Your case seems similar to mine with the difference that currently I am 52 y/o.
19/05/2015
PSA 6,26 (posible infection, positive semen culture, bacteria sensible to ampicillin, first course of this type of antibiotic)
30/06/2015
PSA 2,55 (still positive semen culture, new round of ampicillin stronger, instead of 500 mg each 8 hours, 1000 mg each 6 hours)
20/08/2015
PSA 2,58 (semen culture negative)
26/05/2016
PSA 2,23
01/06/2017
PSA 2,44
17/05/2018
PSA 2,99
07/05/2019
PSA 4,27 (semen culture negative)
12/06/2019
PSA 2,68
13/07/2020
PSA 4,93
03/08/2020
PSA 4,63
03/09/2020
PSA 4,45
16/09/2020
PSA 4,54
07/10/2020
PSA 5,85 (after course of antibiotics -cefuroxime- although I suggested the urologist to have ampicillin, he refused and prescribed cefuroxime instead)
21/10/2020
MPMRI - findings: post-inflamatory changes in peripephal zone.
Two months later course of antibiotics -ampicillin- (although negative semen culture) prescribed by my general doctor as I wasn't able to obtain an appointment with my urologist. I had blood in my semen and a small fever. At the beginning I thought it was covid. (It started with fever and the blood in the semen showed two days later).
20/04/2021
PSA 3,64
17/11/2021
PSA 3,59 - I though it was less than 4 because in september I had another course of antibiotics - ampicillin- because a non-related small surgery in other part of my body.
27/04/2022
PSA 4,28 (back again over 4, although I had strange sensations in my penis, probably infection again, although negative urine analysis and negative semen culture)
Taking into account the size of my prostate in the MPMRI on october 2020 (41,73 cc), the psa density at this time was less than 0,15. My urologist told me that acording to the density charts with the result of my MPMRI, he thought that my chances at this time of having prostate cancer were less than 1 out of 10-15. He told me that there is even a study where they say 1 out of 30 when psa density is less than 0,15 with a clean mpmri.
Taking into acount this, he prescribed PSA measurings every six months.
Last one six months ago, I thought he was going to prescribe another mpmri, but as the free psa went up to almost 20% he prescribed again psa measurements in 6 months (almost now). He told me again that he thinks it is chronic prostatitis.
Now crossing fingers hoping PSA less than 4 again (hopefully) in next bloodwork... (I plan to measure again in two weeks time).
Lots of symptoms, much worse since when I had blood in the semen in december 2020, (namely the caliber became very thin) the rest of the sympthoms similar, weak stream, many times going to the bathroom... and never improved since then. Let's hope that it is prostatitis and nothing more.
Good luck.
Edited by member 25 Oct 2022 at 22:17
| Reason: more information