Will PSA ever hit 0 or close to it?

@jc76
You disagreed with this

You posted: "Actually the medical community generally considers < .1 as undetectable." Thus an inference you are providing the medical community.

The article I referred to later said

The American Urological Association (AUA) and the European Association of Urology (EAU) generally define undetectable PSA as below 0.1 ng/mL post-prostatectomy.

Are you saying that the AUA and EAU are not the medical community? They sure seem to be exactly that. I even included the “generally” reference they used.

@jeffmarc
Your first post: Actually, The medical community generally considers < .1 as undetectable. Some labs can go as low as < ,001 And others < .006 But that is not considering undetectable that is just the value they come up with. You stated, Medical Community not AUA and EAU. That came on your second post saying you did more research.

I do not speak or infer what "Medical Community" is or what they state. You did more research for whatever reason and you contradicted your first post. It was your second post that you said the medical information was coming from AUA and EAU.

Regarding the way I post my PSA tests. My test results are sent to me on Mayo portal. I post exactly the way the number was given to me not what you think is the right way it should be posted. I don't leave off 0 or anything else as want to make sure what I post is what was given to me and not alter it.

My Mayo Lab gave me .10 Again I asked my PCP about how low those numbers would go. And he (Mayo Jacksonville) replied (message again written in portal) that Mayo Jacksonville lab considers anything below .10 as undetectable and probably will not see. What Mayo Phoenix or Minnesota does I don't try to state information as not part of my personal experience.

I did post to one poster that was going to asked if Mayo Jacksonville if Mayo a more specific test based on the specific case of the patient. I was wondering about those with RP who don't have a prostate. I just had radiation and don't know if a more sensitive test is done for those with RP so will asked. But this will come from my medical doctors and what Mayo Jacksonville labs do.

@jc76

> 0.1 means higher than 0.1. Some people posting do not seem to understand that < 0.1 is the normal way to present a PSA less than 0.1.

@jc76
A .10 result is not the same as < .10. It’s interesting they add a zero after the one and you’re not getting an ultra sensitive test. I’ve never gotten anything, but one digit after the decimal point.

Did they tell you it was below .10, Not that it was .10. It’s not quite clear from what you’re writing And those results Are not the same. For the last 25 months, my test has come back as < .1. I don’t expect it to last forever, but it’s nice to get a vacation.

The same as an AI search shows that < .1 is widely recognized as undetectable By many institutions, Are you saying people shouldn’t be informed about that? I’ve seen it in documentation from one of the major prostate cancer standard groups. But it’s not OK to tell people? They are also saying effectively that the medical community generally considers < .1 to be undetectable.

It’s an educational thing not a personal point of view.

@jc76
Those two groups, AUA and EAU, are a big part of the medical community in Europe and USA. In my original comment I didn’t think I needed to quote them, but I was aware of their statements because I’d actually read that information a couple of days before I made my post. Didn’t think I needed to be so specific since i was just posting well known information. I did post that specific information later, Because I thought it would be more informative for people, and it would add some more different opinions.

Enough already.

@jeffmarc
I have replied to you in past. Make sure you read a post before you fact check others.

I posted my last PSA test came back to me in writing on my portal. Mayo Jacksonville uses patient portals to send test results. My portal test listed my test results as PSA .10 They also sent you a chart to show the over time changes.

Plain and simple I posted what Mayo lab sent to me in writing. Questioning others? You can post what you get or want to use to post but I will post exactly the way Mayo Jacksonville sends their lab results to patients. I don't know what Phoenix and Minnesota does because they don't treat me nor use their labs so I don't tell other posters what other labs do or not do, nor any other lab and what the use for undetectable or how their lab results are posted as that is not my personal experience.

Again you seem to be fact checking with "not quite clear from your writing." And did they give you this or that. I think it is perfectly clear I posted exactly what my lab test posted .10

I then posted I asked my Mayo Jacksonville PCP about how low the PSA numbers could go. He replied (via portal) that would probably not see an lower numbers as Mayo Jacksonville lab uses anything under .10 as undetectable. I posted that exact language as it to came to me via portal.

