PSA levels increase. When to be concerned?

Second majority of comments.
Suggest Patrick Walsh MD's book Surviving Prostate Cancer and PCF.org Prostate Cancer Foundation Patient Guide free downloadable or mailed hard copy for good information.
Best wishes.

Thank you everyone!
The urologist was satisfied with the 2.35 level and emailed to tell him to continue with the annual PSA screening next year. I think I would be happier with a recheck in 6 months because of the increase from 1.1. But then again, this is NOT my area of expertise.
My fathers had been around 4 for so long that increased to 6, further tests to find was PC, had Robotic procedure (ralp) - has been good since.
Thank you again for your replies and stay healthy!!!

I think it's ok to push back a bit if you want and ask for 6-month PSA screening instead of annual, at least for a couple of years. As I mentioned, it's so inexpensive and non-invasive that there's no harm in having it done a bit more often if that will help your and his peace of mind.

I see by my prior post did not list correct information. My PCP, R/O has me doing PSA test every 3 months for 3 years after my radiation treatments then it moves to every 6 months.

My PCP is much more cautious and was doing PSA on me every 3 months prior to diagnosis as did not like rising numbers even though my PSA was still under normal range. I respect his professionalism and dedication to me as a patient and will abide by his recommendations.

When you are first diagnosed with high PSA numbers, rising numbers, etc., the information coming at you can be overwhelming. It is why you should do your own research and get second opinions asking all your questions.

Just make sure the institutions or doctors you are going to are experienced and knowledgeable AND DO NOT ACCEPT being treated as just another patient. If you are not treated uniquely and made to feel we are going to what is best for you go somewhere else. Everyone is unique, and every cancer is unique to that patient and that is the way you need to feel treated or go elsewhere.

Miss , Lots of great help here . Make sure you do your reading and get up to speed on prostate cancer ( PC) and factors about diagnosis. Yes, the spike in PSA is not the best , but it can be for a number of reasons . The urologist will have to start with monitoring, and maybe some images, or a biopsy if it goes higher . Dont worry . Let us know what the Urologist has to say . No worries at this point - BUT get a definitive answer upon why the PSA is high and spiked . Your asking the right questions - good for you ! God Bless . James on Vancouver Island

Based on what some of the guys on this web site mentioned, you might want your husband to talk to the doctor about adding the PSE blood test as well.
https://www.urologytimes.com/view/episwitch-prostate-screening-blood-test-launches-on-us-market

Hi. Thanks for your post. My husband was diagnosed at 52 with stage 4 metastatic prostate cancer after he had his prostate removed.

Does your husband have prostate cancer history in his family?

My husband’s family has a profound occurrence: one brother diagnosed with PC at 40, had his prostate removed. My husband’s father was diagnosed at 62 and had his prostate removed and is now 86. Another brother was diagnosed three months after my husband at 54 and had his prostate removed.

Of all the men in my husband’s family, my husband is the only person who has had the cancer spread to his lymph nodes. He discovered this when his prostate was removed and the surgeon took out approximately 30 lymph nodes. The cancer was found in one lymph node.

My husband is now 56 years old. He went through 33 days of radiation and then two years of a daily steroid, Aberaterone, and Lupron. Those two years of treatment were extremely difficult for him. It was the hardest time our family has ever experienced. Now he is one year and four months off of treatment and he is doing amazing. He exercises every day, lifts weights three times a week, runs and hikes on the other days. He feels hopeful but we know that once cancer spreads, it can be difficult to keep dormant.

I am encouraging you and your husband to get an aggressive monitoring plan. If he has PC cancer in his family, I would encourage you to see if he can get an MRI. If PC is diagnosed early, it is helpful and can be lifesaving.

Hugs to you from a wife to a wife.

This is great information! Thank you for sharing.

He doesn’t have family history of Prostate Cancer. His father had enlarged prostate and his 3 brothers are younger without any history. His father passed away from Pancreatic, so we are definitely all about keeping up with of our health screenings.
My thoughts go out to you all for the difficult treatments you have endured and really appreciate your help with this!! I hope everyone stays healthy!!

Get a biopsy.