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Your question: "I have been reading that a PSA of < 0.2 (Nadir point) within 6-12 months means a good long term outcome. So my question is: what PSA to expect in 3 months after ending Radiation in order to predict a better outcome?"
1. This was my experience 3 months and 6 months after ending radiation: 0.36 and 0.22 PSA levels, respectively.
2. I asked my radiation oncologist if PSA 0.22 was my nadir already? She said no, the nadir will be the lowest reading before PSA starts to rise.

I was already two weeks off Orgovyx when I had my PSA test 6 months after radiation (SBRT), so it could have been artificially low, with Orgovyx not yet fully flushed out of my system. On my next PSA test, which will be 9 months already after radiation, if the reading is below 0.22 then the lower value can be my nadir. If gthe January 2026 value will be higher, then my nadir will be 0.22 the last value before PSA rise.

My oncologist said it will not be a surprise if my PSA will rise because I would have been four months off Orgovyx by then, and my testosterone would also have been higher. However, if testosterone had not risen high enough to match the increase in PSA, then it is something to be looked into. I am prepared for the possibility that my PSA will be going up in the next little while then start going down again.

I was comparing notes with another in our brotherhood here

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Replies to "Your question: "I have been reading that a PSA of < 0.2 (Nadir point) within 6-12..."

@vircet I was comparing notes with bens1. His PSA was 0.8 two yearsbe over after radiation, 0.61 two years and 10 months after radiation, then it rose to 0.7 in his 3-year mark. Based on what my oncologist told me, bens1 nadir with be 0.61 and even if it kept rising after that in small increments (as is expected in my case after nadir), it will not raise an alarm so long as the rise is explainable with a corresponding increase in testosterone.
From other readings of posts in this forum, the PSA should not be over 2.0 at any point after nadir. Others who have been in this journey longer than the two of us can correct me.