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Frequency of PSA Test

Prostate Cancer | Last Active: Jan 18 7:24am | Replies (48)

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Profile picture for michaelcharles @michaelcharles

I think that all of the comments above are very good and thoughtful.
In reading them, I came to a thought that there is an emotional component to having and treating a disease like PCa.
And the merging of patient fears or beliefs with the medical guidelines in the management of the emotional aspect of disease management is what I see in this helpful thread.
I am conflicted about uPSA testing frequency: 3tbANoMx, G 9 w/EPE, 2 yrs of 3 month testing post SRT, all undetectable.
At my latest annual, I suggested moving to a 4 month testing schedule and received a lukewarm response from the CRNP that the RO preferred a 3 month schedule.
However, and this is the (longwinded point), clearly I have been advised and it is within my control to test every 90 or 120 days. Or 180 if I felt that way.
Paraphrasing @kujihawk1978, what are the risks involved with the decision, and how do you feel about taking on that risk?
I am not sure what I am going to do, but probably lean toward continuing 3 mo testing. I usually only worry about my PSA level after I test and until the results post; so 3 times a year would save me 1 anxious episode, and it would be valuable. However I am not emotionally ready to lengthen my PCa testing frequency, so I will continue with 3 month intervals, in treatment of my G 9 returning phobia.
Best wishes to everyone. I think that the right choice for you is the one with which you are comfortable.

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Replies to "I think that all of the comments above are very good and thoughtful. In reading them,..."

@michaelcharles
If you are Getting the ultra sensitive tests and you are not seeing your PSA rise at all, then doing four month tests would not be a big deal. Unlikely your PS is going to rise dramatically all of a sudden.

Now the real question is how low is your PSA? Is it below .01? I imagine your doctor would want you to take three months tests if your PSA was a little bit elevated even for the ultra sensitive test like .08 or .09, Even if it isn’t changing.

It is interesting/puzzling that your Doctor doesn’t want you to go to four months test.