Symptons

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I have the following symptoms and have an appointment with GP on Thursday

A Frequent urination

B Discoloured semen

C Dribbling 

D Fatigue 

I have just turned 55 and my cousin had prostate cancer diagnosis around the same age (had procedure but did not require any follow up treatments).   

I know that I may need to have an internal examination when I see GP later this week but I have read this could increase PSA.  Would it be better to have the PSA test and then the the examination or is there a standard NHS protocol? 

  • Hi Mick

    PSA test the most  important thing. DRE doesn't necessarily help as he can't feel the whole prostate.

    Have PSA , go for results with GP and he can do DRE then

    If PSA normal though probably everything ok although if concerned u could have another one in 6 months 

    Best wishes 

    Steve 

  • Thanks Steve for the advice.   Kind regards Mick.  

  • Hi  if the DRE puts the PSA up it really won’t be a problem.  If your PSA is below 5 and examination clear then I doubt they will do anything further.  A high PSA (above 10) isn’t necessarily PCa, all rather confusing.  Only a biopsy will tell you positively and unless anything found prior, you probably don’t need one.  I was confused when you said discoloured semen, what colour is it?

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • Thanks David.  It is a charcoal colour and from what I've read this could be possibly old blood.   How long does it normally take to obtain PSA result? 

  • Hi  how long is a piece of string?  The bloods can be tested fairly quickly but getting the results can take a while.  If you have access to the NHS App or your surgery you might get results within a day.  It is a bit of a postcode lottery, I can’t see hospital tests but can get GP information (I am in Hampshire).  Otherwise it will be via a nurse or Doctor by phone or in person.  

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • Thanks for your reply David and I can normally see blood tests results so I'll see how things pan out on Thursday.  Best wishes Michael