Elevated PSA #’s from sex (after RT &... - Active Surveillan...

Active Surveillance - Prostate Cancer

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Elevated PSA #’s from sex (after RT & ADT)

Jimhoy profile image
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Hello again my friends! 

 I think my question is a simple one but I can’t seem to find an answer anywhere, so I turn to the experts here!  A favorable answer would eliminate 6 more months of anxiety for me while waiting for the other shoe to drop!

I’ve been on Active Surveillance since completing my ADT and RT both in 2017 &18 finally coming out of castration in 2019 / early 2020 with a basement T level, so I began Penile Rehab.  Well over a year after that, I was able to resume (what I now refer to as) sexual relations with my wife!  

It seem more than a coincidence that since we resumed love making (on a very regular basis), that my PSA ticked up a bit, or its the beginning of bad news.  It went from 0.3 & 0.4 then after resuming sex, 0.5 & 0.6 to 0.8 now.  I was reading that sex, exercise, strenuous work, etc, can cause elevated PSA levels!  I exercise on a regular basis and returned to strenuous work as well!  I was just reading that one should refrain from / limit all those activities 48 to 72 hours prior your blood test!  I was 67 yo when I first heard this!  I turned 67 last week!!! 

FINALLY.... the question..... does this elevated PSA still apply after having had Radiation Treatment where in theory, the gland is cooked?  I would love to hear that it could be, so a PET will not be required after my next PSA test in 6 months (if it takes another tick upwards?), but I’ve (again) been waiting for the other shoe to drop since going on vacation, so kind of expecting that anytime now!  Comments?

Jc

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