Beyond the Obvious: 6 Unspoken Prostate Cancer Symptoms from Bedroom to Bathroom

Early detection is a critical factor in effectively treating prostate cancer. While many people are aware of the more common symptoms—such as frequent trips to the bathroom—there are less apparent signs that often go unnoticed, and these subtle symptoms can be equally crucial as the common ones for detecting cancer. 

Comprehensive patient education is vital in equipping individuals to recognise the potential warning signs. By being aware of these less obvious prostate cancer symptoms, men are better prepared to seek medical advice and undergo necessary evaluations for a timely and accurate diagnosis. 

Today, we are going to explore the 6 unspoken prostate cancer symptoms in more detail. 

Prostate cancer ribbon

Prostate Cancer Pain in the Lower Back, Hips, or Thighs 

Prostate cancer pain comes in different guises, although for many people, it presents itself as a discomfort in the lower back, hips, or thighs. The type of pain and its intensity can vary – it can be dull and persistent, or it can come and go intermittently. While it’s tempting to dismiss this discomfort as a sign of ageing or simple muscle strain, especially if you’re not experiencing other common prostate cancer symptoms, it’s critical to take it seriously. 

This kind of pain may be indicative of the cancer spreading to nearby bones or other tissues. In some cases, the pain could be related to prostate cancer’s impact on sexual health, as the prostate gland plays a role in sexual function and reproductive health. The discomfort might also be accompanied by other prostate cancer urinary symptoms, which can further complicate the diagnosis.

Prostate Cancer Sexual Health Issues 

Prostate cancer can have a profound impact on sexual health, manifesting in symptoms such as erectile dysfunction or a decreased libido. While these issues are often easily attributed to other factors like stress, medication, or even ageing, they can also serve as early indicators of prostate cancer.  

It’s not uncommon for men to overlook these sexual health symptoms, dismissing them as temporary or unrelated to anything serious. However, they are often interconnected with other prostate cancer symptoms, such as pain in the pelvic area or urinary symptoms like frequent urination, and they warrant further medical investigation. 

Prostate Cancer Urinary Symptoms 

Changes in urinary habits can often serve as a red flag for underlying health issues, including prostate cancer. While frequent urinating is a widely known symptom, there are others to be on the look-out for, including: 

These symptoms can manifest in various ways, such as:  

  • Urinating more often during the night 
  • difficulty in starting or maintaining a urine stream  
  • Pain when urinating 

While prostate cancer urinary symptoms can sometimes be mistaken for benign conditions like an enlarged prostate or urinary tract infection, they should not be dismissed lightly. 

If you notice any of these urinary symptoms, it’s essential to consult a healthcare provider for a comprehensive evaluation, which may include diagnostic tests like a prostate-specific antigen (PSA) test.  

Prostate Cancer Gastrointestinal Issues 

Prostate cancer can sometimes manifest itself in ways not immediately associated with the disease, such as gastrointestinal symptoms. These can include constipation or diarrhoea, which are highly common issues often attributed to other conditions like irritable bowel syndrome or dietary choices, yet they should not be swept aside without further investigation.  

If you’re experiencing ongoing gastrointestinal symptoms, consult a healthcare provider for a thorough evaluation. These symptoms may be related to treatments for prostate cancer, such as radiation therapy, which can affect the gastrointestinal system. 

Prostate Cancer Fatigue Symptoms 

Persistent fatigue that doesn’t improve with rest can be frustrating and also highly concerning for many people.  

The trouble with fatigue, aside from the obvious disruption it can cause your day, is that it’s a common complaint associated with a variety of conditions—from stress-related issues to insomnia. Yet, it can also serve as one of the more subtle symptoms of prostate cancer. 

When fatigue persists and is unexplained, it is time to delve into the cause and make sure there isn’t a more serious underlying issue like prostate cancer. Book an appointment with a GP if you are experiencing constant fatigue and concerned about why. 

Prostate Cancer Blood in Semen 

Finding blood in your semen can be a deeply alarming experience and is a symptom that should never be ignored. While the presence of blood in semen can be attributed to various conditions such as infections or inflammations, it can also serve as one of the more concerning prostate cancer symptoms. Ordinarily, this is less common than others like prostate cancer pain or urinary symptoms, yet it is significant enough to warrant immediate medical attention. 

If you notice blood in your semen, do not overlook it. Consult a healthcare provider for a thorough evaluation as soon as possible. 


Prostate cancer is a serious and often complex condition that can manifest through a variety of symptoms, ranging from lower back pain and urinary symptoms to less commonly known indicators like fatigue and blood in the sperm. The key to effective management lies in early detection, which can significantly improve treatment outcomes and quality of life. 

At Katelaris Urology, we are committed to providing comprehensive care that covers the full spectrum of prostate cancer symptoms, including those related to sexual health and gastrointestinal issues. Our team of experts is well-equipped to offer a thorough evaluation and a personalised treatment plan tailored to your specific needs. If you’re experiencing any of these unspoken or less obvious symptoms, we strongly encourage you to seek further medical advice as quickly as possible. 

For more information on prostate cancer symptoms, diagnosis, and the range of treatment options available, visit our website or contact us directly to schedule an appointment. Early diagnosis is crucial, and our team is here to guide you through every step of the journey towards better health. 


  1. American Cancer Society. (2021). Signs and Symptoms of Prostate Cancer. Retrieved from American Cancer Society 
  2. Mayo Clinic. (2021). Prostate Cancer. Retrieved from Mayo Clinic 
  3. National Cancer Institute. (2021). Prostate Cancer Treatment (PDQ®)–Patient Version. Retrieved from National Cancer Institute 
  4. WebMD. (2021). Prostate Cancer Symptoms. Retrieved from WebMD