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@jeffmarc
Thanks for the information. I should have said the PSA went from .05 to .15 over the last six months, they had put me on 6 month schedule. I am on monthly schedule now, I used the same lab for the .13. Can activity before the test change it? I had the prior readings of .03, .04, .02 then .05, .15, .13 which I just had.
The pain I have in the pelvic area has occurred over 15 years but it became chronic in the perinium which made me want surgery and the surgery got rid of the pain, (I had retrograde ejaculation and believe I was getting infections in the seminal vessels) After surgery I got sitting pain/sphincter and I still had the penile pain which I had prior to surgery. It is the pudendal nerve.
I have fear of the ADT only because I am trying hard to get back in physical shape again. The pelvic pain has stopped it at times and two other surgeries. I was wondering if it would really be needed. But you tell me it is only one shot for six months.
Thanks again for the information, wishing you the best
Tim

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Replies to "@jeffmarc Thanks for the information. I should have said the PSA went from .05 to .15..."

@pamperme
Yes, activity before the test can affect it, Though that usually occurs when you have a prostate and you don’t.

I suppose if you are getting stimulated or have an orgasm that it could affect your PSA, But I’m not sure about that. I suspect it’s more that the PSA goes up and down a little bit just due to natural causes.

You did have a significant rise in six months, I think they’re just waiting for it to rise a little bit higher. Getting the PSMA test and finding it didn’t show up anywhere else could mean the salvage radiation make more sense since it’s more likely in the prostate bed. Since you didn’t have clear margins and have EPE Again the prostate bed sounds likely.

I wish you luck, just be aware that they have great drugs and treatments available, I have a genetic problem that causes me to have it keep coming back and I’m still alive almost 16 years later. I’ve heard from people with Gleason nine that had radiation or surgery and are still alive 20 and 30 years later.