I completed IMRT on 5/22/23. My last recorded PSA from 1/23 was 4.31. My 1st PSA draw on 8/22/23 came back 2.12. I've read and have been told that PSA doesn't go down immediately with radiation, unlike surgery, and can take up to 2 years to hit its nadir. The RO NP was happy and pretty much said that this is my new baseline and that we don't like to see consecutive trending upward increases. This is not verbatim. The plan is PSA checks every 6 months.
1st post-IMRT PSA = 2.1: I completed... - Prostate Cancer N...
1st post-IMRT PSA = 2.1
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EJC61
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So far it looks like the IMRT is doing its job. It sounds very hopeful to me.
I had 27 sessions of IMRT in 2019. My first PSA a month after was .03. I have checked my PSA every year since and it has been .25 or lower each time. My Urologist said that if and when my PSA reached 2 or higher, I would have to go back on ADT. Back when I was going through this, I read that the PSA can spike after radiation and it could take a little time for it to come down.
Congratulations! It took me almost 4 years to reach my nadir.
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