ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
Just had the biggest scare of my life (PSA = 10.6)!! Need some advice.
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="madman" data-source="post: 218498" data-attributes="member: 13851"><p><em><strong>*Therefore, prior to starting TTh, a patient’s risk of PCa must be assessed using, at a minimum measurement of serum prostate-specific antigen (PSA). <u>Pretreatment assessment should include PCa risk predictors such as age, family history of PCa, and ethnicity/race</u>. <u>If suspicion of PCa exists, it may be reasonable to perform a prostate biopsy if warranted by clinical presentation</u>. Testosterone therapy may be initiated in these men if a prostate biopsy is negative</strong></em></p><p><em><strong></strong></em></p><p><em><strong>*After initiation of TTh, patients should be monitored for prostate disease with measurement of serum PSA at 3–6 months, 12 months, and at least annually thereafter. <u>In a subject with an increased risk of PCa urologist supervision is required</u></strong></em></p><p><em><strong></strong></em></p><p><em><strong>*<em><strong>An initial increase of prostate-specific antigen (PSA) and prostate volume with TTh is frequently seen over the first 2–6 months because the prostate is an androgen-dependent organ. <u>The increase in PSA will be greatest in men with marked TD and least (or absent) in men with milder degrees of TD. The PSA level at 6 months after initiation of TTh should be used as the new baseline</u></strong></em></strong></em></p><p><em><strong></strong></em></p><p><em><strong>*Referral to a urologist for prostate evaluation and possible biopsy during TTh should be made with the development of a new palpable prostate abnormality on DRE or with a worrisome rise in PSA. <strong><u>Recommendations regarding what constitutes a concerning rise in PSA include an increase of 1.0 ng/ml over baseline PSA or a PSA velocity greater than 0.35 ng/ml per year</u></strong></strong></em></p><p></p><p></p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/beyond-psa-new-prostate-cancer-screening-options.24652/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/biochemical-and-genomic-markers-for-prostate-cancer.24390/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/prostate-cancer-early-detection.24366/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/testosterone-recovery-profiles-after-cessation-of-androgen-deprivation-for-prostate-cancer.23925/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/next-generation-imaging-for-prostate-cancer.23905/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/incorporating-mri-for-early-detection.23709/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/who-needs-a-prostate-biopsy.23708/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/evidence-for-psa-screening.23707/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/mri-us-fusion-guided-prostate-biopsy.23356/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/incidental-findings-in-and-around-the-prostate-on-prostate-mri.23058/[/URL]</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/prostate-cancer-biomarker-development.22045/[/URL]</p></blockquote><p></p>
[QUOTE="madman, post: 218498, member: 13851"] [I][B]*Therefore, prior to starting TTh, a patient’s risk of PCa must be assessed using, at a minimum measurement of serum prostate-specific antigen (PSA). [U]Pretreatment assessment should include PCa risk predictors such as age, family history of PCa, and ethnicity/race[/U]. [U]If suspicion of PCa exists, it may be reasonable to perform a prostate biopsy if warranted by clinical presentation[/U]. Testosterone therapy may be initiated in these men if a prostate biopsy is negative *After initiation of TTh, patients should be monitored for prostate disease with measurement of serum PSA at 3–6 months, 12 months, and at least annually thereafter. [U]In a subject with an increased risk of PCa urologist supervision is required[/U] *[I][B]An initial increase of prostate-specific antigen (PSA) and prostate volume with TTh is frequently seen over the first 2–6 months because the prostate is an androgen-dependent organ. [U]The increase in PSA will be greatest in men with marked TD and least (or absent) in men with milder degrees of TD. The PSA level at 6 months after initiation of TTh should be used as the new baseline[/U][/B][/I] *Referral to a urologist for prostate evaluation and possible biopsy during TTh should be made with the development of a new palpable prostate abnormality on DRE or with a worrisome rise in PSA. [B][U]Recommendations regarding what constitutes a concerning rise in PSA include an increase of 1.0 ng/ml over baseline PSA or a PSA velocity greater than 0.35 ng/ml per year[/U][/B][/B][/I] [URL unfurl="true"]https://www.excelmale.com/forum/threads/beyond-psa-new-prostate-cancer-screening-options.24652/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/biochemical-and-genomic-markers-for-prostate-cancer.24390/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/prostate-cancer-early-detection.24366/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/testosterone-recovery-profiles-after-cessation-of-androgen-deprivation-for-prostate-cancer.23925/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/next-generation-imaging-for-prostate-cancer.23905/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/incorporating-mri-for-early-detection.23709/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/who-needs-a-prostate-biopsy.23708/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/evidence-for-psa-screening.23707/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/mri-us-fusion-guided-prostate-biopsy.23356/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/incidental-findings-in-and-around-the-prostate-on-prostate-mri.23058/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/prostate-cancer-biomarker-development.22045/[/URL] [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
Just had the biggest scare of my life (PSA = 10.6)!! Need some advice.
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top