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I’m still waiting to get my biopsy now. My Private primary care doctor put me on Cipro a week ago. In that time the VA tested my PSA again. The current results were 1.78, their previous results in Aug were 2.30, the result before that was 1.60. This reflects an increase of .20 increase from April of 24 to Feb of 25. But the bizarre thing is on Cipro my PSA dropped and my minor symptoms of strong urges to urinate disappeared with the Cipro, and no urge to get up at night and urinate. Plus my PSA dropped like a rock…strange.
Here’s another interesting point: when the VA labs tests me their results came back at the same time as 1.60 and my private Doctor results from LabCorps come back at 2.2. The deviation between the two labs results is stark
Replies to "I’m still waiting to get my biopsy now. My Private primary care doctor put me on..."
Try to pass on my experience with this. My R/Os advised me to have my PSA tests done at same lab each time I had it done to prevent different lab discrepancies. Said can have it done at any lab but make sure the same one.
Your PSA is not bad at all. And you mentioned you have BPH which would explain even the number you are at. It also suggest you BPH is there as antibiotics addressed your symptoms and you had improvements. BPH is symptoms. It does not always mean your prostate is enlarged as could have infection and irritations causing the BPH symptoms.
I had a MRI with contrast. It will only show suspicious areas it cannot diagnose cancer. I wonder if your urologist has talked to you about waiting to see results of MRI to see if a biopsy is justified. Things usually go with significant PSA rises over time, MRI/Contrast, Biopsy if MRI/contrast shows need to have one, then treatments if you have cancer or just BPH.
Good luck!!
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Your low PSA which now is not doubling, may mean you don’t need treatment
Before doing a biopsy, you could get a PSE test. It is 94% accurate. It can tell you whether or not you have cancer in your bloodstream and need a biopsy. The test is a lot easier on you than a biopsy, and may tell you that you don’t need one.
Did they ever mention BPH when you talked with them about your diagnosis? Your symptom list sounds like BPH and the fix is always antibiotics.
BPH can cause your PSA to rise. Yours dropped so it sounds like it may not be anything, with a PSA that low.
A major difference in your PSA number may not be a real problem, Usually, you want to go to the same lab to avoid these issues. Did you ride a bike around the time you went to LabCorp?