suspicious. My two GPs ignored my concern telling me that I worry too much, which I do! I consulted a urologist privately who also thought the same as me, he carried out an MRI guided biopsy, confirmed early stage well contained cancer, performed robot assisted surgery within three weeks when I was 72. That was 14 years ago and I am still cancer free.

I hasten to add that we are all different, so please don't jump to any conclusions, be guided by the medics, obtain a second opinion if possible. 

I have totally unsubstantiated gut feeling that from the age of 55 to 72 I suffered from a varying degree off prostatitis which may have turned into cancer. That is not a scientifically based opinion for a retired research engineer!

ps: Is your PSA measured at the same laboratory every year because consistency matters?

Good luck

Edited by member 25 Apr 2025 at 14:28  | Reason: Not specified

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 26 Apr 2025 at 00:35

Hi. Thank you.

In my case there were two episodes, one with only one peak of psa in only one measurement, and the other one which lasted much more, with several measurements over several months (in two different labs), and that finally needed a heavy course of antibiotics to be solved.

Let's see what the mpMRI shows in this third...

Edited by member 09 Jan 2026 at 15:55  | Reason: Not specified

User
Posted 26 Apr 2025 at 08:53

I had watery semen and was diagnosed G8 T3B N1 M0 PSA 252 SVI 

User
Posted 26 Apr 2025 at 22:01

Hi.

Sorry to read that but thx for the answer. What does mean SVI? And the second question if I may... was the watery semen the reason you had been checked?

Thx again.

Edited by member 26 Apr 2025 at 22:04  | Reason: Not specified

User
Posted 26 Apr 2025 at 22:34

Hi Chema.

SVI means the cancer has spread to the seminal vesicles (invasion).

User
Posted 27 Apr 2025 at 13:16

I was checked because of nocturnal bathroom visits, about five times a night.

User
Posted 27 Apr 2025 at 18:58

Ok, thanks.

User
Posted 27 Apr 2025 at 22:56

A change in semen is something that needs checking.

The watery part of the semen (which is mainly PSA) comes from the prostate. The thick white part comes from the seminal vesicles, via the ejaculatory ducts in the prostate, which can get blocked by prostatitis or cancer.

User
Posted 04 May 2025 at 16:24

Hello 

Wellcome  myself back to the forum. I am 48 and going through very strange symptoms since June 2024. Off and on blood in the semen after sex and weir burning sensation on the tip of the penis  the (gland). I had 3 PSA so far and my readings dance between 2.9 and 2.8.

MRI prostate was done,  a cytoscopy, blood work urine studies and all forms of STD panels including frequent rectal exams. 

The urologist says no worries hang  on no need for a biopsy yet...

I'm soo frustrated this never ending burning is off and on like a  lid match.

Have anybody with a High PSA had this burning before  or with a cancer diagnosis/?

I'm willing to travel to any country if there is a secret  drink out there  to take.

The dr thinks I'm too sensitive and must regulate my intake and cancel process of elimination drinks or food irritating my bladder. I told him his full of it.

Any thoughts forum I'm  49 this summer in August in Los Angeles Ca.

 

Man7679

User
Posted 05 May 2025 at 15:17

Pain at the tip of the penis when there's nothing visibly wrong there can be referred pain from the prostate, as a result of prostatitis (inflammation of the prostate). Pain in testicles and rectum can also be referred pain from the prostate. Blood in semen can be caused by prostatitis too (and prostate cancer). I'm a bit concerned your urologist doesn't seem to know this.

User
Posted 15 May 2025 at 17:21

Back from the MPMRI. Two small lesions pirads 4. Next step, I assume biopsy.

Actually, it has been a shock. Honestly, I didn't expect that.

Edited by member 09 Jan 2026 at 15:34  | Reason: Not specified

User
Posted 15 May 2025 at 20:37

Hi chema, I would hope you have a biopsy next. We have had people with pirads 5 lesions getting the all clear. Until you get the biopsy results it is unknown whether you have cancer.

Dave

User
Posted 20 May 2025 at 20:27

Back from the consultation with the urologist, he thinks that the decision is tought, but that he would wait 3 or 4 month more.

The  fact that my prostate acording to the mpmri is big makes him worry about the secondary effects of the biopsy (in terms of inflamation and psa rising in the future, etc...). 

He told me that is true that going now for the biopsy is going to the safe side, but that is not risk free due to the size of my prostate and because of having had a prostatitis in the past. On the other hand, he told that in his experience the risk of cancer in cases like mine is around 1 out of 5, and that the risk of worsening something for waiting three or four months is not much.

So it was my decision eventually, and I am going to follow his recommendations, new psa in three/four months and will see...

Edited by member 09 Jan 2026 at 15:40  | Reason: Not specified

 
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