Prostate and TRT??

[qscgugcsq]

Do you really worry about prostate cancer and PSA testing??

Do you test for PSA or you just do not bother with it... As far as I read it don't seem to worth the worry...

I want to have your opinion about it.

[bluskiblacdeth]

I think the concensous is it is a myth. My doc definately says it is.

[bass]

I check psa with every BW. TRT may not cause prostate problems but it doesn't mean we should ignore it. My psa went up about 0.5 since I started TRT, which is expected, but if it keeps going up then it's a concern.

[m_donnelly]

You should have it checked regardless of TRT.

Prostate cancer is very common in men and kills a lot of them every year. Stay on top of it.

[Brazensol]

I don't worry about it but I don't ignore it either. My father had prostate cancer in his late 50's do I figure I have a slightly increased chance of getting it myself. He kicked it's ass by the way!

[bass]

I don't worry about it but I don't ignore it either. My father had prostate cancer in his late 50's do I figure I have a slightly increased chance of getting it myself. He kicked it's ass by the way!

I love hearing this. Good on your dad.

[FONZY007]

Man wish I can find the article that stated PSA numbers improved in older men when they where out on TRT. It was also on Dr. Oz show too I believe

[bullshark99]

Pretty much all men are eventually gonna get it if they live long enough. I dont ignore it but as Bass indicates unless the velocity is rapid, dont get concerned. BTW, I here they have a urine test coming out next year to test for all kinds of prostate cancer. This will take the worry out of getting a biopsy finding out you have cancer, but not all cancers are dangerous in the prostate but people get then uneccesarly treated which could cause a boatload of problems in itself.

[powerlifterty16]

Pretty much all men are eventually gonna get it if they live long enough. I dont ignore it but as Bass indicates unless the velocity is rapid, dont get concerned. BTW, I here they have a urine test coming out next year to test for all kinds of prostate cancer. This will take the worry out of getting a biopsy finding out you have cancer, but not all cancers are dangerous in the prostate but people get then uneccesarly treated which could cause a boatload of problems in itself.

buttload of problems eh?

[LowT Mike]

A common misconception among physicians is that testosterone administration adversely affects the normal prostate. This idea is not supported by the medical literature. A 2002 study indicates that testosterone is actually beneficial for the prostate gland in the vast majority of cases. In this study, researchers looked at multiple parameters, including prostate volume, prostate-specific antigen (PSA) levels, and lower urinary tract symptoms in a group of men with low or low-normal testosterone levels . Of the 207 men studied, 187 responded favorably to testosterone treatment. These positive responders all showed improvement in almost every parameter measured: their prostate glands all decreased in size, PSA was lower, and urinary symptoms such as frequency, urgency, dribbling, and getting up at night to urinate all improved.

In a separate recent study that looked at a similar group of men, the authors observed, “No treatment-related change was observed in prostate histology, tissue biomarkers, gene expression, or cancer incidence or severity. Treatment-related changes in prostate volume, serum PSA, voiding symptoms, and urinary flow were minor.”

On the question of whether testosterone therapy causes prostate cancer, the answer clearly appears to be “NO”. In a landmark review article published in 2004 in the New England Journal of Medicine, the authors report “there appears to be no compelling evidence at present to suggest that men with higher testosterone levels are at greater risk of prostate cancer or that treating men who have hypogonadism [low testosterone ] with exogenous androgens increases this risk.” A long-term study reviled that there is a less than 1% incidence of prostate cancer occurrence among patients receiving testosterone treatment. This supports again that treatment is beneficial to the prostate when you compare these findings to the national average of 1 in 7 men get prostate cancer. However, since testosterone stimulates cell growth, it is possible that it can accelerate the growth of an existing prostate cancer. Cancer-screening tests such as a PSA test are necessary before replacement therapy. Testosterone treatment is contraindicated in men with known prostate cancer and breast cancer.

Normal PSA level 0-4.0
Cancer-free patients with low testosterone levels and present andropausal symptoms, automatically qualify for treatment with a PSA lower than 4.0. Patients should be cleared by urologist if 4.0 or over.

[bass]

A long-term study reviled that there is a less than 1% incidence of prostate cancer occurrence among patients receiving testosterone treatment. This supports again that treatment is beneficial to the prostate when you compare these findings to the national average of 1 in 7 men get prostate cancer.

really this says it all.

