Prostate :: Blood In Semen


Apr 8, 2015

My husband is 46 and has had blood in his semen a number of times. He's visited his GP and had a rectal 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 definitely 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'

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Am planning on making a Dr appointment after the holidays but wanted to check in and get some feedback from others to see if anyone has had any similar situations or remedies.

I had the scalpel vasectomy done 1 yr ago. Initially no major complications. Like most the typical soreness that accompanied it. After a few weeks that seemed to go away and life returned to normal.

However, periodically I would have issues where I would get a dull 'ache' in my testicles that might last a day or two. Nothing severe enough to go to the doctor but painful. This has cropped up multiple times over the past several months. The pain is still with me whether I'm standing or lying down and ibuprofen does little to help.

And twice now - once probably six months ago and again last night I had blood in my semen. Not a lot but noticeable. The blood isn't appearing when I urinate.

I know this is more of a Dr related question but I guess I'm just looking for feedback from anyone that might have ran into similar problems. I never had either prior to a year ago and the surgery so that is the obvious culprit.

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Aspermia - Almost No Semen Upon Ejaculation

I am Male 25 years old 5'11" 155lbs

My diet is almost vegetarian. In the morning I'll typically eat a protein shake and take

Multivitamin
High EPA HA ratio fish oil
Vitamin D 5000iu (I'm deficient)
Ubiquinol/pyrroloquinoline quinone
Agmatine 500mg

I take dextroamphetamine for work, i also drink coffee and use nicotine (mostly vape) and sometimes I take a few grams of l-citrulline to combat vasoconstriction caused by amphetamines/nicotine.

Lunch is typically a chicken sandwich. Dinner is Pizza/chicken burrito/something like that. I don't eat red meat, pork, beef, don't drink milk or soda. I also haven't exercised on purpose in about six months. (Need to try and gain some weight back)

I am bisexual. I was in a committed relationship with a girl for 4.5 years, then broke it off. Now I'm having sex almost exclusively with men. I also maturbate daily.

As of late, when I have an orgasm, there is VERY little semen during ejaculation. This is very troubling and requires a resolution. I have to fix this. It started happening after I was experimenting with elastic penis rings and a penis pump (just for fun once in a while). Now, I've tried taking 50mg zinc sulfate in liquid form to resolve the issue to no avail. I don't think I'm deficient in zinc because it tastes terrible and it makes me nauseated when I take it. Though I notice a mood improvement/stabilization following administration, I'm less agitated.

But it did not resolve the issue which sort of leads me to believe that this is not a hormone/nutrition issue. In my opinion, the issue is mechanical. I think I either have retrograde ejaculation or blocked ejaculatory ducts. This also started happening when I started to bottom (receiving end of anal sex) more often and use anal toys/prostate massaging. Perhaps I've done damage to my prostate?

I have a feeling that my ejaculatory ducts are blocked. Is there a device/drug (experimental is okay) that can dilate these ducts?

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i am doing workout but don't do running .

is something wrong with my body posture how am i sitting or laying??

From last two days i didn't wear underwear may it is due to of that ?

kindly guide me how am i cure from disease any exercise or natural way to cure it ?

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Having agonised about what to do for over a year now I have finally decided. Nothing. Well, not quite nothing but what is termed ‘watchful waiting’. My PSA has steadily increased over the past two years from 5.4 to 7.4 and in September my GP referred me to a urologist. The urologist, who arrived very late to the surgery, did a quick DRE then said that he would refer me for a biopsy. I wanted to discuss the options, including MRI as I didn’t want to undergo an invasive procedure without proper discussion. Also, I had read that in a test conducted on 223 biopsy-naïve men that biopsy was no better at detecting PCa than MRI. The link to the study is here - [URL....]

We found that mpMRI/MRGB reduces the detection of low-risk PCa and reduces the number of men requiring biopsy while improving the overall rate of detection of intermediate/high-risk PCa.

Unsure how to proceed I asked my GP to refer me to a private urologist with the hope of being able to discuss the alternatives.

In the meantime I did some extensive research and discovered two further studies which concluded that for low grade PCa (PSA<10) the outcome for watchful waiting was no worse in terms of morbidity that invasive treatment and the outcome in terms of quality of life was much better. Both studies were conducted over at least 10 years by reputable agencies. One, conducted by the New England Journal of medicine is here [URL] ... . The other can be found by searching 'PIVOT'. Also, a number of well-known doctors have published articles in favour of doing nothing – Dr Mark Porter in The Times and Dr Sarah Jarvis in this very website, not to mention other articles in The Daily Mail, Telegraph and Independent. I got to thinking that if invasive treatments did not improve my outcome, what was the point of a biopsy?

I finally got to see a private urologist who discussed the options and, although he was marginally in favour of a biopsy, did not object to my proposal. So now I am going to monitor my PSA and I will reassess the situation if/when my PSA goes into double digits. I have since gone on a no-dairy and low red meat diet and my latest PSA (Dec14) was down marginally to 7.2 – still high but moving in the right direction. I appreciate that this course of (in)action is not for everyone and not knowing is frustrating at times, but for me at least, I feel it is the best current option.

I am 56 years of age and my father, who is still very well had an RP for PCa about 15 years ago. All DREs have reported ‘enlarged but benign-feeling’.

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Facing Prostate Shaving

After initially being diagnosed with stage 4 terminal bladder cancer and told I only had weeks to live, plus there was nothing they could do for me, I became a pro-active patient (doctors advise, I decide). All that was nearly 7 years ago.

I have been on Tamsulosin on and off (definitely on in the last year) to help peeing.

In the last year, my blood pressure has risen to dangerous levels. Hypertension pills have helped somewhat, and by experimenting I've got to a good combination with little swelling and other side-effects. But then my remaining kidney started failing.

Investigating this a couple of weeks ago, it was found that my retention (no-one mentioned PVR) had worsened from an earlier 'normal' of 500-600mL to 1.2L and this was thought to have caused the kidney problems. 

I'm now catheterised for 4 weeks (half-way through now), and both my blood pressure and kidney function tests are showing an improvement.

The last thing the urologist said was that they'd probably be considering prostate shaving. Hence my coming to this forum and reading up on the alternatives (Urolift sounds an attractive option if I'm suitable). Whilst I understand that TURP is both the gold-standard and generally OK, the stories here have underlined the serious risk of bad side-effects. So I'll see if I'm eligible for some of the alternatives (not just Urolift, but PAE and WHY).

I'll update when I've seen the urologist next.

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