← Return to Masturbation post prostatectomy and radiation. Will it affect PSA?

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Profile picture for pcrich @pcrich

I still have my prostate. I had radiation and ADT at the start of Tx. My PSA dropped to 0.09 after 6 months and has continued to drop. Now after 12 months my PSA is at 0.02. I have another PSA test coming up in just under a month. This next reading if it stays at the current level of 0.02 or less, I told I can come off ADT.
So back to the occasional masturbation - will that affect my level for the next test and change if I can or cannot come off ADT. I've been told that I should try to stay active with some form of sexual activity - in other words - use it or lose it.

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Replies to "I still have my prostate. I had radiation and ADT at the start of Tx. My..."

@pcrich
The ongoing medical advice I get from my R/Os, and PCP that if you have a prostate to not ride a bike prior to test (I was told a week for me) as can irritate the prostate can may give a higher PSA number from being irritated not from a growing cancer.

I was told too about the vigorus sex but at 78 with an ICD/Pacemaker that is not an issue. I think sexual activity is important both physically and mentally for both you and your partner.

You are on ADT a hormone therapy. That therapy is going to supress testorone and retard prostated cancer cells if they are present. I was not on ADT or hormone treatments. My original PSA was 3.75 (but had been rising every 3 months for years) and now two years later after 30 rounds of proton radiation the last PSA was 0.10

Many labs are different where they consider PSA non detectable so all are not the same nor the same for all urologist or R/Os. I know my Mayo PCP and my R/O are very happy with my PSA level. The goal of my UFHPTI R/O was a PSA below 1.

I am an advid biker and ride 20 miles. When not training for Sprint Triathlons use a hybrid bike with special seat that does not irritate my prostate. When training for triathlons I use a race bike with the dreaded long nose seat. For both bikes I will not ride for at least a week prior to a PSA test.

For some since all our bodies are different they may need to stop the bike riding and vigorous sex much longer depeding on the advise of their urologist or R/O.

If you are not making Testosterone, your testicles will shrink. If you are not getting regular blood flow to your penis, it will shrink. Daily sex, masturbation, or a penis pump will help keep blood flow to your penis. 5mg of Tadalafil daily will also help.