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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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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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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@cstrutt52

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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I had a 26 core transperineal biopsy 10 weeks ago. PSA was 5.3 then. Results came back benign.
At first, the semen was shockingly dark red color. I had to use a condom for at least a month. Today, it is still brownish color after 10 weeks.
I am scheduled for a PSA test, and retest MRI at end of September. Then maybe a 2nd biopsy. My UCLA doctor said retest schedule is set between 6 and 12 months. We settled for a 7 month schedule since my 1st biopsy.
I have noticed the semen amount has greatly reduced. Also, I retested PSA on my own last week and it came back 6.8. I wonder if high number of biopsy core is the reason, or more serious issue is happening with my prostate.

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I am glad to find this thread of similar experiences. That said, I had my biopsy nine days ago. 12 samples were taken 10 were benign one had a Gleason score of 3+3 = 6 the other one was just something else. I’m not sure yet till I talk to the doctor this week I was warned about blood in the urine and semen. I saw blood in my urine quite frequently until a couple of days ago, and it seems to have gotten better. I’ve been drinking a lot of water. Although if I sit for long period of time, it seems there is blood in the urine, maybe this pressure putting on the prostate when I sit, not sure. As far as semen, today was the first day that I ejaculated since the biopsy. I was horrified at the amount of blood and the color dark red.

Doctors really have to be more honest about what to expect because it seems like a lot of people think it’s just going to be a little bit of blood that they will hardly notice, but it’s different than that experience. My question is I know it takes 6-8 weeks to clear up, but is it healthier to ejaculate more often just to clear out any blood that’s accumulating around the prostate? I should mention I am 66 so I wasn’t ejaculating frequently before the Biopsy.

Honestly, I really don’t want to ejaculate if I’m going to see that every time, But if cleaning the pipes, a couple times a week is going to hurry up the process, Then I will find the time to do What is necessary.

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@jdofnyc

I am glad to find this thread of similar experiences. That said, I had my biopsy nine days ago. 12 samples were taken 10 were benign one had a Gleason score of 3+3 = 6 the other one was just something else. I’m not sure yet till I talk to the doctor this week I was warned about blood in the urine and semen. I saw blood in my urine quite frequently until a couple of days ago, and it seems to have gotten better. I’ve been drinking a lot of water. Although if I sit for long period of time, it seems there is blood in the urine, maybe this pressure putting on the prostate when I sit, not sure. As far as semen, today was the first day that I ejaculated since the biopsy. I was horrified at the amount of blood and the color dark red.

Doctors really have to be more honest about what to expect because it seems like a lot of people think it’s just going to be a little bit of blood that they will hardly notice, but it’s different than that experience. My question is I know it takes 6-8 weeks to clear up, but is it healthier to ejaculate more often just to clear out any blood that’s accumulating around the prostate? I should mention I am 66 so I wasn’t ejaculating frequently before the Biopsy.

Honestly, I really don’t want to ejaculate if I’m going to see that every time, But if cleaning the pipes, a couple times a week is going to hurry up the process, Then I will find the time to do What is necessary.

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I know the feeling of seeing so much blood in your semen. I did ejaculate several times each week and it seemed to be a little less each time. I didn't ask the doctor about whether I should or shouldn't. Did yours mention? It did take mine a full 8 weeks to clear up. My blood in urine went away after a week or so. Feel free to PM if you need more info from me.

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@cam77254

I know the feeling of seeing so much blood in your semen. I did ejaculate several times each week and it seemed to be a little less each time. I didn't ask the doctor about whether I should or shouldn't. Did yours mention? It did take mine a full 8 weeks to clear up. My blood in urine went away after a week or so. Feel free to PM if you need more info from me.

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Thank you for your quick reply. Neither my doctor or the PA mentioned anything about whether frequency of urinating or ejaculating would be beneficial or not. Of course, I didn’t know enough to ask such a question at the time. Maybe I’m expecting too much from our medical care system, but it doesn’t take much to give us a handout explaining what to expect after such a procedure in detail. They do it for a lot of other less worrying procedures, such as dermatology.

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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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@jdofnyc

Thank you for your quick reply. Neither my doctor or the PA mentioned anything about whether frequency of urinating or ejaculating would be beneficial or not. Of course, I didn’t know enough to ask such a question at the time. Maybe I’m expecting too much from our medical care system, but it doesn’t take much to give us a handout explaining what to expect after such a procedure in detail. They do it for a lot of other less worrying procedures, such as dermatology.

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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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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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