PSA levels

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Hi All, 

Having read through many posts I realise that I have got off rather lightly compared to many others. 

I am 75 years and nearly 2 years ago, I had a annual check up, my PSA level was 1.9. However, I was experiencing pain when urinating. Luckily, I was sent for a CT scan but, because of my low  PSA level I had to wait 5 months. I wasn't feeling too bothered until I received the results. The scan found 2 tumors fortunately contained within my prostate. But, the biopsy revealed a Gleason score of 9.

I elected to have radical prostatectomy. However, I caught Covid and as it risky to have an op within 6 weeks of of catching Covid the doctor suggested 42 sessions of Halcyon radiotherapy and 2 years of antihormone treatment, Eligard. I will  soon have my last injection and, like tunygbur I want to know what level is a 'good' level. When I asked my current eurolgist she said that it will be controlled by PSA level. I went away and thought about that relative to my PSA of 1.9 2 years ago and 1.3 when I later had a biopsy. Basically, I dont know what PSA level is safe for me. And, more importantly I don't think my urologist does either. BTW, I am living in Germany. 

  • Under 2 is great, and I guess it should be stable.

    its the trends that you need to look for after three tests normally.

    Relax

  • Hallo ( 

    Welcome to the group, and also the Gleason 9 club!!

    In the UK the general rule of thumb for people on HT/RT is that your PSA reaches it's nadir (lowest) reading about 18 months after radiotherapy finishes and intervention is required if:

    * Your PSA rises in 3 consecutive tests or

    * Your PSA rises +2 whole points.

    Your low PSA at the start and low tests along with being a Gleason 9 makes me wonder if you are a "low secretor" - have you run this past your oncologist?

    Best wishes - Brian.

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  • Hi G

    As has already been said stable is what you are looking for.

    You may find that when HT stops it rises a little and sets a new standard level so will be difficult to tell for a few PSA tests.

    So after the first year you should understand it more.

    There is no set figure for PSA after Radiotherapy, mine was 1.33 but I know that others have had much lower than that.

    Anyway for now you can relax 

    Best wishes

    Steve