CSN Login
Members Online: 4

rising psa again and again cant catch a break

Posts: 15
Joined: Dec 2011

hello again. here is my question. had surgery then radation. since then it seems my psa has gone up 1 point evey 6 weeks. now it is at 0.5. first time around psa was 1.9 , 20 biopsies most were 9s. was on the outside of prostate.how long should i wait to start harmone therapy.i see i should have mentioned that i had surgery in 2010 within a year psa started to rise had radiation that ended last november. now it is march 2012 and psa is at .5 and rising.

Old-timer's picture
Posts: 156
Joined: Apr 2011

I had surgery in 1991, radiation in 2005, and went on hormone therapy in 2008. my PSA readings were 4.0 before surgery, 0 after surgery, 1.16 before radiation, 1.2 after radiation, 20.4 before hormone therapy, and <0.1 since hormone therapy (three and 1/2 years ago). My Gleeson score is 3+4 = 7. My urologist wanted to start hormone therapy at PSA of 10, but I talked him into waiting until it reached 20.0. I am now 85 and feeling great for an old guy!

This worked well for me. Obviously, one-size(may not) fit-all in this crazy pc world.

Best of luck to you.

VascodaGama's picture
Posts: 1752
Joined: Nov 2010

PSADT (doubling time) may be taken as the trigger for starting HT. In some studies it indicates that after SRT any increase with PSADT <9 months is indicative of progressive aggressiveness. Surely other factors should be taken into consideration particularly in regards to initial diagnosis.

Your doctor got a threshold and that will answer your quest.

Another bump in your journey, but you will control the bandit.


Subscribe with RSS
About Cancer Society

The content on this site is for informational purposes only. It is not a substitute for professional medical advice. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Use of this online service is subject to the disclaimer and the terms and conditions.

Copyright 2000-2015 © Cancer Survivors Network