Replies to My psa was 5.2 and went don to 4.5 two months later. We decided on active...

← Return to It’s Been A 26-Year Long PSA Journey

Discussion

Prostate Cancer | Last Active: 15 hours ago | Replies (23)

Comment receiving replies

@fag

My psa was 5.2 and went don to 4.5 two months later. We decided on active surveillance for the next six months, testing it every 3 months.
Let’s see how it will go: is a value o 10 ng/ml a sort of threshold value to start ADT or radiation?

Jump to this post

Replies to "My psa was 5.2 and went don to 4.5 two months later. We decided on active..."

brianjarvis | @brianjarvis | 4 days ago

@fag “10” is a PSA threshold that’s often used; but, it’s one of a number of thresholds that together tell the full story.

Others are:
> % Free PSA
> MRI results
> PSA Density
> Gleason results
> Biomarker (genomic) test results
> Genetic (germline) test results

With those also being monitored, you’ll have “active” insight into what might be lurking unseen while you’re on active surveillance.

That also buys you time to thoroughly evaluate treatment options so that you’ll know exactly what you’ll do should you ever have to make a treatment decision.

(PSA can fluctuate for any number of reasons, even at different times of day.)

VIEW AND REPLY