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PSA levels increase. When to be concerned?

Prostate Cancer | Last Active: Oct 27, 2025 | Replies (46)

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Profile picture for gabfab37 @gabfab37

Hello, new to the group. Had my prostate removed 3 month ago and just received results from my first PSA test. It is 0.05. I have a 4+5=9 stage 5 diagnosis. I understand my post surgery PSA should be less than 0.02 . How concerned should I be?

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Replies to "Hello, new to the group. Had my prostate removed 3 month ago and just received results..."

@gabfab37
You should not be concerned at all. You are way below the level of undetectable, which is < .1.

I don’t know who you heard from that said it should be below .02 but they are wrong. A lot of people only get one decimal point in their PSA result, So they only see they are < .1 after surgery. That’s all I saw and it was 3 1/2 years before my PSA started rising above that.

I was just reading about a doctor that didn’t want his people to have the ultra sensitive test because they freak out about minor changes in their PSA. Sounds like you are one of those people he would not want to be doing an ultra sensitive test.

@gabfab37

Your result is considered good and undetectable👍. You should just watch for any future increases and act accordingly. My husband also was gleason 9 and we intend to do test every month for the first 6 mos. I personally think that with gleason 9 and especially if combined with high decipher score ultrasensitive PSA test is preferable since doubling time and upward trend could be noticed earlier.
PS: Just one small correction - your cancer is grade 5, not stage five, I know it can be confusing, thought you would like to know 🌺 Wishing you the best of luck and may your PSA stay that low forever 🍀🍀🍀.