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Elevated PSA test

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User
Posted 26 Mar 2019 at 18:17

Hi all. I am a concerned wife. My husband is 52 with no symptoms to report really. His GP did a PSA test just as he is taking certain medication, and it has come back as 6.5. He had an examination at the GP surgery yesterday and he was told all felt normal. Smooth with no lumps and bumps. He has to have another blood test in a few weeks and if that is elevated he will be referred for an MRI and biopsy. I am a worrier but trying not to worry! There is no history of PC in his family. Is this likely to be something sinister? Thank you all 

User
Posted 26 Mar 2019 at 19:59
What medication is he on?
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 26 Mar 2019 at 20:10

Hi. He was told that it was because he was on testosterone for a while. 

Thanks

User
Posted 26 Mar 2019 at 23:40

I read that there's 25%  chance of it being PC below psa10.   I'd think being on testosterone could make the psa higher although someone else will know better. It depends what his T level is or was and perhaps his prostate size. Overall there's cause to be optimistic I'd say.

Edited by member 27 Mar 2019 at 23:14  | Reason: added 'the psa' higher

User
Posted 27 Mar 2019 at 12:55

I was diagnosed with Prostate Cancer whilst on Testosterone replacement. My PSA crept up over some years and made a couple of big jumps to 10.8, at that point I was given the option of treatment. I was told that Testosterone can increase the risk of Pca.  After Brachytherapy ( radiation) treatment my PSA has fallen to 1.2 and I am informed that treatment is "with curative intent".

So, as mentioned, there is every chance for optimism for you and hubby.

If it were me I would be asking for a biopsy and MRI regardless, Pca caught early is much easier to treat and cure.

John

Gleason 6 = 3+3 PSA 8.8 P. volume 48 cc Left Cores 3/3, Volume = 20% PSA 10.8 Feb '19 PSA 1.2

Jan '20 PSA 0.3 July '20 0.1 Jan. 21 < 0.1 Dec 21 <0.01 June '22 <0.01 April '23  <0.01

User
Posted 27 Mar 2019 at 13:12

Thank you. I hope so 🤞

User
Posted 27 Mar 2019 at 13:13

Thank you for your response. Was you taking testosterone long term? He only took them for around 2 years

Thanks

User
Posted 30 Mar 2019 at 21:33
I had testosterone replacement as gel for about 2 years as well!

John

Gleason 6 = 3+3 PSA 8.8 P. volume 48 cc Left Cores 3/3, Volume = 20% PSA 10.8 Feb '19 PSA 1.2

Jan '20 PSA 0.3 July '20 0.1 Jan. 21 < 0.1 Dec 21 <0.01 June '22 <0.01 April '23  <0.01

User
Posted 30 Mar 2019 at 22:17
I was diagnosed at roughly 47 after taking Testosterone for 2 yrs. The truth is they gave me it for pituitary malfunction yet I was suffering a bit with ED and loss of ejaculatiion ( I think these symptoms should be WAY up the list for prostate cancer ). End result they were feeding an undiagnosed prostate cancer and a psa came back at 15 and it all went from there.
User
Posted 30 Mar 2019 at 22:53
I have been on testosterone injections for about ten years. Dr felt a bump and a biopsy found G 7 (3+4.) PSA 7.4, age 72. I was told to stop the injections until I saw the specialist and any treatment discussed. He said that as they treat people with normal levels, I could recommence the testosterone to get it back to normal, as long as it was monitored. The last reading was 10.6 and the normal range is 6 to 26. I had 60 Gy in 20 fractions which finished 1 March. So now waiting 3 months or so for the next PSA and testosterone tests. I hope I got all the terminology right. Happy days! Best wishes. Keep us informed.
User
Posted 22 Apr 2019 at 10:42

Sorry to post again. My anxiety is through the roof. Hubby had second blood test and the result is awaited. I am trying to stay positive but I've already convinced myself he has PCa.  I'm now worried as he has been having knee pains for a few months. Is it possible that, if he does have cancer, it could spread to his knees? 

Apologies for yet another anxiety post.

Melanie

User
Posted 22 Apr 2019 at 10:51

Hi Melanie

if that is your real name please consider changing to an invented name as this forum is searchable in google and people could find out who you are. 

The anxiety is so difficult to deal with, there really isn’t a single answer to be honest. I think all we can say is that we sympathise as we have all been there and many of us continue to be there at each and every test. I know that I don’t even think about it any more as it’s not the most important thing for us, but that’s after nearly nine years of it! Sometimes we even forget to ask. I hope that this test will reveal that it was a blip and that nothing is wrong, but all I can say is to try not to worry too much and carry on. There really isn’t anything anyone can do until you have proper information. 

In the meantime, hugs from me.

happy Easter

love Devonmaid xxx

User
Posted 22 Apr 2019 at 12:56

Thank you Devonmaid. 

Happy Easter to you too

Mel

User
Posted 24 Apr 2019 at 16:59

Hi all. So my hubby PSA level has come back as 6 following his first test which was 6.5. Could it still be PCa if the level has reduced slightly?

Thanks all

 

User
Posted 24 Apr 2019 at 17:55

What changed?
Did he come off Testosterone? That could lower PSA, but I don't think it tells you if there is PCa there or not.
Have you seen the consultant since the test?
I would guess they will do an MRI scan and biopsy to find out.

User
Posted 24 Apr 2019 at 17:59

Nothing changed Andy62. He came off testosterone months ago. GP has advised a urine test to see if infection and if not, referral to urologist. I was being hopeful as the PSA level has reduced that it was an indication of it not being PCa? 

Thanks

User
Posted 24 Apr 2019 at 18:02

Yes it could still be cancer, or it could be a bit of infection that is now improving, or a bit of both.

If it does turn out that he has prostate cancer, it doesn't usually go to the knees. Ribs, spine or pelvis are the common sites.

As above, I would have expected the GP to refer him to urology now rather than wait for a urine test. The only way they can rule out PCa is by arranging scans and a biopsy.

Edited by member 24 Apr 2019 at 18:05  | Reason: Not specified

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 15 May 2019 at 17:16

Hello again. So we've just come back from the hospital following an MRI and biopsy. They told my husband that there was a slight "spot" on the left hand side of his prostate but it was all contained within the prostate. They took 10 samples and we have to wait 2 weeks for the results. He was told it could be inflammation or just something he has always had on his prostate but we both think he could have PCa. 

I'm glad he had a routine blood test a few weeks ago now!

Mel 

 
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