What should PSA be in a 35 year old

[Echotango51]

My son is 35 years old, he will be 36 in August. I want him to have is PSA checked, my daughter-in-law also wants him too have it checked. My brother died in 2012 from PC and I’m stage 4, 2 LN’s in chest cavity. He doesn’t seem to be concerned. What should I tell him?

[Muffin2019]

Get it checked ASP, people are getting it earlier.

[Hidden]

Tell him you will pay for it, and reassure him they can use the same blood they take for everything else (cholesterol, lipids, glucose etc…).

Its just a checkmark on the prescription form.

[tango65]

It is usually checked when they are 40 years old. The PSA should be less than 1. If greater than 1.5 he should consult with an urologist.

hopkinsmedicine.org/health/...

ncbi.nlm.nih.gov/pmc/articl...

[Tall_Allen]

Boy, are you asking in the wrong place! An advanced cancer forum?

That is way too young to start checking- PCa is almost unheard of in the 30s. The AUA doesn't recommend checking before 50. MSK has an interesting protocol that I call "thrice in a lifetime." They check once in the 40s, and if <1.0., once in the 50s, and if <1.0, once in the 60s.

You may wish to get a germline genomic test, like Color Genome Dx. It is free for you through the PROMISE registry:

prostatecancerpromise.org/

If you don't have any germline genetic markers, you cannot have passed it onto your son. If you do, he may want to have a PHI test at 40 years of age.

[Boywonder56 in reply to Tall_Allen]

Took the words right off my fingertips ta......as i knew you would.....wont even degrade you with grate minds think alot bs......bw

[lewicki in reply to Tall_Allen]

Great advise . I have three sons. I have advised oldest ag 51 who has a PSA of 2 to do things. Hasn't done anything most likely seeing what I went through has buried his head. I am going to push all three to do this at PROMISE. Thanks.

[tango65]

These are the recent recommendations for PSA screening.In the case of your son they recommend to start at 40 years.

urotoday.com/conference-hig...

[45yrsDenmark]

I think at age 35 it is really not relevant. However, I do know of two men here in Denmark who got their prostate removed due to prostate cancer at 38 and 39 years respectively. And in my own case, I just turned 45 and had a PSA of 88 (an rapidly rising).

Wait until he is 40, and the PSA should then be less than 3. If above 2, re-test again in a couple of years.

[Sailing-Todd]

My husband has just been through genetic counselling with the NHS. Because there is a close family history of breast and pancreatic cancer, in addition to his own aggressive stage four prostate cancer, they have suggested our son starts PSA testing at 40. Interestingly though, they have suggest that our daughter starts breast screening at 35 due to the close links between this particular mix of cancers.

[pakb]

My husband was diagnosed with stage 4 at 49 years old after his urologist told him for 2 yrs that he was too young for pca (treated him for bph) so never did PSA. His father had Pca (urologist knew that). I was diagnosed with early stage breast cancer in 2019 at 50. My grandfather died from Pca. Our oncologists have said our kids should get baselines at 35 due to those factors. I think I'd ask your oncologist team their thoughts.

[Trying-Times]

With PCa in the family get the test! Father will not let it go and both will have stress over the issue. What would be some of the reasons why it wouldn’t be beneficial? Maybe a false positive result? Just my opinion but I would advocate for a full body MRI at the age of 45-50. Having heard the words “you have cancer” 3 times probably has formed my opinion on the benefits of early scans.

[dadzone43]

he tells his doctor that he is high risk due to family history.

[Hidden]

Prostate Cancer does not age discriminate. Catch it early, you have a chance to treat it and survive. Cancer Treatment is tough, take the easy route now!

Hope that spurs some action.

[Teacherdude72]

Let him know the test is painless and for all that they test simply a baseline number for future reference against.

Additionally given family history of Cancer best to get that baseline early.

Literally no harm but all good in getting the testing done. His doctor will be happy to order all the tests for reference.

[Bethpage]

I have three (maybe more who haven't said) spouses in a FB support group whose husband is under 35. It's the exception rather than the norm, though.

[witantric]

Excellent information by group members. I would also get a germline genetic test through service such as color.me (it is like 240 bucks).

[gsun]

My brother and I have Pca. I am telling my son to get tested at 40 and then see what is recomended after that. He is 37 now.

[j-o-h-n]

I tell every man I meet for the first time that the norm for a PSA test is 40. However I also suggest that if I had to do it all over again I would check at 35. Hey why miss out on 5 DRE's?

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 05/16/2023 8:06 PM DST

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

Right on !

[groundhogy]

Umm, why not get a PSA? Its easy.

If hes in his thirties, hes nice and EARLY.

Every time he goes to a doc and the want to do a blood panel on him, just say please add a PSA to that. They don’t usually argue. If they do, just say how all your family has PCa as you mentioned above.

Every man should know his PSA and every man should plot that PSA on a graph. The graph is where the magic is. You get to know where your “range” is when you are healthy. As soon as it pops out of that range, you act. And if the PSA starts climbing a wall upwards...

I think PSA data is very accurate if you plot it. You can get velocity data as well.