Dropping %fpsa

The good news is that your PSA continues to fall while on Proscar. That tells you that you have some BPH that the Proscar is helping to eliminate, and you're also peeing better probably. The Proscar is making your PSA a much better indicator for prostate cancer, and as long as it goes down or stays stable, there are no red flags.

Free PSA is affected by BPH as well as PC. It's the Percent free PSA that matters, not the free PSA. Because your PSA is going down too, your % free PSA is still within the normal range. There is a more accurate blood test called PHI. You can only get it from certain urologists. Call the number at the link below to find ones near you.

PHI

There's a urine test called PCA3 that is only covered after a first biopsy (which you've had) and if suspicion remains (which it probably doesn't in your case). Get pre-clearance if you decide you want it. There are other biochemical tests, all much more expensive and none of them covered by insurance or Medicare.

- Allen

I learned a long time ago to get pre-approval from insurance on all tests and treatments. Doctors won't know. Sometimes their assistants can handle it, but I think it's safer to call them myself.

I probably didn't explain this well about PHI. You can't just "mention PHI" to your Uro - you have to get it through one of the Uros who are registered with them. Your Uro probably won't even know much about it. You can find a registered Uro by calling the number on the site.