Regarding your comment: A.I. shows: < 1 is widely recognized as undetectable by (By your typing) many institutions." "Are you saying people should not be informed about that."

You posted information on your first post: "the medical community says." You did not use any reference you were citing the specific medical institutions you did in second post. Those medical intuitions came after posting "I did more research." Then you came back saying from your research you found no standardized number.

I think the MCC PC forum should try to get their medical information provided by they medical doctors, and specific labs they use. Many posters like me state labs are different and trying to lump test results and how they are done will differ from lab to lab. If they want more information research it. I have used in my post a reference to medical intuitions but I never post "the medical community" says this because I don't speak for medical community.

I have learned a lot from web sites send out to reference. But it was to go to those sites and read the information yourself. One of the mentors gave a web site for Kegel exercises was excellent and helped me immensely.

I have interacted with you in the past fact checking me only to come back and then you would say made mistake. Or statements like my writing not clear and you went back and read it you would come back you did not read it correctly.

I also posted that I am going to asked my Mayo PC (to another poster) if Mayo uses another more sensitive test for those that it is necessary (like those that have had RP).

I post what Mayo Jacksonville gives me and from my direct personal experience with them and my personal journey with PC. I do not refer to others institutions or other posters PC experience.

@jc76
Those two groups, AUA and EAU, are a big part of the medical community in Europe and USA. In my original comment I didn’t think I needed to quote them, but I was aware of their statements because I’d actually read that information a couple of days before I made my post. Didn’t think I needed to be so specific since i was just posting well known information. I did post that specific information later, Because I thought it would be more informative for people, and it would add some more different opinions.

Enough already.

@jc76 and @jeffmarc,
Reading your posts, you agree more than you disagree.

"An undetectable PSA level is generally considered below 0.1 ng/mL, but with newer, ultra-sensitive tests, it can be defined as < 0.06 ng/mL, < 0.05 ng/mL, or even < 0.01 ng/mL, depending on the lab and test sensitivity, with lower values indicating better outcomes after prostate treatment." Read more: https://www.mayocliniclabs.com/api/sitecore/TestCatalog/DownloadTestCatalog

Yes, Mayo Clinic Connect is a place to share our personal experiences. Community members share experiences, ask questions, find answers, give and get support and exchange vital information.

As we grow familiar with the condition we live with, we gather information to share with others. Thus, members can use phrases like "the medical community..." or "according to Mayo Clinic..." or "as I learned from this Prostate Cancer Research Institute (PCRI) webinar..." When citing information you've gathered, please try to post references.

It's true that members should not give medical advice, however citing references or what you have learned from you health care team is permitted.

Should you have any questions, send me a PM or an email using this form: https://connect.mayoclinic.org/contact-a-community-moderator/

@jc76 and @jeffmarc,
Reading your posts, you agree more than you disagree.

"An undetectable PSA level is generally considered below 0.1 ng/mL, but with newer, ultra-sensitive tests, it can be defined as < 0.06 ng/mL, < 0.05 ng/mL, or even < 0.01 ng/mL, depending on the lab and test sensitivity, with lower values indicating better outcomes after prostate treatment." Read more: https://www.mayocliniclabs.com/api/sitecore/TestCatalog/DownloadTestCatalog

Yes, Mayo Clinic Connect is a place to share our personal experiences. Community members share experiences, ask questions, find answers, give and get support and exchange vital information.

As we grow familiar with the condition we live with, we gather information to share with others. Thus, members can use phrases like "the medical community..." or "according to Mayo Clinic..." or "as I learned from this Prostate Cancer Research Institute (PCRI) webinar..." When citing information you've gathered, please try to post references.

It's true that members should not give medical advice, however citing references or what you have learned from you health care team is permitted.

Should you have any questions, send me a PM or an email using this form: https://connect.mayoclinic.org/contact-a-community-moderator/