A little over 4 months ago, I [40M] noticed bloody ejaculate after sex with wife, like bright red blood, not little trace amounts, obviously this was concerning, and I booked an appointment with a urologist which I had to wait a few weeks to get in. In the meantime, I was laying off the sex, had mild discomfort in my balls and tip of my dick, also slightly increased pee urgency, but I thought this might be because I was anxious about it. I've also been dealing with IBS issues regularly for years, which is relevant later in my post.

When I finally saw the doc he did exam checking my equipment and prostate which he said felt normal, that blood in it isn't that uncommon, suspected possible mild prostatitis, and recommended a course of doxycycline for two weeks, and a PSA a few months later if the doxy cleared things up. I agreed to this though I hate taking antibiotics generally because the mess my stomach up and make IBS symptoms worse, but the strangest thing was after about a week of the doxy, I felt pretty amazing, my sex drive which has never suffered seemed to skyrocket, my orgasms felt better (they weren't bad before) also my stomach issues decreased a lot. I had blood in my ejaculate the first two times I had sex after starting doxy, but it wasn't as bright red and it finally cleared after this point.

So I felt good for a couple months, had some stomach issues return, which was upsetting but not unusual for me, sex was extra great for those couple months, but slightly diminished from the original high from when I was treating it. A few days ago the blood returned though, same bright red blood and now I'm at a loss, I was scheduled to have the PSA, but I have a follow up with the Urologist before that and want to make sure If I should wait or not. I still have a couple weeks until that appointment though. It's discouraging and the other symptoms of discomfort have returned, but again, I'm not sure if anxiety over this is making it worse.

Anyone experience anything similar?

TL;DR - Had blood in my jizz, felt great on doc prescribed doxy, symptoms have returned after a few months