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User
Posted 20 Mar 2025 at 12:31

I have an enlarged prostate last scan showed it was 95cc and I’m on Tamsulosin and was on Finasteride just recently my psa level although in the acceptable range has been rising and has gone up 70% in last year . Is this something I should be concerned about . I am back on waiting list to see a urologist but that’s months away 

User
Posted 20 Mar 2025 at 13:44

Hi Michael

I assume you knew your PSA level before you started Finasteride? Are you aware that when Finasteride is used for treating an enlarged prostate, the dose, (usually 5mg/daily), will half your PSA readings over about 6 months. (example: if your PSA was 6 before starting Finasteride, it should halve it to approximately 3.)

In order to get an accurate PSA, you would need to have not been taking it for several months and maybe longer. If you had your PSA just after coming off Finasteride, you should double the figure which would give you a more realistic PSA score.

Keep the pressure up on your GP for a referral to a urologist, so they can address your enlarged prostate in more detail.

Best wishes,

Seb

 

 
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