Ok need some advie pls...psa is up again

Listen to your doc and Tall Allen. God I wish this was the problem Paul and I were facing. I would sell my soul to have Paul dealing with this dilemma now.

well I understand a slight increase but this seems quite a jump in 2 yrs

by percentage maybe, but most UROs won't be concerned until you hit 4.0.

Enlargement of the prostate due to age alone could account for the jump.

You asked what you could do. On a Sunday night, not much. Tomorrow you could call a good URO who likely will tell you what TA and others have told you.

But on a Sunday night - well, I am writing poetry and eating pizza.

Andrew

im due to see my uro next month, he wants to do a flow test, I already know I pee like a 80 yr old man, he told me a few years ago that he is surprised my psa isn't higher due to my "moderate" size enlarged prostate....
I have had BPH symptoms for about 8 yrs....weak stream but my uro says my prostate feels fine except enlargement...
I wish I didn't get so keyed up about this test, and when I see increases like this it concerns me....I feel guilty posting here because I now most here have pc I some form...
I appreciate your insight and help....wish my brain would get it

There are so many other things you can be doing tonight.

Just an FYI.... my husband's PSA was 115 on diagnosis.

Those that are freaking out about jumps like yours have already been diagnosed and had treatment for prostate cancer- had their PSA go down and then after treatment it begins to rise, which is then a signal that surgery and/or other treatment didn't work or the cancer is now hormone resistant.

Your PSA is totally normal and is not even close to a jump I would be worried about if I were you.

BTW my husband has had labs run on same sample twice and the results were at the time .33 and .50 off on those times... there is natural variance in the testing....

Don't sweat the small stuff... Go live life now, while you can.... I envy this is your only problem.

The alternate is go tell your urologist to just take your prostate out now since you are so worried about it.....

If you're having BPH, that alone can make it rise just like that.

Prostate tissue puts out a small amount of detectable PSA per gram, around 0.066 ng/ml/gram. So, if you have a normal 30 gram prostate, 0.066*30=1.98. That's why a PSA of around 2 is considerered perfectly ok. (cancerous prostate tissue puts out far more per gram, up to around 3 or 4 ng/ml/gram).

If you have a PSA of 1.16, then a "normal" prostate is 1.16/0.066, or 18 grams, on the smallish side, or putting out even less than that per gram if a normal size. If it grew to just a bit larger, say 22 grams, your PSA would be 1.45 as you've seen.

So, you can consider the PSA as a proportional output for the size of your prostate.

The other thing that causes PSAs to fluctuate is infection or inflammation. This can persist at a low level for a very long time, and is hard to clear up.

Relax, just keep an eye on it over the next few years to see if you have any kind of a clear trend.

Oh, and go play golf. Don't obsess over this, it's a waste of your beautiful life!

well its not the "number" that worries me so much...it the rise in the number...I was 1.16 2 yrs ago...and .95/.99 before that...id like to see it STOP going up...especially when I see guys here with PC seems like many start out like me....

don't wanna do that ...just want to se the number stop moving UP

Bingo,
Riding a bike 30 miles a day is certain to raise your psa.
Terry on YANA had his psa tested every day for 30 days and psa reading varied by 30%.
Psa also varies by time of day and seasons of the year, so variations are normal. You will drive yourself crazy if you react to every change. Psa is only accurate as a diagnostic tool when you have no prostate to generate benign psa.

cvc said...
I run 6 miles every other day and bike 30 miles on the off days and do this 7 days a week...put 3500 miles on my bike last year and ran 1000 miles....

wow, you sound very healthy. Not every 58 year-old can claim that kind of distance. Last time I was on a bike I did a couple miles and thought I was going to die. Best I can do is a 2-3 mile walk.

Haven't run on purpose since I was 21.

You sound like the picture of health to me.

and PSA will go up as you age, whether you want it to or not...
Andrew

No worries cvc...hang out with us...you will probably get pca eventually...most men do ...then you can spend the rest of your life worrying about it...getting happy...then getting sad...then getting...well ya know....or you could see a professional whatevah...ya know the ones you pay to be your friend and nod in agreement with every thing you say ca-ching...or just keep looking for a medico...that will code you for whatever test you want...yhis all may seem cruel... but you need to get it together...you've seen all those movies...where the friend slaps his friend around...to bring him around...shock therapy..thats the ticket....or maybe get a chocalate lab [Puppy} this thread needs to be locked........I can help


Im figgering the odds on me getting the roast for the post..umm fairly high im thinking...heck that will take the heat off of you...I do that a lot actually here and else where...I like it...Im told martyrs get a pass into heaven... Im not much into 1000 virgins... a few professionals might work tho...

InTheShop said...

cvc said...
I run 6 miles every other day and bike 30 miles on the off days and do this 7 days a week...put 3500 miles on my bike last year and ran 1000 miles....

wow, you sound very healthy. Not every 58 year-old can claim that kind of distance. Last time I was on a bike I did a couple miles and thought I was going to die. Best I can do is a 2-3 mile walk.

Haven't run on purpose since I was 21.

You sound like the picture of health to me.

and PSA will go up as you age, whether you want it to or not...
Andrew

My routine started about 8 yrs ago, decided I needed to drop some weight and get moving, started biking with my wife, dropped 20 pounds, then added running and dropped almost 30 more ! Now down to my desired weight ( people said I was too skinny)...then I started getting a pressure in my chest when biking hills, about 8 months into my starting this stuff..
Went to my GP, he did ekg,echo, blood work etc, my HDL was 120...he said "that GREAT, the highest I have seen" all other bloodwork was great, diag I had a pulled muscle, keep riding..
Two days later same pressure stopped mid hill, pain went away, pulled out cell called GP and asked for cardio Dr apt, got in the next day to a top guy I our area.
He agreed all looked great BUT wanted me back next ay to run on tread mill and do an echo...well he sent me right then to hospital for angio...98% blocked LAD....yup the "widow maker"
Surgeon said " I put in a 4mm stent, go hoe and get back on your bike"....that was almost 8 yrs ago and much of the reason im sure that I maintain my 7 day a week routine...
While on vacation I run 6 miles every morning and then ride bikes with my wife when I get back.Ido this for 7 days straight.
I feel good when I do this, even bought a fat tire bike to ride all winter too...
So I suppose its in my nature to become ummm slightly obsessive My weight is still around 150...im about 5'8" tall...
Thx for taking time to answer my questions on this site....I pray for all of you to be well...