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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@blainwin

How long after the prostate biopsy will I have rusty brown semen??

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Can be several months depending on what type of blood vessals and arteries they hit, and how active your prostate is. You can imagine that bike riding, sexual activity, lifting weights, exercising, all will cause stress on your wounded prostate. Also most older men, especially those with prostate cancer have enlarged prostates. With no erection problems, my doctor put me on 10 mg Cialis, which is known to help with enlarged prostates. Cialis help my urine flow more than anything else I have tried. I have an MRI scheduled for September, and I will see if the volume of my prostate has reduced any.

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@blainwin

How long after the prostate biopsy will I have rusty brown semen??

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The first ejaculation, not to worry. Mine bled at least 2 or 3 times.

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@blainwin

How long after the prostate biopsy will I have rusty brown semen??

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Mine was a full 8 weeks to clear.

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How long after the prostate biopsy will I have rusty brown semen??

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@jayhall

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

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Thank you. After discussing the biopsy results with the urologist, we thought it would best to take a wait-and-see approach as my score was just a 3+3 = 6 and there was nothing significant on the MRI to any type of procedure. I said an appointment for 6 months from now. He also said I could expect my semen to be rust colored for at least 10 more times. I’m guessing that depends on a lot of factors, such as water intake and frequency of ejaculation.

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@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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@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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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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@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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@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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