PSA fluctuating during ADT treatment and after Radiation: Concerned

Posted by als @als, Sep 9, 2022

Psa fluctuated from 0.003 ng/ml to 0.02 ng/ml within an interval of three months. Is it a matter of concern.
Appreciate any help in this matter.
Regards,

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als | @als | Sep 10, 2022

Thanks for your valuable comments, today I met the oncologist who explained that since the variable reading is very low, there will be no matter to worry, unless the psa elevates to more than 0.5 ng/ml.

Regards,
als

web265 | @web265 | Sep 10, 2022

I have a lot less experience and knowledge than a few of the veterans around here, but, just a couple quick thoughts.

Is it the same lab and same test code? I've had it happen where I go to the same lab and they use different sensitivity tests. Make sure it's an apples to apples comparison.

Secondly, my "team" all tell me that rising psa always has to be watched but when you in the very low numbers like you are, how fast it multiplies is not as concerning as it would be in the higher number levels.

and as @colleenyoung suggests, a repeat of the test may be a good idea as well.

Best of Luck to you.

Colleen Young, Connect Director | @colleenyoung | Sep 9, 2022

Welcome @als. Seeing your PSA fluctuate during treatment is nerve-wracking to say the least. Here are a couple of helpful related discussions that I encourage you to review:

– Rising PSA's after treatment – an answer https://connect.mayoclinic.org/discussion/rising-psas-after-treatment-an-answer/
- Post prostatectomy: What do rising PSA levels mean? https://connect.mayoclinic.org/discussion/post-prostatectomy/

Fellow members like @jonbuuck @jogger01 @bruto1 @mrbill @jap57 @sanway have also had treatment with ADT and radiation and can offer their experiences.

Als, was your PSA retested to confirm the lab results?