Thought I would join here as I am currently on the information gathering pathway.
I turned 51 end of 2025.
4 weeks ago I had a round of bloods and checks, which returned a psa of 4.06. This is up from my last checks in 2022 when I had a psa of 3.93.
I was put on the 2 week pathway, and had an MRI will told me I had 3 areas or concern, one a pirad-2, one a pirad-4 and another pirad-5. My prostate is 70ml. I am also 6’8 and 280lb so not an average sized man.
All of this has been hugely worrying. My biopsy is tomorrow, which in itself is causing more anxiety as it is a transperianal - having adhd and brain that catastrophizes everything means its already been a difficult month.
Not really looking for any, just felt this would be a good place to check in and share
Hi Matt and welcome.
Doesn't look too bad really although I know a shock initially.
PSA only slightly above normal.
Ok 3 suspicious areas but no confirmation if all cancerous or if any come to that.
Biopsy will obviously tell u a lot more so hopefully you will get the results soon.
One thing to check when u get the results.
If cancer confirmed then try and find out tumour size in mm and if just one tumour or more than one.
At this point it looks like easy to treat if it is cancer, I am assuming it is contained in the gland, with a PSA like that am sure it is.
Best wishes
Steve
Hello Matt (Matt74)
A warm welcome to the Macmillan online Community although I am so sorry to find you joining us.
As Steve (Grundo ) said in his post above - so far nothing to worry about. The biopsy will tell you yes or no - here's our notes on the biopsy:
As you said you have ADHD - try and think it's just another day at work - and the staff are there for you - do tell them you have ADHD and they will look after you. .
Do let us know how you get on.
Best wishes - Brian.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
Strength, Courage, Faith, Hope, Defiance, VICTORY.
I am a Macmillan volunteer.
Hi Matt,
just to say I know how anxious you feel - my husband had the same biopsy on Monday, and we were both really stressed about what it would be like - the consultant and 2 nurses were so kind and gentle with him, and he was back out in less than 15 minutes, with 27 samples collected. His PIRAD score was 5 with a 20 mm lesion, and enlarged prostate at 90grams.
I drove him home (we took a cushion for him to sit on) and he just rested for the day, being waited on took some paracetamol and drank lots of water and felt ok - little bit achy as you’d expect but honestly it was far easier than he thought it would be, and he slept like a baby last night! Having a lazy day again today but feels fine…now the anxious wait for the outcome.
hope that puts your mind at rest a bit and good luck tomorrow xx
Thank you for sharing and for the kind words of support.
Had the biopsy today, took 40 samples and it was not as bad as I had catastrophised it to be, although the anaesthetic to the prostate was … well, lets just say expletives were ejected from my mouth !
Like your husbands experience, the consultant and nurses were fabulous, made me feel as comfortable as possible, couldn’t speak more highly of them
i didn’t have a cushion , great idea i didn’t think of ! Same here, I slept for 4 hours but have taken paracetamol and ibuprofen to help the discomfort
i got my discharge report and was a little relieved that the finger findings (thats was I call the rectal finger examination) was stated as benign, he said it was smooth and could feel no hard lumps. Obs its the biopsy result's that will give us the answers.my partner is here this evening, made us dinner and looking after me, but tbh I just feel relief that this part of the journey is done.
i sincerely hope your husbands discomfort continues to abate but appreciate we are now in the waiting period. Not easy but having people around us makes a huge difference - my partner is a senior paramedic so massively knowledgeable and a compassionate
thank you again for sharing your husband journey
matt x
You’ll sleep much better tonight Matt, I promise let’s hope we both get quick results and can move forward on this journey we didn’t want to join! Do let me know how you get on, glad you’ve a supportive partner with you to give you the TLC you deserve after today! xx
How are you doing Matt? We had a call yesterday to say results received and will be discussed at MDT on Wednesday then we will get an appointment - really hoping that is next week as the wait has been so hard, never felt so sad in my life - every day feels like a week xx
That a step forward to some certainty for you both, and can completely empathise with the feeling experienced with the waiting, like being in a constant state of limbo. I really hope you get your appointment confirmed soon x
Been up and down, had a couple of wobbles but my partner has been brilliant, being a clinician herself she is very fact based and logical, so for each step of the journey she has helped me remain grounded. Doesn’t remove the fear, doesn’t change the fact I am both impatient and hate uncertainty but I keep coming back to whatever the result's are, I’ll deal with them.
The recovery from the biopsy hasn’t been linear, have picked up an infection so a visit to the local UTC got me some antibiotics.
Talking to my partner on a more deeper level last couple of days, I have realised that the thing I am struggling with most was the vulnerability and indignity of the biopsy itself, I feel like I have lost my dignity and masculinity and it is something I do need to tackle on an emotional level. This has had a much deeper impact on me emotionally than I realised or was willing to admit, more so than the waiting and uncertainty x
Hi Matt74 you sound to be doing remarkably well, and talking to your partner (this is a couples disease) is really, really important. There will be challenges on this journey but we are all here and will get you through it.
Best wishes, David
Please remember that I am not medically trained and the above are my personal views.
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2026 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007