I have had flue like symptoms for about 3 weeks white cell count was raised at 12 so obviously reacting to infection. My consultant has said give it 2 months and let me get over infection and redo blood's. Should I be as concerned as I am? I am 50yrs old slightly overweight but exercise regularly. I just feel after a year when I had just started relaxing I am looking at more treatment again.
Is it usual for PSA to fluctuate or is this to do with doubling time. Very scared and upset over this so thank you in advance for any light that wjt can shed on this issue.
Thanks
Darren
Written by
Dazstacy
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In the setting of an infection, PSA reading can become unreliable. Let your doctor treat your bacterial infection with proper antibiotics and once infection is cleared , get PSA test done again in 2 to 3 weeks.
Detectable PSA is one risk factor for BCR as high Gleason score, positive surgical margin, EPE, PNI. Doctors do a weighted assessment of all risk factors. If this is the only risk factor I would no be worried.
Doctors are very apt in establishing ill defined rules. Take for example this 3 consecutive rises. Without defining the sampling period, it is just pure nonsense. I am GS 9 and pT3b and for this taking monthly tests. Although my PSA is slowly rising (8-9 months doubling time) I get three identical values (courtesy of the rounding error) before visiting the next reported level (currently 0.06). But, due to my frequent testing, I have visited all values from 0.02 to 0.06, so I know it is is steadily rising and not fluctuating. Just hoping that it will plateau somewhere around 0.1, but at the same time planning my next steps. I am an engineer and appreciate numbers a lot different than doctors. Take for example the 5 nines of the telco industry. They stand for the availability of their services to be superior to 99.999%. On the medical front a 90-94.5% for the new COVID vaccines is deemed fantastic. Two different worlds!
You need monthly checkup of PSA level. If there is a 3 consequently rise then you will need Salvage Radiation as most of us did. SRT is best to start before your PSA pass over 0.2
After readings of 0.7-0.9 for 18 months after starting Lupron, my PSA rose to 1.3 and 1.4 in May and June, then dropped to 0.8 and then 0.7 in August, September, and October.
Please tell us your bio. Age? Location? Treatment(s)? Treatment center(s)? Scores Psa/Gleason? Medications? Doctor's name(s)? Thank You!!!
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