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Pirads-3 MRI result - 32 years old, LATP Biopsy to follow

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User
Posted 08 Mar 2025 at 10:26

Hi all,

I’m new to the forum and am interested to hear from people in their 30s that are currently going through diagnosis for potential prostate cancer.

Bit of background, my dad was diagnosed with prostate cancer at 45 and sadly passed at 51 in 2019, as when discovered it had already spread from prostate despite treatment.

Because of this I have been having PSA checks done once or twice a year as a precaution due to higher risk. Usually they came back under 1, but I returned a 2.5 at the start of the year but was ill at the time. Rechecked assuming would go down a month later, but risen to 4.4. Subsequently had a MRI which showed ‘two subtle PIRADS 3 nodules’. No evidence of anything untoward outside of prostate. Now waiting on LATP prostate biopsy date. I appreciate if this does turn out to be PC then I’m lucky to have had the knowledge of my family history and hopefully caught early due to the PSA checking.

Obviously with my dad’s history I expected at some stage to have to deal with this but obviously at the tender age of 32 this has come as a bit of a shock and not ideal timing as I’ve just welcomed my second child 4 weeks ago!

Anyway, thought I’d post to just share my story and I’d be interested to hear from other members their experiences on this, particularly those in their 30s (if there are any about!!!).

User
Posted 08 Mar 2025 at 10:26

Hi all,

I’m new to the forum and am interested to hear from people in their 30s that are currently going through diagnosis for potential prostate cancer.

Bit of background, my dad was diagnosed with prostate cancer at 45 and sadly passed at 51 in 2019, as when discovered it had already spread from prostate despite treatment.

Because of this I have been having PSA checks done once or twice a year as a precaution due to higher risk. Usually they came back under 1, but I returned a 2.5 at the start of the year but was ill at the time. Rechecked assuming would go down a month later, but risen to 4.4. Subsequently had a MRI which showed ‘two subtle PIRADS 3 nodules’. No evidence of anything untoward outside of prostate. Now waiting on LATP prostate biopsy date. I appreciate if this does turn out to be PC then I’m lucky to have had the knowledge of my family history and hopefully caught early due to the PSA checking.

Obviously with my dad’s history I expected at some stage to have to deal with this but obviously at the tender age of 32 this has come as a bit of a shock and not ideal timing as I’ve just welcomed my second child 4 weeks ago!

Anyway, thought I’d post to just share my story and I’d be interested to hear from other members their experiences on this, particularly those in their 30s (if there are any about!!!).

User
Posted 13 Mar 2025 at 22:10

Hi Gables17,

I was diagnosed in January, age 44, having been told for four years that I am too young.  

there are so many different treatments and combinations and all of those will be specific to your needs if you are in fact diagnosed.  

I am generally positive on the matter, have a number of fears about side effects of treatment, conflicted about age and the challenges that poses but also quite measured.

My wife and I discussed every step, we learnt about likely treatment options and side effects, we learnt about PCa.  I have had conversations with strangers and family about intimate topics and I have all but surrendered my dignity in some areas.  

You have a little way to go before a confirmed diagnosis and even then there is a wide range of outcomes and choices.  There is also an amazing amount of support.  The MacMillan nurses or CNS team are fecking awesome!  I have a direct dial and email to ask anything and they have initiated referrals for specialist cancer treatment counselling as well as writing to my GP to ‘request’ assistance with ED matters. They have also had full, honest and frank conversations about many aspects of life, health, treatment, fears, concerns and matters of intimacy and support.  

The coming weeks will be a roller coaster ride of emotions and questions.  I found that being informed was really helpful.  Going into my diagnosis appointment with an outline understanding of PIRAD, Gleason scores, TNM scores, and treatment options was really beneficial for us.  We cut through the softly-softly chatter and were able to ‘get to business’ and could ask relevant questions.  It helped us and I accept that this approach is not for all.

I sincerely wish you all the best and appreciate at least some of what you are experiencing as a fellow ‘young one’

feel free to DM me if you wish and good luck.

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User
Posted 08 Mar 2025 at 23:43

Sorry to hear your situation. Can't really say anything very useful until you have the biopsy result, and they may want to do more scans after that.

At your age, if any treatment is required, you probably want to ask about sperm banking unless you were planning on a vasectomy anyway.

User
Posted 13 Mar 2025 at 22:10

Hi Gables17,

I was diagnosed in January, age 44, having been told for four years that I am too young.  

there are so many different treatments and combinations and all of those will be specific to your needs if you are in fact diagnosed.  

I am generally positive on the matter, have a number of fears about side effects of treatment, conflicted about age and the challenges that poses but also quite measured.

My wife and I discussed every step, we learnt about likely treatment options and side effects, we learnt about PCa.  I have had conversations with strangers and family about intimate topics and I have all but surrendered my dignity in some areas.  

You have a little way to go before a confirmed diagnosis and even then there is a wide range of outcomes and choices.  There is also an amazing amount of support.  The MacMillan nurses or CNS team are fecking awesome!  I have a direct dial and email to ask anything and they have initiated referrals for specialist cancer treatment counselling as well as writing to my GP to ‘request’ assistance with ED matters. They have also had full, honest and frank conversations about many aspects of life, health, treatment, fears, concerns and matters of intimacy and support.  

The coming weeks will be a roller coaster ride of emotions and questions.  I found that being informed was really helpful.  Going into my diagnosis appointment with an outline understanding of PIRAD, Gleason scores, TNM scores, and treatment options was really beneficial for us.  We cut through the softly-softly chatter and were able to ‘get to business’ and could ask relevant questions.  It helped us and I accept that this approach is not for all.

I sincerely wish you all the best and appreciate at least some of what you are experiencing as a fellow ‘young one’

feel free to DM me if you wish and good luck.

 
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