Back again. I have been out for several years, but here again.
This is my updated full story until today:
2015 May: psa 6.26 Free 12.30%. (my first psa with 45 y/o)
2015: June: 2.55 and at he same time, positive urine culture for a bacteria resistant to several antibiotics but sensitive to ampicillin and vancomycin. After the first round of antibiotics, the culture remained positive. A second, stronger round led to a negative culture. But the lower psa of 2.55 was before the antibiotics
2016 May: psa 2.23 (my lowest ever)
2017 May: psa 2,44
2018 May: psa 2,99
2019 May: psa 4.27, free 19.20%
2020 July: psa 4.93, free 15.42% Multiple tests. Underwent an mpMRI in October, which showed inflammation. Urologist advised monitoring PSA every six months and not to worry.
December 2020: Fever and blood in semen. Culture negative, but received a round of antibiotics (ampicillin).
April 2021: psa 3.64, free 16.48%
September 2021 Another round of antibiotics for unrelated issue.
October 2021: psa 3.59 free 23.96%
April 2022: psa 4.28 free 20.79% Laboratory A
October 2022: psa 4.52 free 24.34% Laboratory B
April 2023: psa 4.63, free 20.02% Laboratory C
November 2023: psa 4.36 free 22.94% Laboratory B
April 2024: psa 5.32 free 18.98% Laboratory C
November 2024: psa 4.89 free 23.52% Laboratory B
April 2025: psa 6.15 free 18.37% Laboratory C
There seems to be a steady increase if we look only at Lab C. Overall, the PSA has fluctuated, but the general trend lately is upward.
Tomorrow I have an appointment with my urologist, and I intend to ask for a new mpMRI.
Since the episode in December 2020, my semen has remained yellowish and my urine stream is very thin — sometimes better, sometimes worse.
What concerns me now is that in recent months, I’ve noticed my semen is more watery and there's significantly less volume. I'm currently 55 years old.
Honestly, I'm a bit scared. I've never had semen this watery and in such small amounts.
Thanks in advance for your thoughts.