elevated PSA
Posted , 12 users are following.
I'm 63 and I've been tracking my PSA for 10 years on a yearly basis. The range has been anywhere from .7 to 1.9 with no real trend. Today, my bloodwork came back and my PSA was 4.2. I'm freaking out because I've never had any prostate issues and everything works like it is supposed to. My doctor has told me not to worry about it and I'll be tested again in two weeks.
My doc then asked me if I've been riding a bike lately? Yes
Have I been lifting heavy weights? Yes
Did I have sexual relations the night before the PSA test? Probably.
She asked me about my urine flow and I told her that my start/stop is fine and that I will get up once a night to urinate maybe once every 3 or 4 nights. If I don't drink anything after 9PM, the chances are that I'll make it through the night. She was pretty amazed that at 63 I can sleep through the night.
So, any thoughts from anyone with this kind of experience?
Thanks,
John
0 likes, 20 replies
mark02906 john4850
Posted
When I was 29 (40 years ago), I had a stress test because my maternal grandfather died of a heart condition at 50 (he got sick at 29). The doctor said he noticed something on the stress test and that I needed a thallium (nuclear) stress test which they scheduled for 2 weeks. During that 2 weeks, I probably listened to my heart beat more than I ever did. The test was negative. Then I found out my maternal grandfather had rheumatic fever as a child (probably the cause of heart problems). I started running marathons. (slowly - wasn't disciplined for speed work).
You'll get more informative responses on the PSA level.. But, my advice is not to sweat it. Some guys have double digits. I have BPH and the urologist also monitors the PSA (presently below 3). If the blood test I had yesterday turns out to be higher than recent, I'll take another test. Then I'll make a decision on what course to take.
Wait until the 2nd test results. Then read as much as you can and discuss it with your urologist if necessary.
kenneth1955 john4850
Posted
oldbuzzard john4850
Posted
Squats, lunges and sex can all cause PSA to rise temporarily. Don't lift the day before/of the test and don't have an orgasm either. My guess is that the next test will be in your normal range.
oldbuzzard
Posted
Dawnay john4850
Posted
Okay, probably/hopefully the sex.
However, think about it, if it is cancer, what will you do? Posting on a cancer site is a good start, but remember people don't always tell the truth - even anonymously. At 63, if it is cancer, and you do nothing, you will die at 83. A doctor told me this and he said not to do the hormones (ADT) until you have symptoms of it's spread... that means pain elsewhere, which I believe usually happens in year 18, so when you are 81.
Most guys run out and get surgery right away thinking "cut it out, be done with it". However, statistics show that may cause urinary leakage problems and no sex again, sometimes even rectal trouble. Radiation is no better. And neither mean the cancer is gone, some 35% of the time.
So learn about what prostate cancer could mean, so that you make a wise decision.
Just don't do anything until you have researched this fully, if you are like most - doctors don't tell us what the ramifications are... and a surgeon will try to sell you surgery, while a radiologist will sell you radiation.
If you have money (25,000.) to spend out of pocket, HIFU (high intensity focused ultrasound) is another choice.
Fingers crossed it was the sex! Stay well.
oldbuzzard Dawnay
Posted
This post is irresponsible IMO. 1) 95% of all prostate cancers never cause any problems - you die of something else before they ever grow enough to cause any issues. The can score them - after that only 1 or 2% need to be treated 2) Often PSA numbers are misleading on the high end. Many activities cause temporary higher numbers. Your second could well be back in the normal range. 3) Even if it isn't, PSA is a poor predictor of cancer. If the do a biopsy there is a good chance that you don't have cancer.
All of the treatments leave you cancer free about 85% of the time, but all are almost always unnecessary. 95% of the time if you have prostate cancer, it won't bother you no matter how long you live. The only part of this post that was accurate was the permanent side effects part from prostate removal. In a good surgeons's hands, you only have a 10% chance of being incontinent - but be careful with statistics. I once asked a urologist how he defined continent and he said no more than 2 pads a day. To me, continent is "what's a pad for"? Impotence is almost assured at least on some level. About 50% can, after 1-3 years, get an erection with a pill. Almost no one can without.
Wanna be that if you don't lift weights or have an orgasm within 48 hours of the next test your PSA goes way down?
Ronk25 john4850
Posted
John, I would advise you to stop freaking out. All of the questions she asked you can effect a person's PSA and you answered yes to every one of them. Refrain from each of those activities 48 to 72 hours prior to your next test and see what happens. I'm guessing you'll score a lot better than that 4.2 that has you so worried. It sounds to me like you have a pretty level headed Doctor.
emil54651 john4850
Posted
Truthmatters john4850
Posted
At 60-69 <4 is considered normal, however 48 hours before a test you should avoid the activities you describe for this rather blunt instruments sensitivity to have a result that would suggest firther investigation. Ask for another and avoid anything that might artificially raise it. Let us know the result.
paul44935 john4850
Posted
"American doctors are too aggressive re PSA levels." - words from my Canadian urologist. My PSA varies between 12 and 14. Biopsy showed nothing malign. PSA no longer used as a guide in other parts of the world. I would distrust a medical system governed so hugely by the profit motive. Paul in the Great White North
yoshiro67881 john4850
Posted
Dawnay john4850
Posted
Here's some info:
My urologist says he had a patient who had a PSA of 8,000. with no symptoms.
There's a doctor on the web who says he had a patient with a PSA of 21,000. who also had no symptoms.
john4850
Posted
Thanks to all. I'll post again in a couple of weeks after the next PSA test results. I'm also going to request a DRE from my family doctor. If I have any concerns, it's off to my urologist for further discussion.
On a related note, a friend of mine rushed into a prostate removal after he had elevated PSA numbers about 15 years ago. He regrets it big time now. He uses several pads a day and has other problems that he doesn't want to talk about. He believes that he should have taken more time to let things set in and that he should have went for a second opinion. He told me to take my time and not to panic.
Thanks again,
John
kenneth1955 john4850
Posted
gary35655 john4850
Posted
John,
I took all the over 50 tests at the age of 55, at the urging of my mother. That was ten years ago. My PSA, which I always heard about when I was younger, was 3.9. Now, 10 years later, it has crept up slowly to 8.0 last summer, 2017. I have had two negative biopsies, over the last 7 years. One year, my PSA dropped down, so the doctor said to wait another year. In 2013, I had the PS3 genetic proclivity exam, which came back .3, very low, and yearly rectal exams, with a prostate MRI last summer. Everything has come back negative. I missed my half year appointment. I do have BHP, and have developed incontinence within the last few years. Now I know what "nature calling" means, even in the city. However, other teachers in and around my age bracket have to visit the men's room rather suddenly, so I am not alone here. The one factor I have heard about rising PSA is that they are a bit more concerned if it rises sharply in relatively short periods of time. However, even this does not necessarily guarantee any serious condition. Yes, I am 65 and still teaching. Kids have always used the excuse of going to the restroom to get out of class, now I do too.
However, I am curious if some of you have developed incontinence over a period of time as well? The world is really one big bathroom now. Take care.
paul44935 gary35655
Posted
gary35655 paul44935
Posted
G
oldbuzzard gary35655
Posted
You may well have overactive bladder along with BPH and one may not relate all that much to the other. The good news is that both are treatable. Incontinence can't be solved with CIC or anything else non medical. If your urgency problem is from overactive bladder, I would try a course of myrbetriq. It works well and few have any side effects. If its from BPH, I would look into one of the less invasive treatments (not TURP, Holep or Greenlight). I get doing CiC rather than undergoing a procedure, but if it were me I'd draw the line at peeing myself.