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Blood in Semen after Prostate Biopsy

Posted by tinker @tinker, Mar 16, 2021

I couldn't find an existing thread on this topic, but I wanted to share what I'm seeing so far, and compare with other's results.

I'm 58 years old. After discovering a 5+ PSA result in a routine adult physical, I was scheduled for and received both a MRI, and a Transperineal biopsy. In my case, they took 16 samples. I do not yet have the pathology results.

I was told there could possibly be some blood in my urine, but to watch for clotting, etc and large amounts. I was also told there would likely be some blood in my ejaculate, tapering off over time. I understand the amount of blood can be influenced by number and location of samples.

I was not prepared for what happened though. Four days after the biopsy, and to my horror, I found my expectations were way underestimated. It was not "streaks or spots" of blood, nor was it red-tinted. It looked to be pure blood. The volume was probably double what I would have expected. Hoping that the next day would be more normal, I again tested the waters.. It was nearly as bad, however, the color seemed to be a cross between pure blood and fresh motor oil.

I've got a message into my care team, and I'm awaiting a response while I also await pathology. I'm a bit nervous.

Has this been other's experience? If it is common, why understate it in the publications I was provided?

I have not noticed blood in my urine, however, it tends to be dark-ish as I tend to under-hydrate.

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jdofnyc | @jdofnyc | 3 days ago
In reply to @jayhall "After 8+ weeks I'm finally clear of blood in my semen so I'm thrilled. I drank..." + (show)
@jayhall

After 8+ weeks I'm finally clear of blood in my semen so I'm thrilled. I drank a lot of water and "cleaned the pipes" when I could to help the process along. I agree urologists really need to be more upfront about what to expect in terms of how much blood you can expect. I did not ask if I could/should clean the "clean the pipes" but the searching I did seem to indicate that you could help the process along. One thing you want to avoid is to not let the blood stay in there. If you do and you get clots you have to go back to the Urologist and they do some testicle vibration to clean the clots out of there.

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Makes sense to me. Thanks.

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jdofnyc | @jdofnyc | 3 days ago
In reply to @cam77254 "I thought the same thing. It would be so easy. I was worried until I found..." + (show)
@cam77254

I thought the same thing. It would be so easy. I was worried until I found answers on this website that said it could take up to 8 weeks. I had not seen that anywhere else. Hope yours clears up soon. I would be interested to know how long it takes you to clear up completely.

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I hope this is not too much information for everyone, but I have an appointment on Thursday afternoon with the urologist to discuss the biopsy results.

I feel compelled that I have to self-ejaculate at least once before that appointment to see if there’s been any change in the amount of blood in the semen and the color.

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1 reply
jayhall | @jayhall | 3 days ago
In reply to @jdofnyc "I hope this is not too much information for everyone, but I have an appointment on..." + (show)
@jdofnyc

I hope this is not too much information for everyone, but I have an appointment on Thursday afternoon with the urologist to discuss the biopsy results.

I feel compelled that I have to self-ejaculate at least once before that appointment to see if there’s been any change in the amount of blood in the semen and the color.

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I hope your biopsy results turn out great. Also be prepared for rust brown colored blood in your semen.

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coopercc67 | @coopercc67 | 2 days ago

@tinker
Good morning, I had my biopsy May 7th, 2024, and I was wondering how long it took for the blood in your semen to go away? It's been 7 weeks and I'm still seeing a lot of blood in my semen.

Thanks

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1 reply
cam77254 | @cam77254 | 2 days ago

Mine took a full 8 weeks to clear. Hope yours clears up soon. Mine was mainly a rust color, not like blood red, after the first couple of times. Hope that helps.

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handera | @handera | 2 days ago
In reply to @coopercc67 "@tinker Good morning, I had my biopsy May 7th, 2024, and I was wondering how long..." + (show)
@coopercc67

@tinker
Good morning, I had my biopsy May 7th, 2024, and I was wondering how long it took for the blood in your semen to go away? It's been 7 weeks and I'm still seeing a lot of blood in my semen.

Thanks

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In my case it was a full 2 months, after my biopsy, before I could say I had recovered from the negative sexual side effects of my biopsy.

I think part of the reason was that I had 21 cores taken, some of which were close to the capsule encompassing my prostate.

The good news is that eventually everything clears up; although it does take much longer than what many will tell you.

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clandeboye1 | @clandeboye1 | 1 day ago
In reply to @jcf58 "I didn’t have any blood in urine but blood in semen lasted 4-5 weeks. Redder at..." + (show)
@jcf58

I didn’t have any blood in urine but blood in semen lasted 4-5 weeks. Redder at first and then more brownish in color. Startling, but expected after 18 holes were punched in my prostate.

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The secret after the Biopsy -- Drink LOTS of water with regularity.
It's also good practice at all times .

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