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Posted 7/16/2008 1:12 PM (GMT 0)

I posted here with a psa of .99 one year ago and now a psa of 1.01 this year

I had an e-mail from another site telling me that at 49 a 1.01 was too high and I was at a 30% higher risk of Pc ???

Man I hate this I know I shouldnt worry but ....

Selmer where are you,lol he is my voice of reason

Posted 7/16/2008 1:16 PM (GMT 0)
Statistically, while your PSA may be slightly elevated for your age, it is stable from last year, not rising.  You may opt for more frequent PSA testing, say every six months.  In my case the velocity was what determined the biopsy recommendation.  Have you been checked out for other issues, like prostatitis?

Posted 7/16/2008 1:39 PM (GMT 0)

my uro thinks prostitius is a "garbage dump" diagnosis. For 49 1.01 is high for a psa ? I think I may have it as I have some discomfort in the pernial region and sometimes during ejaculation, nothing severe

Huh I thought my psa was low to normal for 49 yrs old. My Uro says the .02 rais in 1 year is nothing. He did say my gland is enlarged but felt everything is "normal" or not too worry. Easy for him to say

Posted 7/16/2008 3:59 PM (GMT 0)
Hi CVC,

Here is a link to an article published by PCRI (Prostate Cancer Research Institute) that addresses your question is some detail.

http://www.prostate-cancer.org/education/preclin/McDermed_Using_PSA_Intelligently.html

Best Regards,
Don
Posted 7/16/2008 4:56 PM (GMT 0)
CVC, I am inclined to agree with your Uro. Based on what you have given above your doubling time is around 23 years. I think I read somewhere that any doubling time under three years needs to be investigated. Also if you do the math...it looks like your prostate would be normal size or slightly elevated based on the PSA only that you show. But if your Uro says it is enlarged then your PSA reading is actually in normal range. I really think that just doing the watchful waiting is in order for the time being. Give it another six months and check again would be what I would do.

Hang in there...
Posted 7/16/2008 8:20 PM (GMT 0)

CVC:

At next testing might have a "free PSA" done also.  Best wishes.

Dutch

Posted 7/16/2008 9:49 PM (GMT 0)
Dutch good point...but I dont think "free PSA" at that low of a level will be accurate enough. If the base line PSA is too low or too high the "free PSA" reading isn't an accurate predictor. "free PSA" is most accurate between 4.0 and 10.
Posted 7/16/2008 9:56 PM (GMT 0)

My doubling time is well over 23 years right ?? I went up .02 in a year. I thought my PSA was ok for 49 yrs old ??

Now some are saying I should have an ultrasound (another site ) or free psa tests ????? I thought mine was well w/i range of ok.

The way I see it if my psa continues at .02 per year in 30 years it will go up .6 so my total would be 1.61 right ??? eyes

Posted 7/16/2008 11:31 PM (GMT 0)
And by that time you will be 79 -- anyone that age would be delighted to have a PSA of only 1.61.

I think you are reading way too much into your rise from 0.99 to 1.01 in a year. PSA can fluctuate much more than 2% from day-to-day, and of course there are lab fluctuations too. You could retest today and easily have a value somewhere in the range 0.90 to 1.10. If you happened on the 0.90 figure, you would be delighted. But if you had the 1.10 value, you could rework your doubling time, and then you'd really have something to worry about :-)

Your uro says your change is insignificant -- believe him.

As I think Selmer said elsewhere, get plenty of exercise and eat healthily -- those precautions will help stave off lots of other diseases as well as prostate cancer. And in the meantime, enjoy your prostate -- while you still have it :-)
Posted 7/17/2008 12:21 PM (GMT 0)

yea sounds right, afterall my psa from .99 t 1.01 is not much if any change so....

Sure wish I knew why the gland is enlarged and if that is the cause of the psa not being say .5 or lower eyes

Posted 7/18/2008 11:47 AM (GMT 0)

another Uro told me that with my gland enlarged my psa of 1.01 is low !

Oh well thanks guys and wish luck to all of you

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