Biopsy Experience and when is it OK to have sex again

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New Member

Date Joined Nov 2011
Total Posts : 6
   Posted 2/12/2012 2:41 AM (GMT -6)   

I posted last November because my PSA was rising (6.10 in April 11, 6.86 in July 11 and 7.49 in September 11) and I got some great advice from this Group.

The situation now is that I had a biopsy done last Wednesday (16 samples) and I go back to see my Urologist on 28 February for the results.

The procedure was carried out here in Luxembourg in Europe in the Central Hospital and was done using a 'Light General' Anesthetic. I was really nervous when I went into hospital at 10.30 in the morning but the whole thing went very well and (after a lot of waiting around) I was in the recovery room by mid afternoon and my wife picked me up and took me home at 5pm. I have to say that there was absolutely no pain and from seeing the Anesthetist injecting something into the needle in the back of my hand until I woke up in the recovery room I felt nothing at all. I had an ache in my abdomen for a couple of days after the procedure and blood in my urine for the first day or two but now I feel completely back to normal.

Having read a lot of the posts here it doesn't appear that everyone has had a 'light general' for their biopsy so I wonder if it just a European thing (I assume that most of you are American). I make this point as it was completely painless which doesn't seem to be the case for everyone so anyone due to have a biopsy may wish to discuss the option with their Urologist.

My final question is can anyone let me know, based on experience, when it is OK to start to have sex again?

Any advice and opinions based on your experiences would be appreciated.


Regular Member

Date Joined Nov 2011
Total Posts : 39
   Posted 2/12/2012 3:56 AM (GMT -6)   
My husband WISHED he had the light general for his biopsy! We are in Australia and it was offered but he would have had to stay longer and he wanted to get out!!

You may find that there is a small amount of blood in your ejaculate for a week to ten days. We waited 5 days and there was a small amount of blood but no pain for him.
Hubby's Numbers!
Raised PSA 8.1 September 2011
Biopsy October 5th 3 cores positive raning from 5% to 30%
Diagnosed October 7th 2011
Radical Perineal Prostotectomy November 23rd 2011 (nurves spared)
Post Surgery PSA 0.11 so commencing Radiotherapy 13th Feb 2011

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2218
   Posted 2/12/2012 5:08 AM (GMT -6)   
I'd think you can have sex again straight away.
Unlike rollydog and her hubby my experience was that there was a lot of blood in the semen, after a few days the discolouration was brown like coffee grounds and it took about two weeks before it was the normal colour again. I think that the best way of putting it is that you need to empty/flush the system to get it back to normal. You and your partner might be a bit surprsied by what the semen looks like, so I would also recommend using a condom or ejaculating in the shower.

As for anaesthetic, it was interesting to hear about the Letzeburgish way of doing it.
I live in The Netherlands and my experience was not at all like yours. My biospy was done without any anaesthetic at all. and it hurt a great deal, I nearly fainted from the pain, I was all dizzy, sweaty and nauseous and had to be taken somewhere to recover before I could leave the hospital. (Though that said I was probably only at the hospital for about an hour all told including the consultation with the uro etc prior top the procedure) I'd say my pain level was similar to getting a massive kick in the balls (which I have experienced several times on the sports field) or having a nail hammered into my balls (which I have not experienced). I asked about the pain and the nurse said it was not possible to do a biopsy with anaesthetic, and the uro said that injecting local anaesthetic into the prostate would hurt as much as the biopsy. I also had plenty of aching in my abdomen in the days there after and although i had had a course of antibiotics for the biospy the uro gave me another course. (I hope you also had a course of antibiotics for the biopsy)

The problem for me was, however, that when I went to Amsterdam to see the uro who was going to do my da Vinci he said that they always give a local anaesthetic for a biopsy in that hospital!
Should I ever have to have anything else biopsied I will thus know better. (And perhaps avoid the first hospital I went to even though it is only walking distance fvrom where I live.)

