post surgery PSA went from <.04 to .04

It all depends on a piece of information you do not have: knowing just how close to 0.04 you have been.

If your actual PSA values before the last test were fairly steady at, lets say, 0.039 or a bit lower, your reports would come back <0.040 and a single 0.04 result could simply be an insignificant PSA hiccup on the day of your last test--or even variability in the test method itself. On the other hand, 0.040 could be a more significant increase if your PSA started out at a lower value, lets say, 0.001 or 0.010 and has over time increased to the point where it is now at 0.04.

There is no way to reconstruct your past values. Your PSA may very well drop back below 0.04 at your next test or because your PSA is essentially stable; or it may rise going forward.

Keep in mind that at these low levels, even a rising PSA can plateau at some low value.

Time will tell.

Djin

Did your medical team weigh in?

Sometimes, my oncologist assures me that fluctuations are to be expected.

For years, because of my case, I had monthly PSA tests - for almost 9 years. That might be more PSA tests than anyone else here, over time.

But ~ it allowed my doctor the chance to track everything closely.

Keep in touch with us here ~ Stephen S. has shared some sage advice, looking towards the future.

Sounds like you are remaining proactive and vigilant!

With my best ~
CYCLONE ~ # Iowa State University

I had this happen with Quest too, 2 out of 4 tests were reported <0.04 and 2 were 0.04 post RRP. This was madding to me. I requested an Ultrasensitive test at Labcorp came back at <0.006. I wouldn't be too upset with your results until you get tested again.