I am a healthy fit person, age 40, exercise 3 times a week, drink 4-5 cups of coffee and a glass or two of wine every day. Love extremely spicy food. I always suspect that something is not right down there since it takes a few seconds for me to go, especially in public bathrooms (but always attribute it to be psychological) since teens. No family history of prostate cancer.
I was shocked to see my PSA level of 12.6 after an routine annual exam. My doctor put me on Cipro for two weeks, then I saw an urologist. DRE was smooth although larger than normal for a person of my age. The second PSA came back to be 12.7. He recommended biopsy this Friday.
I read in an article that the second PSA should be taken 4-6 weeks after the first one. Mine was taken only two weeks after the first one. Is this still the recommended practice? Should I wait 4 more weeks for another PSA test?
My urologist did only the total PSA stest, not the free-PSA test. Is the free-PSA test still useful and recommended?
I also read somewhere that physically agitating an organ (poking needles into prostate), can sometimes lead to the development of cancer. Is this true?
Should I go ahead and do the biopsy? Are there other things I can/should do to avoid biopsy? Or if it is unavoidable, things I can/should to do before it?
I am interested to hear your story. Thanks for your advice.View Thread
Thanks bogie11, scarub2000, and reddingsailor. My decision about whether to get a biopsy right away or wait a few weeks kept flipping until the very last moment. One night I would be 99.99% sure about not doing it right away, next morning I would decide I should. Eventually, the denial, anger, depression, and the anxiety of not knowing that have paralyzed my life finally convinced me to go ahead and do it. Now, I am just waiting for the result.View Thread
I did more research on the topic of whether to get a biopsy. I am leaning toward NOT to get biopsy this Friday. I want to rule out that my condition is not caused by prostatitis or BPH first.
I haven't read the book "Surviving Prostate Cancer Without Surgery" by Bradley Hennenfen (2005). But one of the Amazon reviewer (Gaetan Lion)said about the book: "He [Hennenfen> indicates later in the book that biopsies may cause in certain cases the cancer to spread."
I am a scientist and I remember reading some research papers on this hypothesis, although not 100% proven, the evidences suggest that it is true...at least under certain conditions.View Thread