I hope you get good news from the results on the 28th.
Age dx 48
04/09 PSA 8.6, DRE neg. Biop 2/12 pos. G=3+3
07/09 RALP at AVL Amsterdam
Cath out at 1wk Dry at night
PostOp G=3+4 Bladder neck & Left SVI -T3b. No PNI No vasc.inv. Clear margins
09/09 No pads
11/09 PSA 0.1
03/10 PSA 0.4 04/10 CT.
Summer/10 66Gy SRT
09/10 PSA<0.1
01/11 PSA<0.1
04/11 PSA<0.1
07/11 PSA<0.1
10/11 PSA<0.1
No real ED

White Bird
Regular Member

Date Joined Jan 2012
Total Posts : 204
   Posted 2/12/2012 6:48 AM (GMT -6)   
I marvel at the wide variety of experiences we have concerning this disease.

My biopsy was done in the doctor's office with no anesthetic. The first half dozen samples felt like a static electricity shock, just a snap. The second half dozen grew increasingly annoying, like being snapped with a rubber band, probably because I was learning to anticipate the snap, and maybe because they were in the region where the cancer was most prominent. This last is just speculation, though.

The sex question has been well addressed by previous posters.
I am no longer a complete idiot - I now have some parts missing
PSA history:
'01 - 0.6
'02 - 0.8
'05 - 0.7
'06 - 0.9
'08 - 1.5
'09 - 1.9
'10 - 2.3
'11 - 5.6
Gleason 8, 5 of 12 biopsies
Diagnosed 10/4/11, 61 years old
DaVinci on 11/30/11
Pathology report: Gleason 8, T2c fully contained
JP drain and cath removed 54 days after surgery

Worried Guy
Veteran Member

Date Joined Jul 2009
Total Posts : 3743
   Posted 2/12/2012 7:36 AM (GMT -6)   
(You can tell when we Americans are starting to wake up. )


I had my 12 core biopsy in the Dr's office with no anesthetic. Most of the snaps were totally painless. However there was one shot that really got me - and made my eyes tear. I could feel that particular sample for about two weeks.

After the procedure was a bit sore so I refrained for about a week. The "pulsing" was uncomfortable/painful for about 2 weeks.

My semen looked like motor oil. Yuk! It grossed me out - and it was my own stuff!
Even though it is safe, harmless, blah, blah, blah... do the right thing: wear a condom and don't let her see it when you're done. Wipe up with the DARK towels so she does not have to find that disgusting shmutz on her new white ones.

Empty your prostate as often as you can. (It is GFMPH.) I cannot tell you how much I miss it sometimes.

Good luck to you.
Age: 59, Mar 36 yrs, 56 dx, PSA: 4/09 17.8, 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Glsn 3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 7/10 <0.01, 7/11 <0.01, 1/12 <0.02
AdV Sling 1/10/11 Dry

Susan R
Veteran Member

Date Joined Dec 2010
Total Posts : 511
   Posted 2/12/2012 8:31 AM (GMT -6)   
We either the same day or the day after biopsy manually brought Michael to orgasm. We were told to beware there might be some blood in the ejaculate. That was an understatement. It was 100% dark blood, unbelievable. We were both shocked that it was so dark, looked like oil. It took about 2-3 weeks until all the blood was cleared out. We made sure that Michael orgasm daily so to work the blood out. It is shocking to see, but normal. our URO told us of a story where another pt of his went to the ER because of the blood, he thought he was having internal bleeding! So, you can have sex right away, but I wouldn't orgasm inside of her, this would probably scare her.

Best of luck

New Member

Date Joined Nov 2011
Total Posts : 6
   Posted 2/12/2012 11:02 AM (GMT -6)   
Thanks for the responses. I will take the advice on board and will probable be back here again early next month once I get the results of the biopsy from my Urologist as this is all new to me (I thought I was a fit, healthy 51 year old until I succumbed to my first annual company medical).

Regular Member

Date Joined Jan 2012
Total Posts : 211
   Posted 2/12/2012 12:02 PM (GMT -6)   
Sounds like you received great advice.  My husband said the biopsy was horribly painful, terrible.  Sex a few days following.  My dad will get the same biopsy in a month or so, and we told him to ask for something to help relax him and something for pain.
Anyway, I was just chiming in to say, "hang in there".  I remember waiting on biopsy results and how stressed we were at times.  Keep up posted.

