I haven't been diagnosed with cancer but I feel like I'm waiting around for it to happen.
I'm 45, in excellent shape. I run, lift weights, and take yoga. I'm not over weight, low cholesterol. I eat healthy, low fat diet, no drinking, no smoking and eat organic foods when I can. I have no history of prostate cancer in my family as far as I know. I have lower back pain down into my Hips (degenerated disc disease) and I have a cysts on one of testes that hurts sometimes. It seems both my lower back pain and my scrotum pain is related ( I have had an Ultrasound).
I have a history of a higher than normal PSA for my age group according to my doctors.
I was on Androgel for some of 2008 and most of 2009 for low Testosterone. The Urologists told me to get off because of my PSA count. Iím off now and have been for almost two years. Today my T levels have been very goodÖin the Mid 500s.
After my biopsy I felt really good about my PSA going back down but instead it came back at 3.4. I go back next week to the Urologists and Iím sure he will want to do another biopsy. Iím feeling really depressed about everything and it has consumed me with a lot of negativity.
The Urologists did say my prostate is normal is size. He only took eight samples for the biopsy, four on each side and the results were negative. Also I have slow flow at nights but not during the day and he said it was normal.
Rest assured that you are not showing a PSA trend that would indicate prostate cancer. Maybe you have some low grade prostatitis, or maybe it's incipient BPH. Yes, there are some very rare forms of PC that sometimes hits younger men and never show a large increase in PSA, but that is unlikely. If it were that, it might show up on a PCA3 urine test (not FDA-approved yet). I would be surprised if your Uro wanted another biopsy, since your PSA hasn't really changed in two years. In fact, I'm surprised he even suggested the first biopsy. Two biopsies within a year can be damaging, and may violate his Hippocratic Oath to "do no harm."
I'm sorry to hear you're depressed. When we are depressed, we tend to ruminate over things, blowing them up in our minds. It makes us worry, which brings us down even more. Maybe your back and testicular pains set off this bout of depression and generalized worry over health issues. Whatever caused it, anti-depressants and talk therapy may help. The last thing we need is to be ill AND depressed.
I strongly suggest getting a second opinion also. This a common thing to do. I did it with my first Urologist and I respected his opinion. I just feel that this is too an important a decision to rely on one doctors opinion. If your current Urologist thinks this is a waste of time I would RUN for that second docís thoughts.