Prostrate Cancer to worry or not or is Dr. just practicing medicine Is Ha a DA

[Honkey_Kong]

Well keep in mind the examples I offered before of the two gentlemen. one had a very high PSA ad NO cancer. The other had a normal PSA, yet tested positive for prostate cancer. A

PSA above 4 is not a guarantee of anything. It's not unheard of for men to have elevated PSAs and have no evidence of disease. When I run masteron my PSA has reached 9.6 in the past. Adding 10mg of Cialis daily to my cycle regimen always brings my PSA back down to normal levels.

Remember, the prostate has a high number of androgenic receptors and testosterone as DHT will readily bind to these receptors causing your PSA to increase. High levels of testosterone, complex cycles of combined esters, or prolonged use of anabolics will cause an increase in PSA but the amount of increase varies for everyone. I could go into greater detail as to why this happens but it is probably too much technical detail for some people and would likely bore the heck out of most members. LOL.

An elevated PSA should be examined further but one should not assume high PSAs are due to prostate cancer.

When somebody tests with an elevated PSA, do you prescribe antibiotics immediately just to determine that it's not prostatitis? You know in the interim while they're waiting to get a biopsy and the CT scan? Or do you typically do more tests before any sort of treatment?

[AD]

When somebody tests with an elevated PSA, do you prescribe antibiotics immediately just to determine that it's not prostatitis? You know in the interim while they're waiting to get a biopsy and the CT scan? Or do you typically do more tests before any sort of treatment?

i think within our community (chronic roid users), the first thing to do is to stop using and repeat the PSA one or 2 months later. i believe psa can easily double when on a cycle. in the same way, for someone taking prostate meds like finasteride or duasteride, psa can be abnormally low, giving people a false negative result.

if the psa still comes back abnormal after stopping all meds, then you can proceed with further investigations. usually an ultrasound.

antibiotics probably should be started if there is pain together with the raised psa. otherwise, there may not be a rush to start treatment until all results are back.

PSA, like any other tumor markers, has very limited use in the diagnosis of cancer. when elevated, it usually only means that more investigations are needed. but for someone with prostate cancer diagnosed on biopsy, a raised psa can be used in the follow up to see the effectiveness of treatment and to monitor for a relapse.