Rising PSA

[ironmanburg]

I had another MRI in January 2023 and showed the same thing as the other three, all about the same, Pirads-2. My concern is my rising PSA since August 2022 , 8.0, 10.5 and then 11.5 this week. I do have another surveillance biopsy next week but this rising PSA concerns me. Lab says they don't check Free PSA when PSA is over 10. Any insight is appreciated. Thank you.

[Magnus1964]

Have you started any ADT drugs?

[ironmanburg in reply to Magnus1964]

No medications.

[Magnus1964 in reply to ironmanburg]

Then maybe it's time for Lupron or some other ADT drug.

[ironmanburg in reply to Magnus1964]

I’m trying to avoid taking any medications.

[Magnus1964 in reply to ironmanburg]

Have you had radiation?

[ironmanburg in reply to Magnus1964]

No, I am on active surveillance. Trying to avoid treatment until and unless it is absolutely necessary. Thanks.

[Magnus1964 in reply to ironmanburg]

Don't wait too long. If you cancer is confined to the prostate, that's good. Don't wait for it to spread.

Magnus

[witantric]

What is the size of your prostate?

[ironmanburg in reply to witantric]

4.1 x 3.3 x 4.8 cm. I was diagnosed with BPH and it has been about the same for the last three years.

[Tall_Allen]

Do you still have bladder outlet obstruction - that completely explains your high and rising PSA, as I've told you before.

[ironmanburg in reply to Tall_Allen]

I haven’t done anything about it so I’m sure I still do. If that was the cause I thought the psa would stabilize at some point.

[Tall_Allen in reply to ironmanburg]

No - obstruction will always cause high PSA.

[ironmanburg in reply to Tall_Allen]

Thanks a lot. Hopefully the surveillance biopsy on Monday will show the cancer hasn’t gotten worse.

[aceace12]

could it be the bike ?

[ironmanburg in reply to aceace12]

I don’t know. I already know I have Gleason 3+3 cancer and bph. Last MRI was same as the 3 before that. I have been riding the bike for 3000-5000 miles a year for a long time. Maybe it’s catching up to me, maybe I’m just getting old.

[groundhogy]

What is it you are waiting for?

[ironmanburg in reply to groundhogy]

I don’t want to treat it if I don’t need to. It would be great to just have radiation or removal and move on but I haven’t seen anyone do that without lifelong side effects.

[Hidden in reply to ironmanburg]

It sounds like you're about where I was when I started treatment. A 4 month Lupron shot and 27 radiation treatments. I'm still able to function sexually as I did before treatment except for no semen output during orgasm. My PSA has been hanging around .25 the past 4 years. I would say go for it before it spreads.

[ironmanburg in reply to Hidden]

Thanks.