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PSA levels increase. When to be concerned?

Posted by debdebkrz @debdebkrz, Sep 30, 2024

Hello. My 52 year old husband had his PSA level checked last September and it was 1.1. In April of this year, a cardiologist added a PSA level to a group of other lab work and it came back as 3.3 but nobody addressed the increase (not his specialty I guess). Last week at a free screening a urologist noted the increase from April and said above 3 is high for his age. Plus the fact of the degree of increase, it warranted another check. The repeat last week is now 2.35.
We are still waiting to hear back from the urologist but was wondering if just the fact that it was 2x what it was last year, is this cause for concern? Or does this sound ok?

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paddywagon | @paddywagon | Jul 28 10:31pm

Thank you so much for this info folks I will be asking for a MRI and looking for another Dr ,, my last biopsy was 2yrs ago and will be getting a PSA done in the next week ❤️

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paddywagon | @paddywagon | Jul 29 11:57am
In reply to @jeffmarc "Is it possible for you to go to a center of excellence and get treatment there?..." + (show)
Profile picture for jeff Marchi @jeffmarc

Is it possible for you to go to a center of excellence and get treatment there? It sounds like you’re not getting enough options where you’re at. There are treatments besides surgery and radiation.

I would think they would want to have an MRI to find out what’s going on. This may just be a financial decision on the part of your doctors. Another set of doctors may determine totally different choices.

Did they give you a Gleason score on the core that came back positive? Did they tell you what percent positive it was and what grade it was percentage wise? These are things that can help you determine whether or not you can stay an active surveillance.

Prostate cancer frequently causes no pain and you will not even notice it’s there until one day it does. At that point, it is quite advanced usually, You don’t want to go there. See another doctor and get that MRI.

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TommyG | @tdgillett | Jul 30 11:18am

I've read that fluctuations in the PSA score can be caused by a variety of fairly normal things--sexual activity (or lack of it), long bike rides (!), among others. His PSA is still well in the normal zone but certainly warrants watching.

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