Increasing PSA over time

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I am 55 years old. For my annual physical I had my first PSA test when I was 50 and the result was 1.7 ng/ml. Two years later my next PSA was 2.83. Fast forward a month ago, my PSA is 3.83 ng/ml. It looks like in a year my next test will be over the >4 ng /ml range which has me a somewhat concerned, but due to my PSA velocity my primary doctor is not concerned and is basing her referral to a urologist at some point on either a large increase year to year, or a doubling of the velocity. Does this seem like a prudent approach?

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  • Posted

    I just saw your post.

    Did you have the PSA checked at the same laboratory each time?

    If so, the general rule is that a doubling or more in one year is a sign that things may be bad.

    The velocity not the nominal PSA number is the variable to watch.

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