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PSA 45.90

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User
Posted 29 Nov 2025 at 15:07

Don't Know where to start really had my first PSA done 45.90 called in to see nurse who called doctor down who said with the very high reading we need to put you on the 2 week pathway I felt like I had been hit by a bus or a bolt out of the sky i said I need time to digest this and came out of Doctor s and was totally dumb founded got home then after a few hours i went on line to find out about PSA s and prostate Cancer i have done nothing apart from try find out and that's how I find myself here its been 4 days now and I haven't got back to the doctors to either say ok to the 2 week thing or not as I honestly dont know if I reading  it rite with such a high reading as most say with a PSA score let's say  over the 7 is high indication  of PC  where mine is 45.90  as you can see my head is all over the dam place anyone had a high score and any advice how you got your head around it any advice would be helpfull at this moment in time to be truthfull  thank you from from someone who s hit the wall 

User
Posted 29 Nov 2025 at 17:02

Hello, mate.

I'm sorry that you are having prostate problems, but welcome to the forum.

Your PSA is high and may indicate prostate cancer. However, although less likely, your elevated PSA may be caused by non cancerous prostatitis.

You're bound to feel confused, anxious and upset. We've all felt like that at times.

In your case, further diagnostic procedures are needed.

I'd get back to your GP and asked to be referred to urology under the two week cancer path.

Best of luck and please keep us updated. You'll always get support and advice here. 👍

 

Edited by member 29 Nov 2025 at 17:13  | Reason: Typo

User
Posted 30 Nov 2025 at 12:39
Hi Adrian56

Thank you for your welcome to the forum and advice. Once I have made up my mind on which road to take, I will keep you all updated here, and thank you for the support and advice 👍

User
Posted 30 Nov 2025 at 14:18

Hi  Cnutakethis

Your reaction to this news will resonate with a lot of us here. I remember clearly how my wife and I were shocked by the urologist saying, 'Very sorry to tell you that you have prostate cancer'. Our world seemed to fall apart. Once you have had a little time to digest the news and begin your journey - initially to find out whether you have in fact got cancer -  and gather more knowledge about your diagnosis, you will gradually come to terms with it and realise that the situation is handleable. Many of us have survived this disease - I have for 15 years - with a good quality of life. Fear of what if is worse than the reality. Do take up the offer of further investigation and good luck.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 01 Dec 2025 at 10:11

Very sorry to hear your news. It always comes as a big shock to us all.

However, why are you waiting? Why are you deciding what to do next? If it is cancer, there's a 2 week pathway for a reason. If it's not cancer, it would be good to know surely? The issue won't go away if you ignore it.

My initial PSA was 50 and by that point I already had advanced prostate cancer, IE not curable.

Get on with it.

User
Posted 01 Dec 2025 at 10:18
There are other reasons why a PSA can be higher without being cancer but best to determine this asap as it will only play on your mind.

Also, atthough PCa is generally slow developing, the best chance of beating if that is found to be the case, is for it to be treated early, often when there are more treatment options. Your high PSA could be due to something else in which case you could save a lot of worry. If it proves to be PCa early treatment will give you your best chance of beating it. There are many men on this forum who wish their PCa had been diagnosed and treated earlier. Let us know how you get on.

Barry
User
Posted 01 Dec 2025 at 11:31

Originally Posted by: Online Community Member
Get on with it.

Hi John, 

If my teachers had been as clear and direct as you, I'd have done a lot better at school. 😁

User
Posted 01 Dec 2025 at 14:10
Hi Canutakethis.

The initial shock was really difficult. We - as others on this forum - were confronted with higher PSA than yours. The next tests were frightening but once the diagnosis is clear and the treatment plan in place it helped. It takes a while to get all the appointments for scans and biopsy. I hope you can get the appointments scheduled soon.

User
Posted 05 Dec 2025 at 17:32
Hello and sorry to hear your story so far. This is my first ever post/reply although I have been a member of this site since March 2024 when my husband was diagnosed with PCa during a routine visit to the GP who suggested he have a PSA test while he was there. It came back at 66. Urgent referral....found to be T2 after MRI etc - no mets no nodes...all good. He started ADT in July 24 - his PSA began to drop rapidly - he had radiotherapy April 25 and is currently 0.06. No doctor has offered any explanation why his PSA was so high - but they are very happy with his progress. So the universe will hopefully delight you in the near future....wishing you all the very best.x
User
Posted 05 Dec 2025 at 20:22

Hi  HTFP

Thank you for your reply to my post and your very kind words it means a lot to me at this moment in time, as I have just decided to go down the road of the 2-week pathway route yesterday.

My GP rang me back to tell me he had referred me to the 2-week pathway program. I did laugh when he said I should hear back from the hospital between 2 to 6 weeks. I can only assume there is a backlog on the 2-week program in my area

I will, of course, let you all know my outcome as soon as I do 

Once again HTFP for your kind words 

Wishing you all the best  

Tony

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User
Posted 29 Nov 2025 at 17:02

Hello, mate.

I'm sorry that you are having prostate problems, but welcome to the forum.

Your PSA is high and may indicate prostate cancer. However, although less likely, your elevated PSA may be caused by non cancerous prostatitis.

You're bound to feel confused, anxious and upset. We've all felt like that at times.

