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Blood in semen after biopsy

User
Posted 11 Sep 2021 at 14:16

Depends how often you ejaculate.

Bright red suggests bleeding within last 3 days as the blood goes brown after about 3 days after bleeding, which in turn suggests you might still be bleeding.

There are some suggestions it's good to get it out. It took 3 weeks to go with daily ejaculation for me, but that was with no further bleeding after the biopsy.

User
Posted 11 Sep 2021 at 14:20

Mine got lighter as the weeks went by and had gone completely by 10 weeks. Though, unlike Andy62, I was not ejaculating daily

 

I am due to have a 30 core biopsy extraction on Thursday (16/09) so will experience the whole thing again

User
Posted 11 Sep 2021 at 14:31

Good luck with your next biopsy, I hope all will go well for you

User
Posted 15 Sep 2021 at 05:06
Thank heavens for this site! I was really panicking at the amount of blood.

Can anyone tell me how soon I can start exercising after a transperineal biopsy? The two different pamphlets I got at the hospital say different things. One says 2-3 days and the other says 7-10 days. Neither specify what constitutes "exercise". I always walk 5 km a day and do 20 minutes of yoga, then stretches and press-ups. I started the walking after two days but I'm hesitant at re-starting the yoga and strength exercises, in case it impedes healing. I'm itching to start the yoga especially, as it helps my anxiety, which is a bit off the meter after the whole biopsy situation.

User
Posted 15 Sep 2021 at 09:32

I wasn't told about excercising and started running 2 days after mine. Have I done the wrong thing?

 

User
Posted 15 Sep 2021 at 11:13

Most exercise is unlikely to be a problem. If you have a blood clotting disorder or you are taking blood thinners then more cautions is required. I think I would not do any cycling for quite a few days (perhaps a week, two if I were very cautious). Walking no big deal, Yoga: I wouldn't be doing the splits,  running maybe a few days, hurdling, high jump pole vault, maybe a bit longer. I can't imagine press-ups being a problem. 

 

Dave

User
Posted 16 Sep 2021 at 01:14
Thank you

User
Posted 19 Sep 2021 at 09:12
Another question: I'm about ten days past my transpineal biopsy and my urine was almost clear after three days. My ejaculate is still bloody, although since yesterday it's been a rusty colour and almost back to normal amount. Today my testicles are really tender and they may (I can't be absolutely sure of this) be a bit reddish in colour.

Has anyone had this happen, or should I be worried about an infection? (I wasn't given antibiotics).

User
Posted 19 Sep 2021 at 10:22

I have had 2 TP biopsies now (one on 04/06/21 and one on 16/09/21), with the first one being performed under a local anaesthetic and the second one under a general.

With regard to the first one, my urine was clear within 24 hours and my semen within about 10 weeks (though I did not ejaculate that often, hence the reason I think it took a while to clear). The paperwork I was given after my biopsy at Addenbrookes in Cambridge was that blood could be in the urine for up to a week and in the semen for up to 12 weeks. I did have a swelling around the area where the needles went in after about 4 days, and my testicles were a little tender too, but both cleared up a week or so after I first noticed the issue.

With regard to the second biopsy, I have detailed this on a post under my name but to save you searching this out will say this: I only had blood in my urine for a few hours after the procedure and 3 days after my semen is still blood red. I have, to date, had no pain or discomfort from the procedure.

Hopefully, others will come on and comment too, but if your testicles are still swollen after 10 days it might be worthwhile having a word with the doctor who undertook the biopsy to see what he thinks.

 

 

Edited by member 19 Sep 2021 at 10:29  | Reason: Not specified

User
Posted 25 Sep 2021 at 08:57
Yet another question: My doctor said I would have to either have radical prostatectomy without nerve sparing due to the position of the cancerous cells or radiotherapy. In the research I've been doing, it sounds like after after non nerve-sparing surgery, ED medications like Cialis and Viagra do not work. Does anyone know about this? Am I better to opt for radiotherapy in terms of ED issues?
User
Posted 25 Sep 2021 at 09:23

Mark, I would suggest asking this in a new thread (and deleting it here), as it's unrelated to this thread.

