psa

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EmilioC
EmilioC Member Posts: 5 Member
edited December 2023 in Prostate Cancer #1

Hi i had radiation for a Gleason 7 cancer in 2013 , my psa nadir was .02 it has gone to 0. 3 and .0.4 and back down to .3 as i age , is this normal? Also i just recently had a PSA and it was 0.48 when 7 mos ago it was 0.3 ,i just remembered i had a cortisone shot in my hip 3 days before the PSA test, and i worked out 2 days before riding a stationary could these two things make PSA go up ? i saw my Dr he said he was not alarmed but was not happy with the trend and scheduled an MRI . Could this possibly be a resurgence or a false alarm created by the steroid shot?


Thanks

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  • Clevelandguy
    Clevelandguy Member Posts: 1,013 Member
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    Hi,

    From what I understand your PSA will jump around because radiation does not kill the whole Prostate, just the area at & around the target point. Riding a stationary bike from what I have heard could raise your PSA as could having sex right before your PSA blood test. If it was me I would wait a few more PSA tests to see if settles down.

    Dave 3+4

  • EmilioC
    EmilioC Member Posts: 5 Member
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    Thanks Dave ,I'm hoping even though it's still low 10 years afteri worry

    . I did haveca cortizone shop in my hip 3 days before and I have heard that can affect a blood test

    Thanks for your kindness

  • Clevelandguy
    Clevelandguy Member Posts: 1,013 Member
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    Hi,

    If your looking for metastatic cancer I would go with a PSMA PET scan, it’s very sensitive to picking up escaped cancer rather than a MRI.

    Dave 3+4

  • EmilioC
    EmilioC Member Posts: 5 Member
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    He doesn't think it' that, he said he wasn't alarmed just wanted to check it out it's been at .4 before and gone down also like you said working out hard for 3 days and waiting a day for the blood test and getting a cortisone shot 3 days before might have increased testosterone therefore the jump. ? Thanks again

  • EmilioC
    EmilioC Member Posts: 5 Member
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    He did make the mri prostate specific, I'm nervous but fairly confident. Thanks again