In your case, further diagnostic procedures are needed.

I'd get back to your GP and asked to be referred to urology under the two week cancer path.

Best of luck and please keep us updated. You'll always get support and advice here. 👍

 

Edited by member 29 Nov 2025 at 17:13  | Reason: Typo

User
Posted 30 Nov 2025 at 12:39
Hi Adrian56

Thank you for your welcome to the forum and advice. Once I have made up my mind on which road to take, I will keep you all updated here, and thank you for the support and advice 👍

User
Posted 30 Nov 2025 at 14:18

Hi  Cnutakethis

Your reaction to this news will resonate with a lot of us here. I remember clearly how my wife and I were shocked by the urologist saying, 'Very sorry to tell you that you have prostate cancer'. Our world seemed to fall apart. Once you have had a little time to digest the news and begin your journey - initially to find out whether you have in fact got cancer -  and gather more knowledge about your diagnosis, you will gradually come to terms with it and realise that the situation is handleable. Many of us have survived this disease - I have for 15 years - with a good quality of life. Fear of what if is worse than the reality. Do take up the offer of further investigation and good luck.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 30 Nov 2025 at 23:09
Hi Pratap-Mehta

Thank you for your kind words and advice. Once I have had a chance to digest the news about my high PSA level, I will let you all know whether I have moved forward or not. I will keep reading the replies

User
Posted 01 Dec 2025 at 10:11

Very sorry to hear your news. It always comes as a big shock to us all.

However, why are you waiting? Why are you deciding what to do next? If it is cancer, there's a 2 week pathway for a reason. If it's not cancer, it would be good to know surely? The issue won't go away if you ignore it.

My initial PSA was 50 and by that point I already had advanced prostate cancer, IE not curable.

Get on with it.

User
Posted 01 Dec 2025 at 10:18
There are other reasons why a PSA can be higher without being cancer but best to determine this asap as it will only play on your mind.

Also, atthough PCa is generally slow developing, the best chance of beating if that is found to be the case, is for it to be treated early, often when there are more treatment options. Your high PSA could be due to something else in which case you could save a lot of worry. If it proves to be PCa early treatment will give you your best chance of beating it. There are many men on this forum who wish their PCa had been diagnosed and treated earlier. Let us know how you get on.

Barry
User
Posted 01 Dec 2025 at 11:31

Originally Posted by: Online Community Member
Get on with it.

Hi John, 

If my teachers had been as clear and direct as you, I'd have done a lot better at school. 😁

User
Posted 01 Dec 2025 at 14:10
Hi Canutakethis.

The initial shock was really difficult. We - as others on this forum - were confronted with higher PSA than yours. The next tests were frightening but once the diagnosis is clear and the treatment plan in place it helped. It takes a while to get all the appointments for scans and biopsy. I hope you can get the appointments scheduled soon.

User
Posted 01 Dec 2025 at 19:11

 

Hi John,

Thank you for your advice.

I’m really sorry to hear about your diagnosis and outcome with your PC. 

The reason I'm taking my time to decide what to do next is because of my other medical conditions. One of these conditions is incurable, and over the last ten years, I haven't been able to sleep for more than three hours continuously in a single night.

I will let everyone know  

 All the best, John  

 

User
Posted 01 Dec 2025 at 19:44

Hi Old Barry

Thank you for your advice 

Yes, Barry, I have seen it say PSA could be high due to other reasons, but I have not seen anything to indicate that high for other reasons. And yes, your rite early detection is the key. Unfortunately, I don't think that will be the case with me, as my other medical conditions over the last ten years have probably masked some of the symptoms.

I will let you know my outcome. 

All the best Barry 

 

User
Posted 01 Dec 2025 at 20:16

Hi wife-of-YM

Thank you for your advice.

It means a lot with all the advice given on here and your kind words. I will let you know my outcome when I know. Once again, thank you. 

 

All the best to you both

User
Posted 05 Dec 2025 at 17:32
Hello and sorry to hear your story so far. This is my first ever post/reply although I have been a member of this site since March 2024 when my husband was diagnosed with PCa during a routine visit to the GP who suggested he have a PSA test while he was there. It came back at 66. Urgent referral....found to be T2 after MRI etc - no mets no nodes...all good. He started ADT in July 24 - his PSA began to drop rapidly - he had radiotherapy April 25 and is currently 0.06. No doctor has offered any explanation why his PSA was so high - but they are very happy with his progress. So the universe will hopefully delight you in the near future....wishing you all the very best.x
User
Posted 05 Dec 2025 at 18:33

Originally Posted by: Online Community Member
This is my first ever post/reply although I have been a member of this site since March 2024

Hi HTFP

Welcome to the forum. A great first post. 👍

User
Posted 05 Dec 2025 at 20:22

Hi  HTFP

Thank you for your reply to my post and your very kind words it means a lot to me at this moment in time, as I have just decided to go down the road of the 2-week pathway route yesterday.

My GP rang me back to tell me he had referred me to the 2-week pathway program. I did laugh when he said I should hear back from the hospital between 2 to 6 weeks. I can only assume there is a backlog on the 2-week program in my area

I will, of course, let you all know my outcome as soon as I do 

Once again HTFP for your kind words 

Wishing you all the best  

Tony

 
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