What does PSA test result 133 mean ?

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A recent blood test showed a PSA of 133, my GP referred me to the Hospital where two days ago the Urologist said there was a high chance of advanced PC. I have been prescribed Bicalutamide and Zoladex. He is  trying to arrange a bioppsy in two weeks. For the past two days I have been researching PC, it's very scary, I don't know what to expect or do now, I am 64 and have not told anyone yet

  • Hi Strepus and sorry to hear

    Yes 133 is fairly high but doesn't necessarily mean  advanced.

    One thing that u  haven't mentioned is a MRI scan because that can tell u a lot about where any tumour actually is.Its good that u have started on HT  to potentially stop any further growth.

    Let us know when.u have further info especially MRI

    Best wishes

    Steve 

  • You will be scared while all the tests are done but don’t be shy to ask questions.

    133 is high but you will have to wait until the biopsy and other tests before you get a diagnosis.

    Do not google too much if you can help it. This sIte has a huge amount of great information and even more support from the wonderful and well respected experienced prostate travellers like you.

    My profile is worth a look to see what I’ve done for the last 3 years but along soon will be more able and experienced forum people and champions to ease you mind and help you with any support you need.

    Please don’t panic.

    I told people I wanted to at the start but three years on loads of grinds know, but no t all. I cherish my privacy and this forum is anonymous so we all know you are there and you know we’re here but we don’t actually know you so talk to us. It’s your choice who you tell, but you need someone’s hand to hold because you are in shock.

    We were there where you are now, you have years in front of you, a positive attitude is a must but we all cry. So don’t guess. Wait for the diagnosis and the best of luck. We are here.

  • Avoid Google, often results are out of date. Take advice from the brilliant and informative guys on this site. My husband's initial psa was 1200 and that was nearly 5 years ago.

    Gina

  • Hello  

    A warm welcome to the group, although I am so sorry to find you joining us.

    For any research you are doing use trusted sources such as Prostate Cancer UK, Cancer Research UK and Macmillan. Try and avoid Dr Google.

    So a "normal" PSA for a 64 year old would be 4.5 - 6  thus 133 is considered high. The good point is your urologist has already started you on Hormone Therapy - this in a nutshell (no pun intended) will remove your testosterone which is the cancer's food and put it to sleep - in effect stopping it growing and going anywhere else.

    The biopsy and MRI scan will lead to your diagnosis, tell you if it is "Advanced" and any additional treatment needed as your journey progresses. The hardest part of the journey is waiting for tests and results.

    I started my personal journey with a PSA of 182 and almost 4 years ago there was no sign of a spread, even with that PSA. You can read my journey by clicking on my name or avatar.

    The decision to tell others is yours alone. I found that 95% of folk I told were helpful and sympathetic and my wife and children have been amazing at supporting me.

    Feel free to ask any questions however trivial, there will always be someone with an answer for you.

    Best wishes - Brian.

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  • Thanks Brian, your words have helped, there are two thoughts currently in my mind now

    1. Even at my age, in the back of my mind I thought I was "gonna live forever", I guess reality has now whacked me upside my head Disappointed

    2. Trying to decide when and how to tell the missus, i know she is going take this worse then me cos she is a big worrier

    Thanks again

  • It’s very hard to have to reset all your future plans even if they were basic. I became very angry about not being able to live out my life with my Darling, for all time. My darlings attitude from the start was that anyone can die anytime and she could die before me, run over by a bus. I couldn’t hack that thought and felt that I was the one causing this shortened life together, I still do. But little by little I realised that this dreadful couples disease will give me the opportunity to be the person I want to be with the love of my life and be able to do all the things together that we wanted to do, and not need not wait forever to do them.

    Each day can be a good day if you wish it. But your head will take a lot of convincing.

    Your worries are shared with every you tell and how you think they will react it’s not how they do react. Be brave and keep the communication with your own Darling and travel together on this cancer pathway for the many years you still aught to have - but in reality how long is that piece of string for anyone with or without cancer.

    I have dreadful days and don’t want to get out of bed. I am so tired sometimes I want to go back in time and somehow dodge this prostate cancer and get back to normal. But I can’t, and I get up, feed the cat (Mr Vicious) and take all my pills and try to imagine I am normal. I’m limited by the cancer but not limited by my mind. So be brave my friend and be the best new normal you can.

    I will cry and laugh with you.

    Good luck and be yourself.