What should I expect, second PSA 7 months after ending ADT

I ended ADT mid July 2018. My first blood test in October showed my PSA was still holding steady at <.05. Next week, I am scheduled for my 4 month visit simce first test with my MO. What should I be expecting regarding my PSA test. It will be 7 months since I ended ADT. At this point, should numbers still be where they were or is there a chance they may start creeping up? I’d love the number to stay where it was, but understand it will creep up until Nadir.
Just that nervous feeling of waiting and wondering if all this worked.
Thanks

Thanks Gary. That crystal ball must come in handy.🙂

When I came off of ADT, over the next 4 months or so my testosterone recovered pretty fast. The PSA began to come up too, but it seems it was just rising up to whatever the post-radiation level would have been without ADT. After radiation and ADT there is just no good guidance on what that PSA pattern should be. It's just undefined. Keep in mind the Phoenix criterion for post-RT recurrence is 2 points above nadir. Your cooked prostate tissue can still make some PSA.

Be sure they're checking both PSA and testosterone. Give it time, watch the patterns. If you're like me, you may be alarmed at the PSA's early rate of rise. For me it popped up at a good clip, then leveled right off. The first few checks gave me some stress, to be honest.

The treatment you did is known for very good PSA control though, so with some luck you should be good!

I made a graph to try to show this.
PSA vs. Time, Radiation + ADT Recovery Pattern

you can expect a different PSA than you had before.

It's just a number, breathe - in, out, slowly.

You'll be fine.

Waiting is the most difficult part of this PC crap.

Dogdays said...
I ended ADT mid July 2018. My first blood test in October showed my PSA was still holding steady at <.05. Next week, I am scheduled for my 4 month visit simce first test with my MO. What should I be expecting regarding my PSA test. It will be 7 months since I ended ADT. At this point, should numbers still be where they were or is there a chance they may start creeping up? I’d love the number to stay where it was, but understand it will creep up until Nadir.
Just that nervous feeling of waiting and wondering if all this worked.
Thanks

I also had a triple play and can state with a high degree of probability that your PSA will go up from 'non-detectable'. But I want to emphasize that that is 'perfectly' normal. Let's just hope it will stay under the 'action level' of nadir + 2. And, as the others have pointed it's likely that further PSA readings will be 'bouncy'.

PS: You should ask for a testosterone test as well to see how you are recovering in that 'department'

Got my results back..
PSA <.05
T=57
I’m happy....😁

Thanks Ken