Blood in Semen and Elevated PSA

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New Member

Date Joined Oct 2007
Total Posts : 4
   Posted 10/24/2007 2:44 PM (GMT -6)   
Hi All,

           I am a 42 year old male with a history of a one cancer scare. This resulted in a Right Testicle I/O last Feb which resulted in an Adenomatoid Benign Tumor and no future follow up.

Well I have had no problems until recently. I had a some blood in my semen (reddish tint, no spotchy). I suspected it was a hematospermia but wanted to get it checked out anyway. I thought maybe it was related to my previous I/O.


M urologist agreed with the hematospermia suspicion. He conducted a rectal prostate check and sent me to the lab for a PSA just to be safe. BTW, He said my Prostate felt normal

Well in short he called be back two hours later and said my PSA was high (3.75). He immediately put me on Antibiotics (
Cipro) for 30 days and wanted to retest the PSA in 30 days. Meanwhile, I was to check my semen a few times as well. Well, I checked it the same evening following the test and it was very bloody (splotchy) unlike the first time.

Of course, I'm freaking out a bit.  I went to see me GM today anyway to get some annual blood work. We discussed what was going on.

He said that doing the rectal prostate check first can raise the PSA significantly. He always recommends the PSA test first followed by the prostate check (finger).

In addition, he said that I may have a blockage or infection that could raise my PSA.  I really have no other symptoms. I urinate quite frequently due to drinking alot of liquids. I have no burning. I do have some dull pain, but I think I may be paranoid.

Any insights to all of this would be appreciated

Veteran Member

Date Joined Apr 2006
Total Posts : 1732
   Posted 10/24/2007 2:53 PM (GMT -6)   

Sorry to hear of both your worries Plywood. It's ever good news untill the all half a whoo-hoo so far :>)
As for the other, having a digital rectal exam will not raise the PSA significantly. I wish Doctors would stop telling patients this less than fact. Your PSA may go up a little but not much. A man's PSA may be entirely related to inflamtion or infection or some benign issue so, until the word is in, try to hold onto any other cause besides cancer for now. We'll keep you close in thoughts and prayers. In the mean time, hang in there.


New Member

Date Joined Oct 2007
Total Posts : 4
   Posted 10/24/2007 8:07 PM (GMT -6)   
Yes Maam,
          Thanks for your support. This is a much longer wait than last time. Before, I was in surgery within a week and a half. It is rough waiting this time.
It's tough staying positive, but I am trying. There are so many if's with the PSA tests.
God Bless

Veteran Member

Date Joined Apr 2006
Total Posts : 1732
   Posted 10/24/2007 8:33 PM (GMT -6)   
OOPS..NEVER...I meant never good news until the all clear. Sorry

El Tigre
Regular Member

Date Joined May 2007
Total Posts : 58
   Posted 10/24/2007 9:21 PM (GMT -6)   
All of us, that have been diagnosed with this, know what you are going through. Perhaps the single most stress inducing part of it is the waiting. You wait for a test, to see if a treatment regime works, for the next phase and the one after.....on and on. Then, if the worst happens and the cancer is real, it starts all over again. You have to choose from the myriad treatment options, then you wait for results from whatever treatment you choose, then you wait for tiny, little, incremental signs of how normal you will end up being during the healing process.

Always keep in mind that a positive attitude may be the single most important thing you have control of while "waiting". Be patient and positive. We are all pulling for you.
I sure do wish I had found this site pre-surgery!! RRP 10/25/05 I don't remember all the scores. Have had clean checks ever since. Never had to use the pads!!

New Member

Date Joined Oct 2007
Total Posts : 4
   Posted 10/25/2007 12:08 PM (GMT -6)   
Thank you and I will be waiting impatiently.

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 11/10/2007 5:59 PM (GMT -6)   

  tongue   Hi ~ Plywoodkid  & Loved Ones…


Welcome   to…   ~ HealingWell ~




A   Special   Warm Welcome  to  You !


