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PSA of 8
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An_248089 posted:
Okay so I went to my doctor today and was informed that my PSA level was 8. A year ago it was 3.9. Let me start by saying that I have have fluctuating PSA levels over the last 6-7 years, In fact 2-3 years ago it prompted him to send me to a Urologist.I had a biopsy and an IVP performed, both negative.Well once again he is sending me there. I REALLY do not want to go again. Also I should point out that I had ejaculations a few times in the days preceding my blood test. I was never told to abstain for a few days before, like I have read you should do. Is my doctor being overly cautious here? He said it didn't feel enlarged during my rectal, and I have no abnormal urinating issues.
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billh99 responded:
Stimulation of the prostate can temporarily riase the PSA. That includes things like having sex, riding a bike, and inflammation of the prostate.

He said it didn't feel enlarged during my rectal, and I have no abnormal urinating issues

While those are often associated with PC, you can have PC with no symptoms.

It is certainly reasonable to wait for a recheck of the PSA before undergoing a biopsy.
 
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Basir U Tareen, MD responded:
Re-check it in a few weeks. You may want to consider treating with antibiotics as well and then see if it is a true elevation or elevated for benign reasons.

If its still elevated and you are not wishing to undergo a repeat (extended) prostate biopsy, you can consider use of a 5-alpha reductase inhibitor (proscar or avodart) with serial PSA checks or possibly an MRI. (assuming the PSA remains elevated)
 
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jameshodge responded:
So if you're not experiencing the typical symptoms of prostate problems, you should get a second opinion before you go for a second biopsy. If you're reading any Super Beta Prostate reviews , you know that it can help promote prostate health which is something you dialogue with the doc about as well.


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