PSA results - worried

Interesting you should mention your friend with a large prostate and a PSA of 50. I had a friend with the same results. He had biopsies more than once, and they never found anything.

He died of a different type of cancer, lymphoma.

You were right the PSA is not always an indicator of prostate cancer, but it’s the simplest/cheapest one we have right now.. When they stopped doing PSA tests regularly in 2012 (United States Preventive Services Task Force recommendation) it ended up in the mess we’ve seen recently. There have been so many people coming in with very advanced prostate cancers and a high percentage of oligometastatic cancers.

So while the PSA test isn’t 100% indicative, it sure is better than nothing.

Yes! I had to press my PCP to have annual PSA tests, and he seemed a bit hesitant when I asserted that it was time for a urology referral. I’m very glad to have moved forward through diagnosis to treatment.

From my perspective, worry transforms time into suffering. Do what you have to do yet without worrying about it. All the best to you…

Duration - I can see how this is worrysome . Quite the jump ....BUT you have had a lot of activities that can increase PSA a lot . Actually at 2.5 PSA yoru still on the high side of normal at that point , but thats not yoru usual resting PSA . See what the URO has to say . You could get a PSMA-PET scan , ask the Dr. He may just want to due the bone and MRI scan first though . Less accurate and sensitive , but also a good tool . Please keep us in the loop . We are here for you here ! God Bless Sir . James on Vancouver Island .

Sex prior to PSA will elevate. At 2.2 you are in the normal range for 60. But good you are going to urologist to be sure anyway. Any change in urination? If so that would be do to slight enlargement. If symptoms are making life difficult you might ask about Flowmax. I was was up 10-15 times a night. Now on Flowmax and usually get up once or not at all.

Just wanted to say that my husband has as of now 5.6 PSA and he will be 70 in october. IF he went to check his PSA in October, his PSA would be "normal" even though he has one core of biopsy with 4+3 . PSA is just one of things that needs to be checked but it is in no way replacement for MRI and biopsy IMHO.

@surftohealth88
One poster posted some time ago that a PSA test above normal or a rising PSA over time should be seen the same way when you see a "Check Engine Light" on your car dash lights. I wish I could remember the poster as I keep mentioning his post.

I was diagnosed with prostate cancer with a normal PSA of 3.75. It was the rising PSA over the years that my PCP did not like and referred me to urologist (MRI, Biopsies, diagnosis, treatment).

To those new to MCC a normal PSA does not mean you do not have cancer nor does a abnormal PSA mean you have cancer. It is the follow up test that confirms positive or negative.

This is a excellent post by a spouse of prostate cancer patient. Your spouse is fortunate to have a informed and concerned partner.

Awe, thanks JC < 3, I wish I was this informed 10 years ago when my husband started AS : (((. I trusted our urologist since he was recommended by my husband's cardiologist whom I trust and respect tremendously. That was big mistake and I can not forgive myself (ever) for not being more proactive from the beginning and for trusting that urologist so much : ((((. We were told over and over again that my husband is very low risk and that there is nothing to worry about and at the same time he had only one biopsy 7 years ago before this last one while his PSA was steadily inching up.