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PSA correct reading, prostate cancer, prostatitis or hyperplasia?

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Posted 9/14/2014 7:30 AM (GMT -5)
Hello to everybody. I am new in this interesting forum and I had some doubts in regard to prostate problems. Maybe some of you are living a similar situation.

I am really scared because my father died 2 years ago when he was 72 years old for prostate cancer. I am 49.
The thing is that I had a 2,9 PSA result last December 2011. Last October 2013 was 3,6 and my urologist recommended me to make a biopsy. It was negative. Finally last May 2014 I got 3 PSA result.
My prostate was a little bit bigger than normal, 30 cc. but I have no symptom. I feel good and I have no pain nor sexual problems up to now at least.
Next November I will be made a magnetic resonance and a new PSA test before visiting my urologist.
Sometimes I have *********d with toys (no more after 3,6 PSA level!) even too much after my divorce to try to relax sometimes a day and I think that it could be a reason for the high PSA.

The question is could it be a Benign prostatic hyperplasia or the beginning of a cancer? I would just like to know your opinion about this. Thank you very much from Europe!

Posted 9/14/2014 9:09 AM (GMT -5)
Hello Basque,

Welcome to the forum.

Your PSA is high but not very high. Prostate cancer tends to run in families and, since your father died of prostate cancer, your risk is higher. That is why your doctors are worried even though your PSA is not very high.

It sounds like your doctors are doing all the right things. A MRI is a good idea to look for any problem that the biopsy might have missed. I assume that "next November" means November 2014. (It sounds like 2015.) Keep your toys in the drawer for 48 hours before they take your blood for the PSA. And no sex or bicycle riding either.

At 30cc your prostate is big but not very big. One of the things doctors look at is the "PSA density". That is the PSA divided by the size of the prostate. Going with your highest PSA reading of 3.6 ng/ml that makes your PSA density 3.6 / 30 = 0.12 . The usual cutoff is 0.15 so you are below that. This means that your PSA reading could be explained by the size of your prostate. This is good. But with your family history (your father) your doctors will want to keep watching it.

So try not to worry too much. You and your doctors are doing all the right things.
Posted 9/14/2014 9:46 AM (GMT -5)
Thanks a lot Peter.
Yes, I meant next november 2014, so in two months.
I really hope that the explanation for that 3,6 PSA level last november 2013 was the intensive sexual activity for long time. Then prostatic biopsy came in december 2013 with negative result.
Fortunately last may 2014 PSA result went down to 3,0 almost the same than in december 2011 when it was 2,9.
To say the truth I am looking forward to hearing that it could be account of a not cancerigen reason like hyperplasia.
I am too worried to see positive signals sometimes and it happens often that appointments with my urologist are too short to make all questions I have in my mind.
Anyway, thank you very much for your kindness and your helpful advices!
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