Connect
High PSA Levels: What is the cause?
I have been fighting raising psa levels for past two yrs now. My urologist has done several psa and testostrone test done for possible ED problem . My first test was like at 7 or 8 when it is suppose to be between 0 and 4. He checked prostate and found it is enlarged . So he keeps monitoring psa. Still having sexual problems refering to ED. Test again before next appt . On appt date test was 12 for psa testostrone was like 200. He recomeded biopsy to check for prostate cancer so he did a ultrasound biopsy. Results neg for cancer. Has me test again before next visit psa 14 testostrone 192. He then tries some testostrone injections to bring up testostrone levels to try to help sexual problem test before appt psa slightly elevated testostrone 406. Still sexual problems so he sends me in for MRI to verify for sure i Dont have prostate cancer. Results still neg . Got frustrated no answers doc will not give me any meds to bring down my numbers. So he put me on bi mix injections to help with ED. Tries it out on me first then sends me home to suffer with a 6 to 7 hr errection and had to go back for emergency drainage of blood to bring it back down . Now really having ED problems even with bi mix prescription . Went back for test again psa 18.1 testostrone 204. Now he still refuses to give me meds to bring numbers down . Mri results found no sign of cancer they just showed i had a enlarged prostate. Which we already knew. Is my numbers going to keep going up and still test neg for cancer? What can i expect can the numbers just be high due to prostate enlarged and never have cancer? Where do i go next? What do i do next to get answers
Like
Helpful
HugInterested in more discussions like this? Go to the Men's Health Support Group.
Connect
Digital Rectal Exam where the Dr inserts his finger(s) into your anus to feel for lumps or irregularities on the posterior areas of your prostate.
Digital rectal exam is DRE
An MRI and an ultrasound are better choices to ascertain whether a surgical procedure is necessary.
"My first test was like at 7 or 8 when it is suppose to be between 0 and 4. He checked prostate and found it is enlarged . "
PSA around 10 for several years which my urologist says is normal because of my enlarged prostate (81 yrs). Two years ago (4/24) my PSA was 20 and a year later (4/25) PSA was only 4. Same urologist told me PSA goes down when older (now 81 yrs). Yet he had no concern when PSA had jumped from 10.4 to 20 from 7/23 test to 7/24 test.
Since then have been told that a PSA test is only as good as the clinic doing the test. So will go back to my former clinic when the PSA tests were around a PSA 10 year after year.
-
Like -
Helpful -
Hug
3 ReactionsSounds like you could use a different Urlogist
Gentlemen:
Please remember that the PSA and other analytical testing is being interpreted and conveyed by human beings who have their own faults or bad mornings or bad nights the night before. Test results should be verified if out of a normal trend. Doctors suggestions in conjunction with your OWN analysis of the data presented and your knowing your own body makes the final determination as to how to proceed. The PSA, DRE, MRI, Biopsy, Decipher, PSMA/Pet are all tests along the Testing Roadway. Then it's on to the Treatment Roadway with Prostatectomy, Radiation, Brachytherapy, & Focal Therapies, all as options. Good luck gents...
Yes, and Harley 52, do get another Doctor involved in this specific case.
It's possible you need to get a second test from another clinic if test result is suspect. My PSA test ranged from 9.8 to 10.3 over five years due to the large size of prostate (76-80 yrs).
Two years ago (age80) my PSA test was 20. Then last year (age 81) my PSA was only 5. Both tests were by the same urologist/lab. He blew both off with his reasoning like the older you get the PSA goes down ... who's going to arque with a seasoned /renown urologist.
Just last month I received a noticed from this urologist/lab that they were having another lab do the PSA tests instead of having them done inhouse.
@justmetim52 have you had an MPMRI?