There is an age-related increase in the PSA, hence there is an expected rising pattern. Infections may also cause increases in PSA and there are some men which may have recurrent infections and cause fluctuations in the values. The actual thresholds of when to perform a biopsy would vary. One method is to consider the biopsy if the value hits 4, others would do is there is an accelerated rate of increase. Discuss this with your doctor.
The free PSA or any other PSA based derivative test doesn’t really effectively replace PSA as a screening method. PSA isn’t a good screening test in the first place. There is a continuum of risk, so that even those with a PSA less than 1 may harbor prostate cancer. If you use free PSA when the total PSA is less than 4, if you have cancer it can be found 90% of the time. If you don’t have cancer, you get biopsied for nothing 82% of the time. Discuss with your doctor about these risks, then come at an acceptable threshold for biopsy. Prostate cancer screening is not recommended, but it is offered to those men who are interested. Stay positive.
My 84 year old father had prostate cancer in 1992. He had surgery to remove the cancer, (prostectomy). Now, 17 years later, he is paralyzed from the waste down, and cannot control bladder and bowel functions. Possibly due to taking Lipitor. He was taken to see his urologist today, I was told the doctor was concerned that there had been a 30% increase having to do something with radicals. I'm assuming he was given a PSA test while there. I was told the doctor looked a little alarmed and has scheduled a bone scan. Do you know what this means? Does it mean that the cancer has returned and has spread to the bone?
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.