Re: Total PSA Level and Prostate Cancer Stage
If the increase is due to prostate cancer, a doubling time of two months is certainly an adverse feature. On the plus side, your 31% free PSA is very good. PSA is very non-specific to prostate cancer, and with your history of BPH and prostatitis, you certainly may have a Cipro-resistant infection and/or BPH that may account for the increase. Cipro resistance may increase over time if you've used it several times and the prostatitis has come back -- maybe switch to Bactrim or to a different antibiotic? You also may have all three going on at the same time, which is very common. Only the biopsy can tell you the Gleason score, which is the best measure of PC aggressiveness.
If your biopsy is negative, you might want to consider using Avodart or Proscar instead of b-sitosterol. They may prevent low grade PC and will certainly do a better job on your BPH. Also, it will establish a new, more stable baseline for future PSA tests.
Last edited by Tall Allen; 05-04-2012 at 10:15 AM.