An expert in female orgasm????
Hi Gaz, if you are lucky enough to be able to have sex, go for it regardless of whether you are having a PSA test the next day! In men with a prostate, it is suggested that orgasm can increase the PSA by about 10% for no more than 24 hours - with no prostate, there is very little physiologically to support the idea that orgasm could affect PSA directly in a man with no prostate although like any other adrenaline producing activity (going to the gym, cycling, lifting very heavy items, getting fight or flight responses to the prospect of having the PSA test) there is a possibility of a tiny and very temporary rise. Obvs 10% rise on a PSA of 0.03 is likely not to be picked up anyway.
I think that it is more about coping strategies than real impact. Men who are closely monitoring their PSA, especially with ultra-sensitive testing, may be enormously concerned at any slight rise and you rarely get two tests close to each other to see how much normal variation there is (for example, John once had 2 tests within one hour and was given two different PSA results.) If PSA monitoring includes looking at tiny fluctuations and this causes anxiety, many men feel that it is important to do the same things every time they are being tested so that there is some consistency. So if John usually goes to the gym beforehand, gets his bloods done at 4pm and has had an orgasm the night before, he will try to do all of the same things for the next test as well. Does that make sense?