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.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Ejaculate just like fresh blood, at first. I was told to expect that, but still not pretty. Sorry it was a surprise for you. I recall that it lasted for 4-6 weeks (to some degree). I had nothing in urine or bowel. But I was warned of that too.

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Hi, also had a biopsy done may 8 last year, 12 samples.
More then anything else was what the biopsy did to my body and energy.
After the biopsy I headed straight home and into bed.
Fever for two days. Diarhea and gas from day 2 for the next 10 days.
Blood in my urine on day 3 and then a bit again on day six.

Around day nine the diarea was gone

Note: I wasn't prepared either for the biopsy. Didn't know that it could drain you and cause all the effects like weakness, fever, diarea, gas and blood and pain in prostate.

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@jayhall

10 days ago I had a prostate biopsy. It came back Benign and I'm under 2 full years of observation. My PSA was 5 and the Urologist did the biopsy to rule out cancer. I had some blood in my urine and stool for a day after. Yesterday I ejaculated for the first time and I almost fainted because the amount of blood was shocking. I have done some searching and the normal time is a month to 6 weeks before I don't have blood in my ejaculate. Can someone tell me how long they had this issue?

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Jay if I remember correctly I was just @ 2 weeks maybe a little less than that.

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@jayhall

10 days ago I had a prostate biopsy. It came back Benign and I'm under 2 full years of observation. My PSA was 5 and the Urologist did the biopsy to rule out cancer. I had some blood in my urine and stool for a day after. Yesterday I ejaculated for the first time and I almost fainted because the amount of blood was shocking. I have done some searching and the normal time is a month to 6 weeks before I don't have blood in my ejaculate. Can someone tell me how long they had this issue?

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I had it about a month. It is very common and expected.

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@jayhall

thanks! 🙂 this helps!

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That is good news. I had the same thing done and thankfully biopsy was clear too. I had blood in ejaculate for right at 8 weeks I was starting to worry but someone told me be patient for 8 weeks. And it cleared up.

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@jayhall

10 days ago I had a prostate biopsy. It came back Benign and I'm under 2 full years of observation. My PSA was 5 and the Urologist did the biopsy to rule out cancer. I had some blood in my urine and stool for a day after. Yesterday I ejaculated for the first time and I almost fainted because the amount of blood was shocking. I have done some searching and the normal time is a month to 6 weeks before I don't have blood in my ejaculate. Can someone tell me how long they had this issue?

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Welcome @jayhall, I'm happy to hear that the biopsy came back benign. I bet the sight of blood in your semen was frightening. I moved your post to this existing discussion of the same name:

- Blood in Semen after Prostate Biopsy https://connect.mayoclinic.org/discussion/post-prostate-biopsy-symptoms/

Click the link to read previous posts and information as well as to connect easily with other members.

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@jayhall

10 days ago I had a prostate biopsy. It came back Benign and I'm under 2 full years of observation. My PSA was 5 and the Urologist did the biopsy to rule out cancer. I had some blood in my urine and stool for a day after. Yesterday I ejaculated for the first time and I almost fainted because the amount of blood was shocking. I have done some searching and the normal time is a month to 6 weeks before I don't have blood in my ejaculate. Can someone tell me how long they had this issue?

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thanks! 🙂 this helps!

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@jayhall

10 days ago I had a prostate biopsy. It came back Benign and I'm under 2 full years of observation. My PSA was 5 and the Urologist did the biopsy to rule out cancer. I had some blood in my urine and stool for a day after. Yesterday I ejaculated for the first time and I almost fainted because the amount of blood was shocking. I have done some searching and the normal time is a month to 6 weeks before I don't have blood in my ejaculate. Can someone tell me how long they had this issue?

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Eight weeks.......I had it for 8 weeks.....yikes!!

REPLY

10 days ago I had a prostate biopsy. It came back Benign and I'm under 2 full years of observation. My PSA was 5 and the Urologist did the biopsy to rule out cancer. I had some blood in my urine and stool for a day after. Yesterday I ejaculated for the first time and I almost fainted because the amount of blood was shocking. I have done some searching and the normal time is a month to 6 weeks before I don't have blood in my ejaculate. Can someone tell me how long they had this issue?

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@darbyppah

A year ago, I had my first biopsy. After a few days, I got horny and pleasured myself. Just like everyone else, I got a shockingly disturbing visual of blood. MY DOCTOR NEVER MENTIONED this apparent side effect. I can only imagine the HORROR had I been intimate with my wife instead, (insert your preferred scenario).
I regained my composure after nearly passing out and got online to figure out what's up. I was happy to see that it was common and no need to worry. It cleared up a few weeks (or a few performances) later.

So now I just had another biopsy and MY QUESTION is: Is the clearing up process a "TIME" factor (3-4 weeks) or a "FLUSHING" factor (3-4 ejaculations) or both? I want to know if I go a month without sex, then will I have a clean (or almost clean) ejaculate? Will my body absorb, filter and clean my seman? Or will I still have to flush it out either way?

Seriously, this needs to be studied, graphed, published and mandatory for doctors to thoroughly explain the bloody expectations.

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Yes it's a common side effect. It goes away. Mine only lasted a week and I had 17 samples. No need to abstain.

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