Knowledge gives us POWER….  POWER takes away the fear.


~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~


 Click  on  link  below for important information that will help you ~ help us!!


Welcome New Members ~ to HealingWell



The information (link) listed above is to help you get started on your journey. 

     It is a journey best traveled with friends. 

          Welcome ~ New Friend from all the members here... on


v      IdahoSurvivor ~  Moderator for Prostate Cancer Forum


v      bluebird ~  Moderator for Prostate Cancer Forum 

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 11/10/2007 6:07 PM (GMT -6)   

  tongue   Hi  ~ Plywoodkid & Loved Ones,


A   “Special”  Warm Welcome  to  You!   


Hopefully we will hear from you soon!  yeah We can “all” make things a little smoother while you are waiting for answers ~ just by being here for you!   Thank you for reaching out!!! 


There are a lot of Helping Hands here… and just by reaching out like you did ~ you will have a much easier time.  We’ve been where you are now.  Knowing you aren’t alone… makes a big difference in psyche and spirit.


We will always be here for you… This is truly a great forum!!

Hopefully we can send you on your way soon.  If not ~ we will be right here.   


So ~ Please stay with us and take our hand when you need it!  Keep posting ~ OKAY!!    Our thoughts and prayers will be with you as you continue to move forward.

Stay Close!

In Friendship ~ Lee & Buddy

mama bluebird - Lee & Buddy… from North Carolina


v          We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

3rd PSA 08-07-2007 Less than 0.1 Non-Detectable :)

New Member

Date Joined Oct 2007
Total Posts : 4
   Posted 11/14/2007 4:34 PM (GMT -6)   

Hi All,


                  Sorry I haven't been back in a while. I work for the railroad and am gone a little. Besides. as you all know, the stress of all this is enough alone.

For what it was worth, I didn't ejaculate since the 4th of Nov and went in for a 2nd PSA test this morning. This time I waited for the results. This time it was 2.80. It has lowered almost a point:-)   It has been about 27 days since the first one (3.75) and I have been on Cipro for the whole time (2 a day). My appointment with my Dr. is Tuesday the 20th. I will be interested in what he has to say.

Thank you for all your support so far. This has been a rough month. I lost a right testical earlier this year to possible cancer.  I am hoping it is not a 2nd round.

From what I have read on these boards, my situation is sounding more like BPH or an infection. If it was cancer, would my PSA lower?

Any opinions would be welcome.


Again Thanks.


Regular Member

Date Joined Jul 2006
Total Posts : 165
   Posted 11/17/2007 5:52 PM (GMT -6)   

This sounds a lot like what was happening to me. The answer to your question is I was told that if I had PCa my PSA would not go down, it did but not back to my baseline. Do you know what you baseline is? What is your velocity range? If it more that .75 I would request a biopsy of 12 core samples or more.
Jim, 53, 5 level Cervical Laminectory-2003, sclerotic lesions in hip found Nov 2006, GERD, 30% Carotid artery blockage, Kidney Cyst, Asthma, Eye problems, Prostate BPH, Tripling of PSA.
Meds, Tramadol HCl, Flexeril, Omeprazole, Nitrostat, Plavix, Albuterol, Saw Palmetto, Multi Vitamin Mens

Jim, 53, BPH since 1996
Kidney cyst since 2002
Sclerotic lesions found on hip, Nov '06
Bone Scan Dec '06 Hot Spot on Brain

Prostate Biopsy 18Sept '06, 10 sample all negative, Prostate size 36.3 ml
0.7 Sept 01
0.8 Sept 02
1.2 Nov 03
1.3 Nov 04
1.2 Oct 05
3.61 Jul 06
3.2 Aug 06
2.6 Sept 06 19%
2.6 Mar 07
2.6 Apr 07 3% Oh NO
Family history of PCa, father and two uncles

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