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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
Lowered PSA, 2.99 to 0.92, in Three Months
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<blockquote data-quote="chad386" data-source="post: 199830" data-attributes="member: 26641"><p>I know this is an old thread, but wanted to check in here to see how everyone is doing. I am 45, been on TRT for little over 2 1/2 years. Found a lot of help on this forum over the years from actual posters in this thread.</p><p></p><p>One aspect to this PSA thing that was not mentioned was the reliability of the test, and if it's a good test at all. I just finished this book, <a href="https://smile.amazon.com/gp/product/B00HBQ6NY8/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1" target="_blank">The Great Prostate Hoax</a>, written by the actual inventor of the PSA test. The book talks about how the test was hijacked by the AMA and urological surgeons. He never intended for this to be a 'test' for much of anything.</p><p></p><p>The US Preventive Services Task force <a href="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening" target="_blank">seems to agree with him. </a>After initially giving the test a recommendation of: NEVER DO THIS TEST, they went back and revised it to a C (from the former grade of D). A C grade for a male 55 to 69 yo = <strong>The decision to be screened for prostate cancer should be an individual one. </strong></p><p></p><p>What this means to me is, the patient decides, not the physician. And for males 70 and over, it gets the big D = DO NOT RUN THIS TEST.</p><p></p><p>I like my TRT doc, very progressive and forward thinking, but he likes me to have a PSA run regularly.</p><p></p><p>The pain HarryCat2 mentioned on a prostate biopsy is not uncommon at all, as I have had several patients report it was the most intense pain they had experienced in their lives. This to me, is a failure on so many fronts, it starts to sound ridiculous.</p><p></p><p>What can elevate a PSA? Well, riding a bike, having sex, sitting. But another one is trauma. The biopsy itself causes trauma to the prostate and elevates PSA. They often want to do biopsies in succession as well, leaning on the old ' inconclusive' grade, likely not waiting enough time between them for the prostate to sufficiently recover. We all know how long it takes a prostate to heal, based on its anatomic blood supply, and specifically in cases of BPH.</p><p></p><p>I am trying to work through this for myself and decide if I'm ever going to test it again, since my doc lets me order my own labs. One big reason the USPTF gave it a D all the way round the 1st time, was the undue stress a false positive gives a patient. I saw that hinted in this thread on several posts. And we all know what stress does to a man.</p><p></p><p>I'm open to changing my mind on this if you guys have anything to add. I've never had an elevated PSA to date.</p></blockquote><p></p>
[QUOTE="chad386, post: 199830, member: 26641"] I know this is an old thread, but wanted to check in here to see how everyone is doing. I am 45, been on TRT for little over 2 1/2 years. Found a lot of help on this forum over the years from actual posters in this thread. One aspect to this PSA thing that was not mentioned was the reliability of the test, and if it's a good test at all. I just finished this book, [URL='https://smile.amazon.com/gp/product/B00HBQ6NY8/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1']The Great Prostate Hoax[/URL], written by the actual inventor of the PSA test. The book talks about how the test was hijacked by the AMA and urological surgeons. He never intended for this to be a 'test' for much of anything. The US Preventive Services Task force [URL='https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening']seems to agree with him. [/URL]After initially giving the test a recommendation of: NEVER DO THIS TEST, they went back and revised it to a C (from the former grade of D). A C grade for a male 55 to 69 yo = [B]The decision to be screened for prostate cancer should be an individual one. [/B] What this means to me is, the patient decides, not the physician. And for males 70 and over, it gets the big D = DO NOT RUN THIS TEST. I like my TRT doc, very progressive and forward thinking, but he likes me to have a PSA run regularly. The pain HarryCat2 mentioned on a prostate biopsy is not uncommon at all, as I have had several patients report it was the most intense pain they had experienced in their lives. This to me, is a failure on so many fronts, it starts to sound ridiculous. What can elevate a PSA? Well, riding a bike, having sex, sitting. But another one is trauma. The biopsy itself causes trauma to the prostate and elevates PSA. They often want to do biopsies in succession as well, leaning on the old ' inconclusive' grade, likely not waiting enough time between them for the prostate to sufficiently recover. We all know how long it takes a prostate to heal, based on its anatomic blood supply, and specifically in cases of BPH. I am trying to work through this for myself and decide if I'm ever going to test it again, since my doc lets me order my own labs. One big reason the USPTF gave it a D all the way round the 1st time, was the undue stress a false positive gives a patient. I saw that hinted in this thread on several posts. And we all know what stress does to a man. I'm open to changing my mind on this if you guys have anything to add. I've never had an elevated PSA to date. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
Lowered PSA, 2.99 to 0.92, in Three Months
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