Concerned about my PSA / %fPSA results
Posted , 9 users are following.
Hi there! I'm a 40 year old white male and concerned about my recent PSA test results. I'm waiting on a followup urologist appointment July 13 (and losing my mind in the meantime). My PSA is 19.77 and %fPSA is 3% (0.03). Prostate size is 45.1mL in volume based on an ultrasound I had done last December. These numbers are terrifying me based on everything I'm reading online. My father passed away at 66yrs old from prostate cancer, and 2 of my cousins have had their prostates removed in their 30's. What is the likelihood that this is cancer, and not just prostatitis or BPH...? The more I'm reading, the more the (very) low %fPSA is worrying me the most. Any thoughts...?
0 likes, 22 replies
kenneth1955 shawnv77
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It is good to have it checked but why at 40 are you having PSA checked Are you having a problem. Please relax there could be other reason that it is up A infection prostatitis sex before the blood test or just stress. Just relax But most of all don't let any doctor start telling you that you need your prostate out until you have all the test to see if it is the prostate Please let me know what happens I am here for you if you need to talk Ken
shawnv77 kenneth1955
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Thanks Ken Because of family history (my father's passing from prostate cancer, early onset in cousins, etc.) and for the "typical" symptoms I was having - urgency, frequency, up all night to go to the bathroom...pressure, burning. DRE & Ultrasound suggested BPH – but the Flomax meds stopped working, so had a cystoscopy and PSA / free PSA test done...that's where the scary numbers popped up.
kenneth1955 shawnv77
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shawnv77 kenneth1955
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Thanks Sorry to hear about your father My Dad passed in 2012, so it'll be 5 years this November. It was detected at stage 4 and his PSA was 1600+ when it was discovered. There's definitely something to be said for early detection...!
kenneth1955 shawnv77
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dalebf shawnv77
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Contrary to some opinions you will read and given your family's unfortunate history with prostate cancer, having a PSA check was a wise decision. You might have only an infection or a very enlarged prostate, but at least you and your urologist can work together to find a suitable solution for you. If it is cancer you have options. Do your research, talk openly with your urologist and don't get too wrapped up in advice from people who tend to play doctor.
shawnv77 dalebf
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kenneth1955 dalebf
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dalebf kenneth1955
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kenneth1955 dalebf
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ES28567 shawnv77
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Hi Shawn,
The Urologist will probably put you on an antibiotic and then have you retest in 30-60 days. If the scores go down then you might be ok. If you get similar results then the uro will most likely recommend a biopsy. I'm not a fan of biopsies but you will need to find out if you do or do not have cancer. Not knowing is the worst way to live your life. Once you know if you do or do not have cancer, then you can determine an action plan. It may be to do nothing or to choose a procedure that will be best for you.
If the recommendation is to have a biopsy, insist on an MRI 3T guided biopsy.
If it is determined that you do have cancer, the good news is the medical community has made great strides in treating prostate cancer and there are many options with less to almost no side effects.
I'm speaking from experience as is was diagnosed with prostate cancer and underwent the HIFU procedure. I have all sexual functions and no longer have the symptoms of an enlarged prostate. My life is normal again. Just had a follow-up MRI and everything looks good. It's now been 10 months and it's almost like it never even happened. I'm not out of the woods as 10 months is not enough time but I have my life back and should the cancer rear its ugly head, I can repeat the procedure or opt for something else if needed.
Good luck to you and don't stress until you know what you do or don't have.
dalebf ES28567
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shawnv77 ES28567
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Thank you so much for the excellent advice, and reassurance. So happy to hear you're doing well!! Waiting seems to be the worst "side effect" so far LOL!!!
reg52510 shawnv77
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shawnv77 reg52510
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Thanks...no I didn't have a digital exam prior to the blood sample (nor ejaculated or excercised excessively within 24 hrs of the sample). Very healthy lifestyle. Frustrating! LOL