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Husband's elevated PSA level: What could it mean?
Hello, everyone. My husband, a few months ago, had a PSA of 6. His PCA prescribed antibiotics, which brought that number down to 4. He had a follow up appointment with a urologist today, scheduled a biopsy, and this doctor gave him a potential chance of cancer of 60/40%, and unfortunately, didn't seem supportive, or even explain other possibilities for his elevated PSA. I'm wondering if anyone has insight on this? My husband does not have a family history of prostrate cancer. Thank you, thank you!
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In the US, the next step is a MRI test. You may be outside the US. Either way, all concerned want to know if your husband has PCa. A biopsy test is THE definitive test for this.
Howdy,
We each have our own unique story, yet info can be gained by all of these. (Thanks for the chart Jeff). Yes, a bacterial infection can raise PSA. I've read that "normal" is age-dependent according to some doctors (6.5 is okay for an 80 YO). In my case there wasn't much doubt PSA was 19, then jumped to 290 before they could begin radiation. Metastasized, then Chemo, then PSMA-PET/CT showed clear for 2 years. Now it's back and taking Pluvicto.
Yep, bloodwork every month for sure. It doesn't hurt! In my case, a scan whenever needed. I'll ask my Doctor about the PSE, although the NIH says: "The EpiSwitch PSE test and PSMA PET-CT serve different purposes with high accuracy in their respective roles: PSE is a 94% accurate blood test used for screening and diagnosing the presence of cancer, whereas PSMA PET/CT is a highly accurate (85–95%+) imaging tool for localizing cancer and detecting spread (metastases) after diagnosis". Most likely it'll be a PSMA-PET for me...
Blessings to all
My PSA numbers recently are similar and I'm doing these every 3 months and MRI's every 6 to 8 months. Just curious what antibiotic your husband is taking? An MRI will provide you useful information which you can track like a pirads score, prostate volume, density, suspicious areas or lesions, which will help put your PSA number into context and decide on next steps.