Not sure what to think really.

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Hi all — looking for some perspective.

I’m 41, no family history of prostate cancer, no urinary symptoms, no symptoms of anything. I recently had a PSA test and it came back at 6.1 (lab reference range 0–2.5).

I went in for a "well mans" test where my bloods are checked against a few different matrix, all okay. The nurse offered the PSA test and I just accepted with out a second thought so this has come as a complete suprise, I'm blindsided. 

I read that your not supposed to ejaculate 48 hours before the test other sources say 3-5 days, I wasn't aware of this. My wife and I fooled around Sunday night and my test was Wednesday morning. Could this have had an impact on the results? 

The lab note mentioned the “grey zone” (2–10) and free PSA ratios, but I wasn’t given a free PSA result — just total PSA.

Naturally I’m anxious. I've got an appointment with a nurse practitioner next week but they haven't said what this will entail, assuming it's going to be an interesting one as the receptionist said It needs to be with a male member of the team. 

Has anyone else had a PSA in this range at a similar age that turned out to be temporary/inflammation related? Trying to stay calm while waiting for the repeat test.

Thanks in advance.

  • Hello  

    A warm welcome to the group - although I am so sorry to find you here.

    To me the simple answer would be a PSA retest when you have had no exercise or “fooling around- or sex” in the previous 48 hours.

    Why you need to see a male member of staff is a strange one. My DRE (finger up the bum!) was done by a lady GP and I have had a catheter fitted and changed by ladies!!

    I think I would be asking for a new PSA test before any further intervention- you are only 41 so hopefully it will show a much lower figure.

    I hope this helps.

    Best wishes - Brian.

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  • Hi Brian,

    Thank you for the reply. I'll wait and see what the next appointment brings but I think I'll ask for another test. The didn't indicate they would be doing bloods again so must be a finger up the bum!