Raised first PSA after diagnosis

Hi Andy

Just to give u my figures for comparison.

Diagnosed 2013, similar stats to you.

PSA about 4, went on AS for 4 years and in that time PSA went up to about 13 so on average of about 2  a year.

So your jump of about  1.6  over  5 months does seem a bit high but u probably need a further check in a few months in case a blip.

The other thing to check is tumour size, mine went from 3mm to 13 mm over the 4 year period.

So u need a MRI check at least yearly.

Probably once PSA goes  10+ maybe consider treatment although check on what MRI shows

Best wishes

Steve 

Hello Andy B24 

It's a very personal choice but:-

* Your PSA is rising, therefore something is going on.

* Your PSA isn't going down - it will continue to rise so treatment is better sooner than later. You can cope with treatment better the younger and fitter you are.

* An MRI scan will give you a better idea of the actual situation.

Here's our guide to work out what to ask on 2 December 2024:

https://www.macmillan.org.uk/cancer-information-and-support/treatment/your-treatment-options/questions-to-ask-your-healthcare-team

I hope this helps - Feel free if you want to ask us anything else.

Best wishes - Brian.

Hi Andy 

Your PSA may have risen because of your biopsy causing trauma.

I had a 38 core template biopsy in 2017. Before the biopsy my PSA was 3.4. After the biopsy it was 9.1. I panicked and almost had surgery. However, I didn't and after 6 months my PSA dropped sharply to almost where it was before.