PSA

Posted by fig1971 @fig1971, 1 day ago

Good afternoon so i had my PSA done in June i had a PSA total of 3.0 and PSA%free 7L MY UROLOGIST told me i should not worry about the Psa%Free i was a bit confused by that can anyone here kindly give me some feedback. My next test is next month and ready for what the outcome has for me. When i started this journey i was at 7.65 radiation was done as well.

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Profile picture for Jeff Marchi @jeffmarc

Your PSA is pretty high for the amount of time after your radiation. I have heard from people that took three years to get down to the minimum, That is not the usual, but it happens.

Your PSA free is quite high risk since it should be above 25%. The thing is you’ve written 7L Was that a typo. The L. doesn’t seem to belong. I assume you mean 7%.

If it were me, I would want a PSMA PET scan to find out what’s going on. I might wait till the next PSA test, but with A PSA of three you should be able to get good results from a pet test.

I think it would make sense to get a second opinion on what’s going on. The doctor does not appear to be aggressive enough with what appears to be problems. If you mention where you live, I might be able to point you to a doctor that’s in your area and highly respected.

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@jeffmarc do you have an email i will send you my report so you can give me some feedback.

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Profile picture for fig1971 @fig1971

@brianjarvis i received 25 sessions of radiation which ended March 18,2026 it was a bit challenging between the nausea and throwing up it was driving me insane. I still get some pain i was told that was normal but dam it frustrates me.

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@fig1971 Any adverse side-effects like those are not “normal.”

What those mean is that they were overshooting your prostate and hitting nearby otherwise healthy tissues and organs - like your intestines. (What radiation doesn’t hit, it won’t affect,)

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Profile picture for brianjarvis @brianjarvis

@fig1971 Any adverse side-effects like those are not “normal.”

What those mean is that they were overshooting your prostate and hitting nearby otherwise healthy tissues and organs - like your intestines. (What radiation doesn’t hit, it won’t affect,)

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@brianjarvis so i'm guessing i just have to wait until this passes over while it heals?

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Profile picture for Jeff Marchi @jeffmarc

Your PSA is pretty high for the amount of time after your radiation. I have heard from people that took three years to get down to the minimum, That is not the usual, but it happens.

Your PSA free is quite high risk since it should be above 25%. The thing is you’ve written 7L Was that a typo. The L. doesn’t seem to belong. I assume you mean 7%.

If it were me, I would want a PSMA PET scan to find out what’s going on. I might wait till the next PSA test, but with A PSA of three you should be able to get good results from a pet test.

I think it would make sense to get a second opinion on what’s going on. The doctor does not appear to be aggressive enough with what appears to be problems. If you mention where you live, I might be able to point you to a doctor that’s in your area and highly respected.

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@jeffmarc the one i just sent you was three months ago my next one is next week.

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Profile picture for fig1971 @fig1971

@brianjarvis so i'm guessing i just have to wait until this passes over while it heals?

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@fig1971 It depends on what damage has been done - just a little or a lot.

There are many adverse side-effects that radiation can cause if advance precautions aren’t taken and/or if the radiation is administered badly. (I’ve attached a chart showing many possible side-effects.) My RO and I spent months discussing ways to minimize/avoid them.

Remedies - some simple, others more involved - may be needed to get resolved. It depends on the diagnosis.

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Profile picture for brianjarvis @brianjarvis

@fig1971 It depends on what damage has been done - just a little or a lot.

There are many adverse side-effects that radiation can cause if advance precautions aren’t taken and/or if the radiation is administered badly. (I’ve attached a chart showing many possible side-effects.) My RO and I spent months discussing ways to minimize/avoid them.

Remedies - some simple, others more involved - may be needed to get resolved. It depends on the diagnosis.

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@brianjarvis right now im taking Tamsulosin 0.4 due to urethra restriction and burning while urinating. I will be asking my urologist when is this going to end cause its frustrating. And thanks for all the feedback i really appreciate it.

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Profile picture for brianjarvis @brianjarvis

@fig1971 It depends on what damage has been done - just a little or a lot.

There are many adverse side-effects that radiation can cause if advance precautions aren’t taken and/or if the radiation is administered badly. (I’ve attached a chart showing many possible side-effects.) My RO and I spent months discussing ways to minimize/avoid them.

Remedies - some simple, others more involved - may be needed to get resolved. It depends on the diagnosis.

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@brianjarvis ah and im pissing like a race horse. During intercourse when i get to the point of ejaculation absolutely nothing comes out been dealing with that for months lets see when things will start falling back in place.

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Profile picture for fig1971 @fig1971

@brianjarvis ah and im pissing like a race horse. During intercourse when i get to the point of ejaculation absolutely nothing comes out been dealing with that for months lets see when things will start falling back in place.

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@fig1971 Being dry is a function of the RT or RP since prostate creates 90%+ of fluid. That is unlikely to improve since RT burned out most of the cells that produce the fluid. You are probably at your new normal.

Short-term urinary symptoms usually last less than 4 months. Flowmax handles the restriction. There are other meds for the burning which you can ask urologist about.

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Profile picture for fig1971 @fig1971

@brianjarvis i received 25 sessions of radiation which ended March 18,2026 it was a bit challenging between the nausea and throwing up it was driving me insane. I still get some pain i was told that was normal but dam it frustrates me.

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@fig1971 What type of radiation treatment did you have that caused nausea and throwing up? Was it only your prostate gland that was treated?

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