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Last PSA Number Before Cancer Diagnosis?

Prostate Cancer | Last Active: Sep 3, 2025 | Replies (94)

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@mikeg73
For several years my PSA was normal but climbing. My PCP did not like that and started doing PSA every 3 months. When it kept climbing (although not highly) he referred me to a urologist. My PSA at that time was 3.75.

The urogolist did a DME (detailed medical exam) and a DRE and found normal prostate. Ordered a MRI with contrast and came back with suspicisous areas. The urologist told me 70% chance those suspicious areas were cancer. He ordered biopsies with MRI/Fusion. Results were 3+4=7 and 4+3=7 risk level intermediate. Decipher test done came back low risk not intermediate. PSMA negative, bone scan negative.

I can go on further with my journey and what I decided but my post here is please base what you do on your own life, symptoms, and mental outlook. I have posted my experience with PSA numbers to say do not look at the PSA number alone on whether you should explore further testing. The key is a rising PSA number over and over each time done should be a red light to something wrong need to find out what it is.

My urologist and R/Os said they have caught my prostate cancer very early and my prognosis was excellent for successful treatment.

Where am I today? 2.5 years after my Proton Radiation treatments my PSA is .10 form my highest of 3.75
I do have minor issues with urination leakage when I really need to go. I am on Cilias to help calm down prostate, bladder, and was told even the tissue inside my penis.

Each person on MCC has their own experience. You need to address yours as yours. None of us know your medical and mental history so what may be best for you was not what was best for us and vice versa. I do hope you see from my post that doing something at a specific number is not what I did and caught my cancer early.

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Replies to "@mikeg73 For several years my PSA was normal but climbing. My PCP did not like that..."

You did a great job and your doctors did a great job!

Exactly! Start a PSA history now. Mine, over 8 years climbed from .8 to 2.3. Wasn't till I had a Colonoscopy Oct '24 that the Dr. bumped the Prostate and felt a nodule. That led to the Urologist and Biopsy. 2 out of 12 needles 3+3, 4+3. Next stop Mayo Rochester in Oct for Tulsa Pro/Cryo