Introduction and PSA lab numbers

AFSOCCRNA · Nov 19, 2021

Hello all. 57 and have been on TRT for a couple years, 200mg divided up into 2 x/week. Just moved and started with the VA in Arizona. Got some labs and all looked good except for a PSA of 4.3. Has been creeping up for a few years and the VA is balking at writing a script for drug. Am now working with Defy Medical which I found here and they are concerned, haven’t talked to a practitioner yet but not sure what they will say.

Had DRE by a urologist about 2.5 years ago when dealing with a kidney stone and all he mentioned was a bit of hypertrophy. Not sure if I should be looking to see another urologist yet or not.

Lots of confusing info out there re TRT and prostate care so I’m trying to get through it.

Nelson Vergel · Nov 19, 2021

Just make sure you don't have a prostate infection. Most clinics will not start you on TRT at PSA equal of greater than 4 since it is a contraindication for TRT which can make them liable.

Nelson Vergel · Nov 19, 2021

What Every Man Should Know About Prostatitis

What factors can falsely elevate your PSA level? There are other factors that can affect the PSA level besides prostate cancer. The following conditions can lead to increased PSA levels: Increasing age Benign prostate hyperplasia (BPH), a condition that commonly develops as those assigned...

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Systemlord · Nov 20, 2021

A urinary tract infection can cause an increase in PSA.

I hope it wasn't Finasteride that your doctor prescribed you!

AFSOCCRNA · Nov 29, 2021

Nelson Vergel said:
Just make sure you don't have a prostate infection. Most clinics will not start you on TRT at PSA equal of greater than 4 since it is a contraindication for TRT which can make them liable.

I get it. Had a retest drawn today so we will see what it comes back as.

VacationMan · Nov 30, 2021

I've had an occasional PSA test come back high - like in the 4.7 range. My usual is 1.2 to 1.7, invariably under 2.0. Retest a few days later and the results came back at my usual normal. Doc and I discuss...and the high test results seemed to correlate to a romp in the sack with the wife the night before (and I had a whopper of an orgasm). Doc said it's plausible, so...there's that to take into consideration.

Going forward, I just make sure to abstain a couple of days before blood testing. High PSA hasn't occurred since.