Blood in semen

Posted , 9 users are following.

My husband is 46 and has had blood in his semen a numbe of times. He's visited his GP and had a rectum examination and blood tests, which I'm assuming to be PSA? He's due to go back to the GP for his results. I'm planning on going with him but would appreciate any pointers really, as to what questions we should definately ask. I've read that the PSA results aren't always a reliable indicator so, are there any other investigations we should press for? To be honest, I think i've 'over- googled' sad

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  • Posted

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

    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.
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  • Posted

    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? 

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    • Posted

      Google 'urine test for prostate cancer' for a new prostate cancer test that is now supposed to be available in the very unlikely scenario that it is his problem.

      At this stage he would have been wise to not have told you. Why give you an uneccesary cause to worry?

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  • Posted

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

    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.
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  • Posted

    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
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  • Posted

    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

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    • Posted

      People often say see a 'good urologist' but with the NHS you see who you get and seldom the same one twice. Many are locums or assistant registrars though now they are called CT1's and CT2's.
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  • Posted

    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

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