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You’ll have your own reasons for choosing one treatment over another, including how the possible side effects could affect your lifestyle. We have some specific information on these side effects below, as well as more general information about ways to manage them on our living with prostate cancer pages. Depending on the treatment you have, side effects can include: Side effects of prostate cancer treatmentĪll treatments have side effects, and some of these may be particularly relevant to you as a gay or bisexual man. Read more about having a prostate biopsy, including the possible side effects. Talk to your doctor or nurse if you need any further advice. If you’re the receptive partner in anal sex (bottom), wait about two weeks until any side effects from your biopsy have settled before having anal sex. If it takes longer than a couple of months to clear up, or gets worse, you should see your doctor. You can still masturbate and have sex if you’re the penetrative partner in anal sex (top), but you might prefer to use a condom until the bleeding stops. This can be a shock and some men find it distressing, but it’s normal and should get better by itself. This will be different for everyone and may vary from a small amount to a much larger amount. You may also notice blood in your semen for a couple of months – it might look red or dark brown. It’s normal to see some blood in your urine or bowel movements for about two weeks after having a biopsy. The tissue is then looked at under a microscope to check for cancer.
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Depending on the type of biopsy you have, the needle will either go through the wall of the back passage, or through the skin between your testicles and back passage (perineum). This involves using thin needles to take small pieces of tissue from the prostate.
This can show whether there is anything unusual in the prostate, or the area around it, that might be cancer. If your GP thinks you may have a problem with your prostate, they will refer you to a hospital specialist for more tests, such as a magnetic resonance imaging (MRI) scan. This is where your GP feels your prostate through the wall of your back passage (rectum). If your prostate is hard or lumpy, this could be a sign of prostate cancer. Read more about having a DRE. Try to avoid this for a week before having a PSA test.įind out more about the PSA test, including what to do if you have trouble getting one. Lots of things can affect your PSA level, including being the receptive partner in anal sex (bottom) or having your prostate stimulated. This is a blood test that measures the amount of a protein called prostate specific antigen (PSA) in your blood. A raised PSA level may suggest you have a problem with your prostate, but not necessarily cancer. But this page has information on things to be aware of if you have anal sex or have your prostate stimulated. Tests for diagnosing prostate cancer are the same for everyone. Read about ways to talk about your sexuality with health professionals. It may be helpful to let your medical team know if you’re gay or bisexual, so they can give you the support and information that is right for you. Talking about your sexuality with your medical team But you may have a partner who has, or is at risk of getting, prostate cancer.įor more general information about prostate cancer, you can read our information on signs and symptoms or things that can increase your risk of prostate cancer. If you’re a gay or bisexual trans man (assigned female at birth but identify as a man) you will not have a prostate so you are not at risk of getting prostate cancer. We’ve included information that may be relevant to you, and about the support available. But if you’re gay, bisexual or a man who has sex with men, you might have some specific questions or concerns. Prostate cancer isn’t more common in gay or bisexual men, or in men who have anal sex, and it’s treated in the same way.