Hubby, age 45, DX 12/23/11
12 core Biopsy
RIGHT SIDE: 3+3, (10 or less volume)
LEFT SIDE: 3+3, 3+3 (both approx 10% volume or less) 4+3, 4+3 (30% volume)
Bone - Neg, CT - Neg
RALP - 2/2/12
Awaiting Pathology

Regular Member

Date Joined Oct 2010
Total Posts : 29
   Posted 2/12/2012 4:18 PM (GMT -6)   
orgasm as much as possible while you can. i'm 18 mos. out from rrp. and sex is a distant memory for me, unless i stab my self with a needle. trouble is i don't even have the desire any more. my wife and i had a very active sex life before rrp. sometimes i wish i had just let things take its corse and lived as long as i lived.

Veteran Member

Date Joined Jan 2012
Total Posts : 9443
   Posted 2/12/2012 8:39 PM (GMT -6)   
My doctor's answer was, "when you feel able." and the nurse said, "make sure to tell your wife that there will be blood in the semen. You don't want her to think it is her."

I waited a few days because everything below the belt hurt for awhile. The blood in the semen was the weirdest part of sex but I had more problems with blood in my urine and a number of blood clots. I had the blood for a good 6 weeks before it cleared up.
I'll be in the shop.
Age 52
PSA 4.2 10/2011
GS 3+4
Stage T1C
2 out of 14 cores positive
Treatment EBRT - in progress
My PC blog

Regular Member

Date Joined Feb 2011
Total Posts : 494
   Posted 2/12/2012 10:52 PM (GMT -6)   
I would encourage to enjoy any and all sex as you can while you are awaiting your biopsy results which may require surgery (hopefully if won't) but if it does and you unfortunately have to loose both critical bundle of nerves you don't want to have any regrets that you missed out on anything. Yes, the blood in the semen is a little freaky, but who cares, you can have sex, so seize the day and everyday while you have the ability to get an erection. For those of us who had to donate our critical bundles to the goodwill departments we long for the days when we could cause we are in the days of can't and have to mess around with Trimix injections, surgery for implants to do the job that we can no longer do.

So say it is good for your prostate health, cause it is and get so much in store in memories that it may make the transition to the dark side a little easier. I only pray and hope you get great biopsy results, and you don't have to go down the dark path of impotence cause it really sucks for one's manhood.

Best wishes.
Age 52
DRE Positive, Tumor on Left Apex, Biopsy 7 out of 12 positive, Gleason 9 (5+4) both sides, Dx 2/15/11,
RRP 4/27/11. Pathology, 25% cancer, PCa in margins, lymph node, seminal vesicles, pt3bI'mscrewed

Regular Member

Date Joined Nov 2009
Total Posts : 43
   Posted 2/12/2012 11:10 PM (GMT -6)   
I have had four biopsies. My experience is that if you wait a week for sex, then you get virtually no bleeding, but if you have sex right away, the bleeding persists.

So there is reason to just let things heal.

Water Guy
Veteran Member

Date Joined Jul 2011
Total Posts : 2405
   Posted 2/13/2012 4:11 PM (GMT -6)   
I had my Biopsy in my URO's office with a local anesthetic, I had wanted a general but my insurance would not cover it and I would have to pay over $500 out of pocket.  It wasn't painful but 2 days after, I got a terrible blood infection that put me in the hospital with a 102 degree fever, the chills, shakes and unine that looked like ice tea. I spent 2 days on IV anibiotics as they thought I was going spetic. The infection was from EColi in my intenstine that got into my blood during the biopsy. So it was a week after that before my wife and I had sex, in fact the same day I got my results. My semen was the color of motor oil as it was all dead old blood and it lasted for several weeks.  My wife hates condoms so she had no problems with the dark mess as she liked the ejaculating part of sex and that is what she misses the most now, and so do I. Sex now is about the same as using a condom, unfortuantely. Good luck on your results and if you have to return your prostate make sure it is empty with flat tires.
Terry TWG
AGE 61 with fam hist of PC
1.5 5/09
2.5 6/10
3.5 12/10 ref URO
5.25 2/11 all DRE Neg
BX 4/13/11 2 of 12 cores diag both sides 15% & 20% GS7(3+4)
RALP nerve-sparing 6/8/11 path G7 pT2C, Marg-Lymph-Sem-Vas NEG, organ confined 60% tumor involved 69grms 4.3X4X3 cm
100% dry 7/1/11
post PSA
8//11 <0.07
12/11 <0.04
TRIMIX therapy for ED seeing improvement
Zero club member in good standing
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