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Slight PSA rise 9 months after radiation.
Prostate Cancer | Last Active: Jan 15 10:59am | Replies (60)Comment receiving replies
After radiation, your PSA should normally drop below 1, if it is above 2 after nine months it probably means you have a metastasis somewhere. Have you had a PSMA pet scan? Have you talked to your oncologist about this?
You really should get scanned to see what’s going on, that high a PSA is not normal after radiation.
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@jeffmarc My PSA was 10.05 pre-treatment. I started on Orgovyx March 26 2025, completed SBRT mid-April 2025. July PSA was 0.36; 0.22 in October at two weeks off Orgovyx. January 2026 PSA is 0.98 at 3-1/2 months off ADT. I hope this is just an "early bounce"; last October my RO predicted a PSA rise in tandem with a rising T -- she said that 0.22 was not yet my nadir, it would be my lowest PSA ater the bounce -- that nadir can be 2 - 3 years post-SBRT. (I suspect it will be a different story if successive PSA tests will all trend towards higher values breaching 2.0 that I anticipate I won't reach before trending down towards nadir.