User
Posted 25 Sep 2021 at 12:57

Originally Posted by: Online Community Member
Yet another question: My doctor said I would have to either have radical prostatectomy without nerve sparing due to the position of the cancerous cells or radiotherapy. In the research I've been doing, it sounds like after after non nerve-sparing surgery, ED medications like Cialis and Viagra do not work. Does anyone know about this? Am I better to opt for radiotherapy in terms of ED issues?

As Andy has advised, this question should be in a new thread of its own or posted on an existing thread about ED or treatment options. In the meantime (or if you are giving trouble starting your own thread) -

Yes, it is true that cialis and viagra need nerves to work. If you are having non-nerve sparing RP, you will be relying on either a vacuum pump with restriction rings or injections such as caverject / invicorp. RT may be a better treatment option in terms of where the cancer is situated, but don't choose it because of erectile function- the RT will probably be designed to include your nerve bundles (because of where the cancer is) plus you will presumably be on HT for 2 or 3 years so even if you could get an erection, you might struggle to remember what to do with it!

I think you are going to have ED whichever way you go - best to choose the treatment most likely to get rid of the cancer. 

If it is any consolation, even men who have full nerve sparing can be left with permanent ED; cialis and viagra don't work for everyone and lots of men use the vacuum or injections (although even those don't work for everyone)

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 08 Oct 2021 at 14:13

I am 5 months down the tracks from template biopsy and still have bllod in my semen and they will not even give me an appointment with the consultant

User
Posted 08 Oct 2021 at 14:31

jetjockey,
What colour is the blood/semen?
How often do you think you've ejaculated in the 5 months?

User
Posted 19 Oct 2021 at 18:02

Has anyone had blood in the semen prior to the initial TRUS biopsy? I had this last week and only just had my biopsy procedure yesterday, I get the results 2nd November.

K

User
Posted 19 Oct 2021 at 18:24

I had blood in semen for 5 weeks  after biopsy but cleared now. Hope all goes well with you.

User
Posted 19 Oct 2021 at 21:08

Originally Posted by: Online Community Member

Has anyone had blood in the semen prior to the initial TRUS biopsy? I had this last week and only just had my biopsy procedure yesterday, I get the results 2nd November.

Other than after biopsy or treatment, blood in semen can be caused by infection or prostate cancer or high blood pressure, but most commonly, for no reason anyone ever discovers.

User
Posted 03 Nov 2021 at 01:08

Thanks for sharing your experience. Very helpful. I wonder if ejaculating more often will help speed up the blood dissapearing. 

User
Posted 13 Nov 2021 at 10:20

I had a 25 core trans biopsy in Sept including both seminal vesicles. A small G3+4 tumour was found which is staged T3b as it has moved outside the prostate to the left SV. I had some minor rusty bleeding for a coupe of weeks after sex, but last time there was more and it was fresh blood. I have groin and back pain and pain below my navel for 10 days. Doc gave me a week of Ciproflaxin. Is this normal after 7 weeks and it it the tumour bleeding or something else? I'm having problems getting any serious answers from the doc and Macmillan nurse said bleeding and pain can last for 6 months! ... Worried. 

User
Posted 13 Nov 2021 at 10:48

Rust coloured blood is old blood working its way out, and not a problem.

I would be more concerned with fresh blood though at this stage. That and the pain might be an infection. See how the Cyprofolxacin goes, although a week is a bit short if it is an infection in the prostate - it's difficult to get antibiotics into the prostate, and Cyprofloxacin is one of the few that can get in at all. I don't think the advice from your Macmillan nurse was very good.

Was is a transperineal or trans-rectal biopsy?

Just a note on Cyprofloxacin, avoid putting lots of force on tendons during and for a while afterwards, as it can weaken tendons. Also note that taking it with diary products makes it less effective (instructions will have details for your particular tablets).

 
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