Fluctuations

[Channelhomec]

21 months since post salvage psa went from 0.02 april2020> july 2020 0.02>to 0.027 January 2021 >now 0.039 July 2021 my question are these signficant changes still doing utrasesative psa is this necessary at this point.

[Magnus1964]

These are insignificant changes. Any fluctuations below .1 are normal. They could be due to small irritations or inflammation.

Riding a bike could cause changes in PSA.

[Tall_Allen]

These are insignificant fluctuations. There is absolutely no reason to do ultrasensitive psa post salvage radiation. It only creates anxiety.

[Channelhomec in reply to Tall_Allen]

Thanks Allen I think I will change to regular psa ,urologist told me the same thing about anxiety

[dac500]

Fluctuation is when the reading goes up and down by small amount. The trend is very slow increase but still very negligible.

[pcasucks in reply to dac500]

I have been fluctuating between o.o1 and o.o4 for the the past seven years as long it reads o.o Iam good with that. Don't beat you self up over so small numbers. Smile and live your life

[Channelhomec in reply to pcasucks]

Thanks anxiety can get the best of you .I will take your advice god bless

[Steve507 in reply to pcasucks]

I went from 0.01 to 0.05 in 19 months. It was increasing slowly... but surely but so was my anxiety.

My oncs gave me the green light to choose salvage radiation. Started last January. It was my call. A PM was involved which slightlyraised my recurrence risk. Since my salvage, my anxiety has almost disappeared entirely knowing I did all I could do to look after my disease. No regrets for doing salvage. Been <0.01 for 7 months.

The advice here is 👍 👍but at the same time make a decision by reaching the very best understanding of your situation you can.

[Channelhomec in reply to Steve507]

Thanks god bless

[Steve507 in reply to dac500]

Yes, I have yet to know of any PSA fluctuation after RP. It goes up or stays the same.