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Blood in Semen after Prostate Biopsy
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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At the risk of sounding like "Capt. Obvious", I went in with a list every time. I would have never remembered my questions without it. What would happen with me was I'd start to process the answers from the first question or two then forget to ask question four and five....
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2 ReactionsShoot, I forgot to ask him. It was all I could do to get all my other questions answered (I think he was anxious to get to another consult) and I'm not particularly concerned about the blood because I was told to expect it. Sorry. I have another video consult with a radiation doc on the 17th. I'll try again.
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1 Reaction@stebro, what did you find out from you doc? Any concern?
It's been almost two weeks since my TP biopsy. 12 cores. Looks like pure blood to me too. I'm not getting blood in my urine now, though I did at first. I saw a few small clots in my ejaculate but now it sure enough looks like pure blood. I've read to expect that maybe for a few months. I have a Zoom meeting with the doc on 10/5. I'll ask him about it and post again if he thinks there is any concern. My wife told me that if I were a woman I wouldn't be too concerned about some blood "down there." Good luck with your path results.
Hi Murray, I agree with @web265. That might be a question for you doctor.
I hope the biopsy was negative. Are you still experiencing blood with sex?
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1 ReactionI think you'd need a lot more medical "history" to answer that one.
For instance after my biopsy, there was some blood until my surgical removal a couple months later. I'd certainly make sure my doctors were aware. There's too many variables to get that answered with that much information, there may be other things at play here.
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1 ReactionHad a biopsy 8-18-22 and 15 samples, how long should I expect blood when I have sex?
My experience was exactly the same. Semen and urine. Looked like pure blood. It evidently isn’t something to worry about. It took a little time, but completely resolved on its own.
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1 ReactionTo clarify, it was two consecutive 5+ PSA results a few weeks apart. The MRI also showed a PI Rads-3 lesion and prostatitis.
I experienced the same. It’s very common. I called the urologist several times. They were very helpful. They explained a very small niche could result in what appears to be a lot of blood. Since I don’t like seeing blood especially my own, I closed my eyes or sat down when urinating. Call your urologist if you’re worried. They are there to help. Wishing you all the best!
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