[ctenosaura]

Before I started TRT my PSA was .99. After two months at .75mg Tcyp per week it went to 1.5, the next two months 1.6, the next 2 months 1.7 and I was starting to get a little nervous. I backed down the cyp to.70 and I started taking one of those complete prostrate nutrition pills twice a day and started using 5mg of liquid CIA for two months. My latest blood work had my PSA at 1.5 so I was a little relieved. Not sure if it came down on its own or the lower cyp or the prostrate pills and cialis did it. I upped my cyp to .75 again and am taking the prostrate pills still so I can see if things change with my next bloodwork.

[Brazensol]

Before I started TRT my PSA was .99. After two months at .75mg Tcyp per week it went to 1.5, the next two months 1.6, the next 2 months 1.7 and I was starting to get a little nervous. I backed down the cyp to.70 and I started taking one of those complete prostrate nutrition pills twice a day and started using 5mg of liquid CIA for two months. My latest blood work had my PSA at 1.5 so I was a little relieved. Not sure if it came down on its own or the lower cyp or the prostrate pills and cialis did it. I upped my cyp to .75 again and am taking the prostrate pills still so I can see if things change with my next bloodwork.

It is not uncommon for your PSA to rise after starting trt. You just need to establish a new baseline. How long it takes to stabilise I do not know.

[ctenosaura]

It is not uncommon for your PSA to rise after starting trt. You just need to establish a new baseline. How long it takes to stabilise I do not know.

I did not know that. Thanks for that info

[LowT Mike]

As a rule of thumb A4m docs are taught if the patients PSA rises more than 1 point in a 6 month period...go have a DRE and get cleared by urologist. PSA is a very weak assay for prostate cancer. However, its all we have when it comes to blood testing. Remember its the DHT and E2 that is detrimental to the prostate not the Testosterone . I dont routinely test for DHT but if a patient PSA jumps up then I will run it. If its high a good beta systerol prostate restore product can at least create a forcefield so to speak around the prostate and prevent the DHT affects. I do not recommend a DHT blocker like Finisteride or Duristride. Bad bad stuff. Google post finistride syndrome. no bueno.

[kelkel]

As a rule of thumb A4m docs are taught if the patients PSA rises more than 1 point in a 6 month period...go have a DRE and get cleared by urologist. PSA is a very weak assay for prostate cancer. However, its all we have when it comes to blood testing. Remember its the DHT and E2 that is detrimental to the prostate not the Testosterone . I dont routinely test for DHT but if a patient PSA jumps up then I will run it. If its high a good beta systerol prostate restore product can at least create a forcefield so to speak around the prostate and prevent the DHT affects. I do not recommend a DHT blocker like Finisteride or Duristride. Bad bad stuff. Google post finistride syndrome. no bueno.

Like every prostate super hero should!

[dreadnok89]

It was my understanding that estrogen could likely be the culprit in older men.

[kelkel]

Estrogen is always the culprit in older men. Consider the average sedentary 50 something has a higher estrogen level than his female counterpart.....

[powerlifterty16]

Estrogen is always the culprit in older men. Consider the average sedentary 50 something has a higher estrogen level than his female counterpart.....

most 50 y old women have tt in the 1100s and estradiol at 3 at least that's how it appears to me.

[ctenosaura]

As a rule of thumb A4m docs are taught if the patients PSA rises more than 1 point in a 6 month period...go have a DRE and get cleared by urologist. PSA is a very weak assay for prostate cancer. However, its all we have when it comes to blood testing. Remember its the DHT and E2 that is detrimental to the prostate not the Testosterone. I dont routinely test for DHT but if a patient PSA jumps up then I will run it. If its high a good beta systerol prostate restore product can at least create a forcefield so to speak around the prostate and prevent the DHT affects. I do not recommend a DHT blocker like Finisteride or Duristride. Bad bad stuff. Google post finistride syndrome. no bueno.

So can someone have prostrate cancer and also have a low PSA?

[powerlifterty16]

Johns Hopkins - Brady Urological Institute- Prostate Cancer Update

[kelkel]

most 50 y old women have tt in the 1100s and estradiol at 3 at least that's how it appears to me.

No clue where you got that info. It's way off base. Read this:

What Is The Normal Level Of Testosterone For A Woman? | LIVESTRONG.COM

[bass]

most 50 y old women have tt in the 1100s and estradiol at 3 at least that's how it appears to me.

yea and they all look like Ronnie Coleman

[powerlifterty16]

yea and they all look like Ronnie Coleman

pretty much