First PSA test ever and concerning results

[Swimjim00]

Hi. I apologize if this isn't the right board to post in but thought it might be a good place to start. Just had my frist PSA screening done and got borderline results:

PSA: 0.4

PSA Free: 0.1

PSA Free%: 25

Any thoughts on how concerned I should be about the PSA Free% of 25? A little bit of reading tells me PSA Free can be an important indicator of cancer risk and I'm right at the level considered low. Looks like there are some more aggressive forms of cancer that can have a profile with low PSA and low PSA Free so am a little nervous. Thanks for any thoughts or advice.

Edit: Sorry meant to say that I am 53 years old and healthy as far as I know

[Lasala]

nothing to worry about unless youve already been treated

[Justfor_]

You are right, it isn't the right board. "Prostate cancer network" could be more suitable.

Coming now to your query, the PSA numbers you posted are very far from being indicative of a malignancy, for a treatment naive man that is. I assume you are treatment naive because after treatment freePSA is superfluous. Specifically, the 25% freePSA /totalPSA ratio doesn't say much due to the rounding error of the single place decimals. Not-rounded it can be anything from 0.05/0.35 ~ 14% to 0.15/0.45 ~33%. Retest again after 6 months and see how it goes.

[Boywonder56 in reply to Justfor_]

You need to tell age and other pertinit info. if this is post rp. Etc......yes this is wrong room....we call this the room of doom....and gloom....if your 80yrs old and psa is .04....rejoice.....if your 22 y.o.....keep eye on it ..now scat....bfor the others chime in ...itll be worse than asking j.o.h.n. for directions in new york city...

[j-o-h-n in reply to Boywonder56]

DIRECTIONS TO NYC: Take Uber.

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 03/28/2023 5:49 PM DST

[Fightinghard in reply to j-o-h-n]

but why would anyone want to go there??

[j-o-h-n in reply to Fightinghard]

Good Question!!!

I ask myself that same question every time I go outside my house....

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 04/03/2023 7:50 PM DST

[Tall_Allen]

Congratulations! And go enjoy your life. In 10 years, have another PSA test, and if it continues to be that low, you never have to have another PSA test again. % free PSA is not valid for PSA as low as yours.

[Swimjim00]

ok thanks all for your comments. Sorry for posting on the wrong board

[tango65]

You don't have to worry. Free PSA is concerning when is low, below 12 or 10.

[lowT163]

if you didn’t get the finger in your rectum ask for your money back. Psa isn’t everything.

[gsun in reply to lowT163]

Exactly. Get the finger.

[Swimjim00 in reply to lowT163]

that made me laugh. Thanks

[lowT163 in reply to Swimjim00]

but I’m not kidding. My guy actually found the tumor then missed it with the biopsy. Think he called it a nodule. Not smart enough to get a scan. Push them for what you need.

[SteveTheJ]

PSA of 4 or more is concerning. Free % means nothing AFAIK.

[j-o-h-n]

Like a woman.........and in Pca........ a period is something to be concerned about. 4.0 is biopsy time, 0.4 which you are, is happy dance time...... So jump in the pool and swim your ass off......Past 49 years old Keep checking your PSA at least once a year. And that's a must for every male you know (family and friends)....

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 03/28/2023 5:35 PM DST

[lowT163 in reply to j-o-h-n]

at 4.2 mine was out of the prostate and against the rectum. I’d say 1.5 is high enough to be worried.

[j-o-h-n in reply to lowT163]

You're safe if you're a woman (otherwise worry?)

NOTE: Always exceptions to the rule: (Remember, rule of thumb).

The PSA level in blood is measured in units called nanograms per milliliter (ng/mL). The chance of having prostate cancer goes up as the PSA level goes up, but there is no set cutoff point that can tell for sure if a man does or doesn’t have prostate cancer. Many doctors use a PSA cutoff point of 4 ng/mL or higher when deciding if a man might need further testing, while others might recommend it starting at a lower level, such as 2.5 or 3.

Most men without prostate cancer have PSA levels under 4 ng/mL of blood. When prostate cancer develops, the PSA level often goes above 4. Still, a level below 4 is not a guarantee that a man doesn’t have cancer. About 15% of men with a PSA below 4 will have prostate cancer if a biopsy is done.

Men with a PSA level between 4 and 10 (often called the “borderline range”) have about a 1 in 4 chance of having prostate cancer.

If the PSA is more than 10, the chance of having prostate cancer is over 50%.

If your PSA level is high, you might need further tests to look for prostate cancer.

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 03/28/2023 8:38 PM DST

[lowT163 in reply to j-o-h-n]

I finally made it in to the top 15% of something

[j-o-h-n in reply to lowT163]

LADIES AND GENTLEMEN, WE GOT A WINNER!!! The gentleman sitting in the back with those two good looking women by his side. Stand up sir and take a bow!!!

DEAFENING APPLAUSE RINGING OUT FOR Mr. lowT163.....

google.com/search?q=marchin...

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 03/29/2023 12:34 PM DST

[Fightinghard in reply to j-o-h-n]

hey john. Rule of thumb. Good one. Lmao

[Hobierat]

j-o-h-n, your going to need to up your comedy routine, I think your being scooped

[j-o-h-n in reply to Hobierat]

My writers left me.......... Winter break is over, so they're back in kindergarten.....

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 03/28/2023 8:42 PM DST

[Boywonder56 in reply to j-o-h-n]

I thought the good writers went to the catskills.....or is it pokipsky....

[Boywonder56]

And the sheeple on the bus go up and down.......i myself believe this is the only ride we get on this spinning rock.....and we are really fkn things up......if anything good has come out of this shitty disease ...besides a nice rack of boobs i can admire...is finding this group and seeing that a disease can allow people to " bond" over a common goal....staying alive....because if this all we get..and no one has come back to proove otherwise..i want to stay till its no more fun.....keep on laughing...bw

[j-o-h-n in reply to Boywonder56]

google.com/search?gs_ssp=eJ...

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 03/29/2023 12:37 PM DST

[Hidden]

Is the PSA

0.4 or 4.0??

[Swimjim00 in reply to Hidden]

0.4, but the free % was 25. But someone commented above that fortunately free% isn’t relevant when PSA is that low. Thanks

[Hidden]

I don’t get it.

Only a person that has had prostate cancer, and has been treated would worry about 0.4