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Cancer: Prostate Message Board


Cancer: Prostate Board Index


5 years ago my husband's PSA's were 1ish, then 3ish, then last year he was declined for insurance for a 4.5 PSA with free at 13%.

Family Dr. did u/s = neg. Referred to urologist.
Urologist said prostate small, not hard, but had a soft spot that was probably an inflammation. Rx'd month of antibiotics followed by zinc.
PSA came down to 3.79 so he wrote letter to insurance about PSA being elevated from a low grade prostatitis.

Insurance said wait 6 mo. to reapply. He did. PSA then was 5.47, free PSA was 11%. Rx'd more antibiotics & more zinc.

Retest was 4.9 with free of 8%... Rx'd one more month of antibiotics and told to retest in a week after that.

Retest total PSA 5.05 and fPSA now only 5%. (eek!)

Nurse said Dr. wasn't too concerned & was going to suggest a repeat u/s, but instead said to wait 4 mo. and test again. Probably just a stubborn prostatis?

What do you think? I know a free PSA of 5% is really worrisome, but is it less worrisome if his total isn't all that high? Can a low grade prostatitis cause this? He doesn't have any symptoms of a prostate infection, just the soft spot felt on exam. Over the past year or two he's had a few rare episodes of bloody semen (which we were told "just happens sometimes").

What do you think of the total PSA of 5.05 and the free at 5%????
Doesn't a fPSA this low pretty much suggest cancer, or could an inflammation mess with the amount of free too???? I don't know what to think.

Thanks for your help.
:confused: & worried about my dear husband.
[QUOTE=welshterriermom]5 years ago my husband's PSA's were 1ish, then 3ish, then last year he was declined for insurance for a 4.5 PSA with free at 13%.

Family Dr. did u/s = neg. Referred to urologist.
Urologist said prostate small, not hard, but had a soft spot that was probably an inflammation. Rx'd month of antibiotics followed by zinc.
PSA came down to 3.79 so he wrote letter to insurance about PSA being elevated from a low grade prostatitis.

Insurance said wait 6 mo. to reapply. He did. PSA then was 5.47, free PSA was 11%. Rx'd more antibiotics & more zinc.

Retest was 4.9 with free of 8%... Rx'd one more month of antibiotics and told to retest in a week after that.

Retest total PSA 5.05 and fPSA now only 5%. (eek!)

Nurse said Dr. wasn't too concerned & was going to suggest a repeat u/s, but instead said to wait 4 mo. and test again. Probably just a stubborn prostatis?

What do you think? I know a free PSA of 5% is really worrisome, but is it less worrisome if his total isn't all that high? Can a low grade prostatitis cause this? He doesn't have any symptoms of a prostate infection, just the soft spot felt on exam. Over the past year or two he's had a few rare episodes of bloody semen (which we were told "just happens sometimes").

What do you think of the total PSA of 5.05 and the free at 5%????
Doesn't a fPSA this low pretty much suggest cancer, or could an inflammation mess with the amount of free too???? I don't know what to think.

Thanks for your help.
:confused: & worried about my dear husband.[/QUOTE]





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