Last PSA Number Before Cancer Diagnosis?

The first time I went to my VA Doctor my PSA was 6.5 and she tried to get me to go to a urologist but I keep putting it off until it was 13.5 and I got my first biopsy which said cancer free. Then a two years later my PSA jumped to 27.4 and my second biopsy this time ultrasound guided found 6 samples were positive and 6 were negative. My Gleason score on the 6 positive was 8 and my decipher score was .84 both showing aggressive. This has been a 10 year path and I don't know if I have gotten a biopsy sooner if it would have found anything. My Urologist said I had an extremely large prostate which was driving up my numbers.

11.5 but that was after COVID and doctors weren't seeing people for regular checkups, went 2 ish years without a blood test. Likely would've been referred a year earlier if it were different times.

I have no regrets about not going for yearly checkups, that would only put me in a bad spot. I went for treatment for what I thought was a muscle pull in my leg. When testing came back I had psa of 932 and level of cancer listed at stage 4a. two and a half years into this journey and just have to carry on. Best to all.

PSA was 5.4, biopsy showed nothing, bone scan showed nothing. Six months later PSA was 400. Started treatment.

@mikeg73
For several years my PSA was normal but climbing. My PCP did not like that and started doing PSA every 3 months. When it kept climbing (although not highly) he referred me to a urologist. My PSA at that time was 3.75.

The urogolist did a DME (detailed medical exam) and a DRE and found normal prostate. Ordered a MRI with contrast and came back with suspicisous areas. The urologist told me 70% chance those suspicious areas were cancer. He ordered biopsies with MRI/Fusion. Results were 3+4=7 and 4+3=7 risk level intermediate. Decipher test done came back low risk not intermediate. PSMA negative, bone scan negative.

I can go on further with my journey and what I decided but my post here is please base what you do on your own life, symptoms, and mental outlook. I have posted my experience with PSA numbers to say do not look at the PSA number alone on whether you should explore further testing. The key is a rising PSA number over and over each time done should be a red light to something wrong need to find out what it is.

My urologist and R/Os said they have caught my prostate cancer very early and my prognosis was excellent for successful treatment.

Where am I today? 2.5 years after my Proton Radiation treatments my PSA is .10 form my highest of 3.75
I do have minor issues with urination leakage when I really need to go. I am on Cilias to help calm down prostate, bladder, and was told even the tissue inside my penis.

Each person on MCC has their own experience. You need to address yours as yours. None of us know your medical and mental history so what may be best for you was not what was best for us and vice versa. I do hope you see from my post that doing something at a specific number is not what I did and caught my cancer early.

7.8 in March 2024. Jumped from 5.4 in Sept. 2023. Started 6 month checks on 2021 after it hit 4.5.

22 at the moment of diagnosis. 118 at the moment of treatment.

My primary care doc alerted me when I had a PSA of 8.2 (previous number was 3.8, but I had skipped some annual physicals due to Covid). It fell to 6.5 before I was officially diagnosed.

32. Stage 2b.

That is rather extraordinary. Only a 2.5 ng/ml PSA (normal) but a 3a diagnosis? How did your urologist explain that?!?!?