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What Causes Blood In Semen?
My husband had blood in his semon in January. So they did a PSA and it was 5. They put him on a month s antibiotic and then he had another PSA a week ago. It is now 6.5. The Doctor has referred him to a Urologist, who can t see him for 6-8 weeks. I really don t know much about this but thought this was way to long being it had gone up 1.5 in a matter of 3 months. I pushed and they are going to have him see the PA first. What questions should I be asking?
Fri, 24 Feb 2023
Hi,
Normally, blood in the semen may be normal, particularly, if it is first time, you are having it. It may be due to infection or inflammation of prostate, rupture of any small vein during the process of erections etc. Generally, if the episode is first time, you are supposed to wait for some time. Otherwise the treatment will depend on the cause like antibiotic or anti-inflammatory etc. If the problem still persists, you are supposed to go for further testing and treatment accordingly.
However, as your PSA is rising, so you should be tested specifically for prostatic cancer, as the chances of prostatic cancer are 15%, if PSA is between 4-10. However, in your case, as it is a rising level, so the risk may be even more.
You, may also go for a ratio of free PSA to total PSA, as it is a more strong predictor of prostatic cancer. If more is the ratio of free PSA to total PSA, then, chances of prostatic cancer are lesser. If percentage of free PSA to total PSA is less than 10%, then chances of prostatic cancer are about 50-60%, where as, if it is more than 25%, then chances are Hence, in my opinion, you may be advised to have your prostatic biopsy for identification of any prostatic pathology and particularly to confirm/rule out presence of a prostatic cancer.
However, best guide will be your urologist, to decide the pattern of your further evaluation and management. Fortunately, prostatic cancer is a slow growing tumor, hence, in my opinion, even if it is there, it should not make much difference in the prognosis of your illness within a duration of 6-8 weeks.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Satnarain Bansal, General & Family Physician
Normally, blood in the semen may be normal, particularly, if it is first time, you are having it. It may be due to infection or inflammation of prostate, rupture of any small vein during the process of erections etc. Generally, if the episode is first time, you are supposed to wait for some time. Otherwise the treatment will depend on the cause like antibiotic or anti-inflammatory etc. If the problem still persists, you are supposed to go for further testing and treatment accordingly.
However, as your PSA is rising, so you should be tested specifically for prostatic cancer, as the chances of prostatic cancer are 15%, if PSA is between 4-10. However, in your case, as it is a rising level, so the risk may be even more.
You, may also go for a ratio of free PSA to total PSA, as it is a more strong predictor of prostatic cancer. If more is the ratio of free PSA to total PSA, then, chances of prostatic cancer are lesser. If percentage of free PSA to total PSA is less than 10%, then chances of prostatic cancer are about 50-60%, where as, if it is more than 25%, then chances are Hence, in my opinion, you may be advised to have your prostatic biopsy for identification of any prostatic pathology and particularly to confirm/rule out presence of a prostatic cancer.
However, best guide will be your urologist, to decide the pattern of your further evaluation and management. Fortunately, prostatic cancer is a slow growing tumor, hence, in my opinion, even if it is there, it should not make much difference in the prognosis of your illness within a duration of 6-8 weeks.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Satnarain Bansal, General & Family Physician
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