It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Prostate Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 03-23-2011, 11:27 AM   #1
Junior Member
(male)
 
Join Date: Dec 2008
Location: union,s.c. usa
Posts: 19
eddief1 HB User
bph or something else

psa 3.9 free psa 30% urolygist says caused by enlargement but he says medium enlargement?

 
Old 03-23-2011, 12:07 PM   #2
Inactive
(male)
 
Join Date: Aug 2010
Posts: 689
Tall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB User
Re: bph or something else

Congratulations! 30% Free PSA with a total PSA less than 4 is a very good score. The probability of finding cancer with a PSA of less than 4 is only about 18%, and the probability of finding cancer with a % free PSA > 20% is only 8%. Putting both of those together, you have less than 6% probability of cancer.

Your BPH, if you find it bothersome, can be handled with finasteride or dutasteride. Annual DRE and PSA testing is a good idea.

- Allen

 
Sponsors Lightbulb
   
Old 03-24-2011, 09:10 AM   #3
Senior Veteran
(male)
 
Join Date: Nov 2007
Location: Annandale, VA, USA
Posts: 1,730
Blog Entries: 3
IADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB User
Re: bph or something else

Hi eddie,

Allen has covered the key points, but I'll add my congratulations too. I'll also add that "medium enlargement" probably means the prostate is more than 40 but probably less than 50 cc. A normal prostate is considered about 20cc to mid- to upper 30s cc.

In addition to reducing BPH, you will get the added benefit of a degree of prevention of prostate cancer from finasteride or Avodart. While Avodart is theoretically better, at least on paper for impacting prostate cancer, finasteride is considerably less expensive as it is a generic. Finasteride reduces a protein known as 5-alpha reductase Type 2 but not Type 1. While Type 1 is more common in the skin but less common in the prostate, with Type 2 more common in the prostate, Type 1 is more associated with aggressive prostate cancer. Neither Type 1 or 2 are bad in themselves, but they convert testosterone to DHT, a much more potent fuel for prostate cancer.

However, since you are extremly likely not to have any prostate cancer, finasteride would probably work well. These drugs are both mild, but there are some potential side effects. Some of us grow more scalp hair, which is nice. A small percentage experience less libido and perhaps some ED (and some of us the reverse!).

Either of those drugs should cut that PSA by about half or a little more, and you can track your new trend from that lower baseline. (In fact, if they do not cut the PSA by about half, that's a signal for more frequent PSAs to guard against prostate cancer.) For doctors who have kept up with research, those drugs make PSA trend analysis and DRE exams more accurate and useful indicators of prostate cancer.

Take care,

Jim

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
For My Dad... Phillip F Cancer: Prostate 8 06-05-2012 05:08 AM
Trelstar: Something new in hormone therapy? patient202 Cancer: Prostate 1 11-07-2010 04:54 PM
Had surgery Tuesday! Red Nighthawk Cancer: Prostate 29 08-24-2010 05:00 AM
Hey Jim, Mike and everyone else, rock51 Cancer: Prostate 0 08-08-2008 09:30 AM
prostate cancer after prostatectomy mastodons Cancer: Prostate 6 02-18-2008 02:49 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Casodex
Cialis
Cipro
Flomax
Levaquin
  Levitra
Morphine
Proscar
Tylenol
Viagra




TOP THANKED CONTRIBUTORS



Tall Allen (174), IADT3since2000 (148), Baptista (97), Gleason9 (28), harpman (27), Johnt1 (22), honda50 (9), tumbleweed (6), flyfisher37 (6), GUAMJOHN (5)

Site Wide Totals

teteri66 (1177), MSJayhawk (1004), Apollo123 (903), Titchou (847), janewhite1 (823), Gabriel (758), ladybud (753), sammy64 (668), midwest1 (668), BlueSkies14 (610)



All times are GMT -7. The time now is 11:26 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!