Blood in semen

Hi Maggie, it sometimes happens when taking the BluePill before having sex. I hope this will help you... don't panic.. and let me know

The blood draw for PSA should be done before the rectal prostate exam. The prostate exam will increase PSA. PSA can be elevated for inflammation, BPH, cancer. Intercourse two days prior can elevate PSA. Some doctors find it so unreliable that they don't use it anymore.

Next step could be prostate biopsy or a cystoscopy. Did they give an estimate of the size of his protate after the DRE?

Thanks so much for the quick replies.

Foreverhappy- thanks but no Bluepill involved! Will let you know what happens though.

Camster - Thanks, too. To be honest, I'm not sure of the order of the tests/examinations. My husband purposely told me only a little about it as he knew i'd panic. Do you know what other Drs use instead of PSA, which is more reliable? 

Hi Maggie, it sometimes happens when taking the BluePill before having sex. I hope this will help you... don't panic.. and let me know

For screening for prostate cancer, would look at Free PSA and PCA3 (prostate cancer gene 3) using a urine sample for the latter. PSA is too non-specific. It has caused many men to have an needed biopsy. The 4.0 limit is arbitrary.

Thanks again to you all. I've spent a while reading up on the information given. I'll repost when we have the resulls. Take care x

He really should be seeing a good UROLOGIST, not a gp. If you had unusual bleeding from your vagina, hopefully, you would see a gynecologist, an expert specialist in that area. The same holds for your husband. Please let us know how this goes.

Neal

Here is some advice from NHS:

It's unusual to find blood in your semen when you ejaculate, but try not worry – it is usually only temporary and the cause is rarely anything sinister.The semen may be blood stained, brownish-red in colour or have a pink tinge – but in any case, you should see your GP for a full investigation.

In many cases, no obvious cause can be found for blood in the semen, in which case it may be the result of a forgotten or unnoticed injury to the genitals, such as a trouser-zip accident.

Some other likely causes of blood in the semen are outlined below. This is intended to give you a better idea of the underlying problem, but you should not use it to diagnose yourself with a condition – always see your GP for a proper diagnosis.

Common causes

Common causes of blood in semen include:

vesiculitis – inflammation of the seminal vesicles (glands that produce most of the fluid in ejaculate)

seminal vesicle calculi – small stones in the seminal vesicles

seminal vesicle cysts – small, fluid-filled sacs in the seminal vesicles

prostatis – inflammation of the prostate gland (where semen is made)

benign prostatic hyperplasia (BPH) – a common condition in older men, where the prostate gland becomes enlarged

having had a prostate biopsy (where a needle is used to remove small samples of tissue from your prostate gland) within the last three or four weeks

These problems are generally not serious and many will get better on their own without treatment, or after a course of antibiotics.

Less common causes

Less often, blood in the semen can be a result of:

sexually transmitted infections (STIs) – including genital herpes, chlamydia, gonorrhoea and trichomoniasis

severe high blood pressure (hypertension)

a blood clotting disorder

cancer – including prostate cancer, testicular cancer and bladder cancer

These conditions are more serious and may require specialist treatment"

End of NHS advice!

"Trouser zip injury"  I think I'd notice!

Oh and there is one other that affects some people and that is "eating beetroot" which can colour the semen!  And the urine

Hi Maggie,  Skip the GP or take the test results to a good Urologist.  There should be several to pick from in your area.  Check each one in your area out online and find one that is no older than 60 years old. I thought I had a good Urologist that just turned 71, until I found a much better Urologist closer to my age 59. The PSA test is looking for signs of cancer. Any PSA number above 6.0 or changing from 3 to 8 and back down and back up could be signs for concern.  If it is say around 7.0 (which is a little high), but only moves to 7.4, then 7.2, then 7.0, then 7.5, then 7.3, then I would not be concerned. But the blood in the semen is concerning, keep an eye on this and talk to the Urologist about it.