Rise in psa

[Runner1957]

I had rp in 2021 with recurrence 12 months later to 1 lymph node. RT to 9lymph nodes and zoladex hormone therapy for 18 months. Psa has been undetectable for 12 months but just rose to 0.03. Do I need to wait until it rises to 2.0 as I've seen advice before or is there a more proactive approach? Thanks.

[Justfor_]

See if you can contain PSA to bellow 0.05, the way I am doing:

healthunlocked.com/prostate...

IMO, not a bright idea to let it rise to 2.0 while just watching it.

[Tall_Allen]

Reacting to small fluctuations like that will cause unnecessary harm.

[Runner1957 in reply to Tall_Allen]

Thak you.

[Still_in_shock]

With RP, you follow up at 0.2

Undetectable, I presume it was <0.02 so 0.03 is nothing, its probably a lab discrepancy.

When I was in the hospital 2 weeks ago, 2 different doctors ordered an A1C test, besides others. One A1C measured at 7.0, the next one, the day after measured 6.5. A1C doesnt move that fast, its a 3,month moving average. I was 6.6 three weeks prior. That 7.0 is a 7% error.

Now, test again next month.

[Runner1957 in reply to Still_in_shock]

Thanks. Undetectable was <0.01.

[Still_in_shock]

Oh BTW, we have very similar PCa, Im following you since you said you were stopping ADT

[Runner1957 in reply to Still_in_shock]

Thanks for reply

[Hawk56]

My experience and clinical history, study of one.

Attached is my clinical history.

When my urologist switched from a standard PSA to USPA, it came back as .36, I said, let's retest, he did, .24, next one .06, then .124, then .06...then...You get the idea, it has bounced around though I generally follow the same process - lab, time of day, activities 24-48 hours prior...we (my medical team and I) don't react to single lab results, rather, our decision criteria is generally three minimum, consecutive increases, spaced 2-3 months apart, when PSA rises to .4 -1.0, we image, then, informed by the clinical data, decide if to treat, when, with what and for how long.

So, treatment may be in your future, it may not be now though.

Maybe discuss and develop with your medical team what criteria constitutes sufficient clinical data to make a decision on treatment.

Kevin

Clinical history

[j-o-h-n]

The guys at the Lab pick your PSA score out of a magicians black hat, you know, the one with the rabbits.

Good Luck, Good Health and Good Humor.

j-o h-n