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PSA Velocity concern

User
Posted 10 Nov 2026 at 21:13

My 2 yearly PSA tests over past 8 years if fluctuated between .5 to .7 however my latest test shows 1.4  which is 100% increase in the 2 years since last test . I read that this velocity can be cause of aggressive prostate cancer in people with low PSA levels . Has anyone else been in this situation and what was outcome. 
Should I wait and retest in 6-8 weeks or start the ball rolling now. I am aged 67.

User
Posted 10 Nov 2026 at 23:14

Hello, AB58

Welcome to the forum.

Your current PSA level of 1.4 ng/mL is well within the normal range for a 67-year-old man (abnormal range is greater than 4.5) but the recent doubling from 0.7 to 1.4 over two years indicates a change in trend that could be worth discussing with your doctor. Who may give you a DRE or tests to see if the rise could be caused by non cancerous urinary infections.

You could also consider having a PSA retest in about 3 months time.

There are many reasons apart from Pca that can cause a PSA jump.

General ageing. Over 60% of men of your age will have some cancerous prostate cells

Several benign (non-cancerous) factors can cause fluctuations:

 Benign Prostatic Hyperplasia (BPH): Natural enlargement of the prostate as you age.

 Prostatitis: Inflammation or a mild, unnoticed infection in the prostate.

UTIs

Recent Activity: Recent ejaculation, bike riding, or other physical exertion.

Good luck.👍

Edited by member 10 Nov 2026 at 23:19  | Reason: Typo

 
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