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 04-11-2011, 12:43 PM   #1
Newbie
(male)
 
Join Date: Apr 2011
Location: Valdez, AK
Posts: 4
Daveinvaldez HB User
Fluctuating PSA Free PSA levels

About 2 years ago my PSA was found to be 3.2.
My GP requested a new test and two months latter it came out to 4.6.
Alarmed he sent me to a Urologist and we did a PSA and Free PSA of 6.4 and 7 for the free within 3 months of the second test. I went thru the ultrasound, biopsies and they showed nothing. We waited 2 months, re-did the tests and the PSA dropped to 4.4 and the free went up to 14. So he decided to wait a bit. I just re-did the PSA and it is up to 5.6 again (I need doctors orders for the free PSA test.) I sent the information to him and am awaiting to hear his next step. (I am in Alaska, henceforth times between visits)

Any ideas why I am fluctuating around?

 
Old 04-11-2011, 06:55 PM   #2
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: Fluctuating PSA Free PSA levels

Hi Dave,

It's quite possible - likely in my layman's view, that you have an infection that is waxing and waning, causing changes in the PSA level. A fluctuating PSA is a classic sign of infection, though it's possible there may also be cancer present.

If the same lab was used for the PSAs of 6.4 and 4.4, that's pretty strong evidence for an infection causing at least some of the elevation because PSA that is due to cancer continues to increase at a steady exponential rate as a thousand cells split into two thousand, two thousand to four thousand, four to eight, and so on. PSA that is due to cancer does not drop unless affected by some "treatment". (That "treatment" is sometimes what we eat or use as supplements.) Your PSA did not continue to rise; instead, it dropped, before going up again.

Free PSAs are also thrown off by infections - their results for infections often look like results for cancers. You might want to try the PCA3Plus test, which is not affected by infection. It has been described a number of times on this board, and you can find those instances by searching.

Take care and I hope this helps,

Jim

 
Sponsors Lightbulb
   
Old 04-12-2011, 09:49 AM   #3
Newbie
(male)
 
Join Date: Apr 2011
Location: Valdez, AK
Posts: 4
Daveinvaldez HB User
Re: Fluctuating PSA Free PSA levels

I would think that after two years they would have found an infection with as many exams that I have had. We do an annual health fair up here and I get a blood analysis every year from that. Nothing really out of the normal for my age has shown up. I see two different GP's and the one Urologist, none of them has mentioned an infection yet.

Could be, sometimes the simple things get pushed aside thinking it is the "big deal".

Last edited by Daveinvaldez; 04-12-2011 at 09:58 AM.

 
Old 04-12-2011, 01:41 PM   #4
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: Fluctuating PSA Free PSA levels

Hi again Dave,

You wrote in the previous post:

Quote:
Originally Posted by Daveinvaldez View Post
I would think that after two years they would have found an infection with as many exams that I have had. We do an annual health fair up here and I get a blood analysis every year from that. Nothing really out of the normal for my age has shown up. I see two different GP's and the one Urologist, none of them has mentioned an infection yet.

Could be, sometimes the simple things get pushed aside thinking it is the "big deal".
Actually it would be easy for health professionals at the health fairs and the GPs to miss a prostate infection, as such infections are often subtle and difficult to detect, notoriously so. I'm a little surprised that the urologist did not mention infection as a possibility after that falling PSA. You may have hit the mark in thinking that his mind was on the "big deal" and not a much more likely explanation. Can you give him a call and ask what he thinks of that falling PSA and infection as an explanation for the overall fluctuating pattern, or can you get a second opinion? I imagine you need to stay in the US rather than going to Vancouver, but there are some first rate prostate cancer docs down there, and they likely are expert at infections too.

Take care,

Jim

 
Old 04-13-2011, 10:11 AM   #5
Newbie
(male)
 
Join Date: Apr 2011
Location: Valdez, AK
Posts: 4
Daveinvaldez HB User
Re: Fluctuating PSA Free PSA levels

Jim: Thanks for your help and suggestions so far. I appreciate the help.

 
Old 04-14-2011, 01:26 PM   #6
Newbie
(male)
 
Join Date: Apr 2011
Location: Valdez, AK
Posts: 4
Daveinvaldez HB User
Re: Fluctuating PSA Free PSA levels

I talked with the doctor yesterday. We are going to wait 2 months, so the PSA and Free PSA again in 2 months. Hopefully we will have a better graph of where things are headed.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Fluctuating PSA Readings - Long Story 61Frank Cancer: Prostate 5 02-17-2011 11:45 AM
Worried - PSA Levels broderbund Cancer: Prostate 12 08-15-2010 12:28 PM
Free PSA & Biopsy Question broderbund Cancer: Prostate 1 08-14-2010 07:26 AM
Elevated PSA but negative biopsy: use of finasteride, PCA3 test, free PSA test IADT3since2000 Cancer: Prostate 2 08-12-2010 08:17 PM
Free PSA Numbers jhrdold Cancer: Prostate 5 03-24-2009 04:37 AM




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), bharlan (5)

Site Wide Totals

teteri66 (1180), MSJayhawk (1013), Apollo123 (909), Titchou (856), janewhite1 (823), Gabriel (763), ladybud (755), midwest1 (670), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 11:01 AM.



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!