PSA came back a little high. Now what?

[Pauly_P]

Oh yes, definitely the 3T MRI did find several areas of concern. I would certainly recommend that procedure to Nashtide if that is available to him. It sure beats having a biopsy with no guidance. If you have just a tiny bit of PCa the odds of finding it with a hit or miss biopsy are small. I had two negative ones. In the first couple of chapters of Marckini book, he laments the fact that he also had 2 negative biopsy's, and all the while he is now sure he had PCa.
Your correct Orrin, they can tell exactly what the PCa is, mine is non-aggressive. I had the lowest possible Gleason score. A good friend had, that Lupron injection, said it almost killed him.

Morgentalers book arrives today, and I'll look at Lee's book as well as the support website. Thanks for the recomendations!!

 

[Nashtide]

Oh yes, definitely the 3T MRI did find several areas of concern. I would certainly recommend that procedure to Nashtide if that is available to him. It sure beats having a biopsy with no guidance. If you have just a tiny bit of PCa the odds of finding it with a hit or miss biopsy are small. I had two negative ones. In the first couple of chapters of Marckini book, he laments the fact that he also had 2 negative biopsy's, and all the while he is now sure he had PCa.
Your correct Orrin, they can tell exactly what the PCa is, mine is non-aggressive. I had the lowest possible Gleason score. A good friend had, that Lupron injection, said it almost killed him.

Morgentalers book arrives today, and I'll look at Lee's book as well as the support website. Thanks for the recomendations!!

I will update my situation after the urologist appointment. It's unclear whether I can have an MRI. I have a bunch of titanium hardware in my lower back.

 

[Nashtide]

Met with the urologist today. He's not concerned at this point. He recommended that we redo PSA and do a more specialized blood test called a PHI in two months. We will re-evaluate then. He feels confident I'm not dealing with prostate cancer. Time will tell, but I'm feeling pretty good and thankful for now. Thanks to everyone who chimed in. I'll let y'all know the results of the next round of tests in mid May.

 

[Giovanni73]

Mine went from .07 to .09 in an eight week period on 100 mgs a week of testosterone. Should I worry?

 

[CoastWatcher]

Mine went from .07 to .09 in an eight week period on 100 mgs a week of testosterone. Should I worry?

No. That can be accounted for as simple serum variation. It's essentially the same level.

 

[Vince Carter]

No. That can be accounted for as simple serum variation. It's essentially the same level.

Indeed I call that statistically the same.

 

[Giovanni73]

Thank you so much. I have tossed and turned all night thinking I will have to go off TRT because of PSA levels...

 

[Giovanni73]

Thank you all for the reply. Do PSA levels go up and if so for how long? Thank you. I am new to TRT.

 

[Giovanni73]

What a relief. Thank you.

 

[Vince Carter]

Sex and orgasm can influence a PSA test, the normal advice is to refrain for atleast 24hrs or 48hrs prior to the blood draw. At any time there would be an unexplained rise the basic first step would be to retest as labs do make mistakes. TO verify it with a second test would be the first prudent thing to do. But by and large, TRT and Prostate anything are exceedingly rare and anything Prostate was probably there before TRT.

 

[CoastWatcher]

So is a PSA rise from 0.07 to 0.09 a reason for concern? From others on her the answer is, no...

As has been said, again and again, you have nothing to be worried about with these two data points. Let's also let Nashtide have his thread back. If you have other concerns or question, please, feel free, to initiate a new thread.

 

[Nashtide]

As has been said, again and again, you have nothing to be worried about with these two data points. Let's also let Nashtide have his thread back. If you have other concerns or question, please, feel free, to initiate a new thread.

Lol. Thanks CW. I'm not really going to have anything to add until mid-May when I get the second blood test back.

 

[lexer]

Mine went from .07 to .09 in an eight week period on 100 mgs a week of testosterone. Should I worry?

First off, the psa is .7-.9 not .07 or .09. That is DEFINITELY NOT a significant jump. Get tested in another 8 weeks.
Initially going from .7 to .9 psa while starting testosterone is normal. Many times after a month or two the psa reverts to the original.
Im sure you are just fine.

 

[Giovanni73]

Thanks for the reply.