10 doctors weighed in:
5 yrs ago my psa was 5, now it's 15. When is intervention necessary?
10 doctors weighed in

Dr. Bahman Daneshfar
Radiation Oncology
4 doctors agree
In brief: Now
If your psa was being monitored yearly then this large jump would have been seen gradually.
Normal psa is less than 4. Trends and the actual number is both important. See a urologist for rectal exam and discussion about a prostate biopsy.

In brief: Now
If your psa was being monitored yearly then this large jump would have been seen gradually.
Normal psa is less than 4. Trends and the actual number is both important. See a urologist for rectal exam and discussion about a prostate biopsy.
Dr. Bahman Daneshfar
Dr. Bahman Daneshfar
Thank
Dr. James Lin
Urology
1 doctor agrees
In brief: See urologist soon..
Such a rise in 5 yrs without UTI in a 64-yr man should seek a timely attention from urologist for dre (digital rectal exam), reviewing prostate-cancer-related risk and family hx, etc.
So to decide if prostate us + biopsy is needed. More on psa / prostate cancer? To http://formefirst.Com/newauapsa.Html

In brief: See urologist soon..
Such a rise in 5 yrs without UTI in a 64-yr man should seek a timely attention from urologist for dre (digital rectal exam), reviewing prostate-cancer-related risk and family hx, etc.
So to decide if prostate us + biopsy is needed. More on psa / prostate cancer? To http://formefirst.Com/newauapsa.Html
Dr. James Lin
Dr. James Lin
Thank
Dr. Arthur Heller
Internal Medicine - Gastroenterology
1 doctor agrees
In brief: Worth followup
Controversy re: psa and rx for prostate ca.
Is the rx worse than the disease? Individualized don't know ur age, family history, race, symptoms, digital prostate exam. Psa is more a measure of prostate volume than specifically for cancer cells. Dramatic changes should get followup, get a free/total psa, rectal exam, maybe more, e.g. Sono. See urologist. Maybe enlarged but no ca, .

In brief: Worth followup
Controversy re: psa and rx for prostate ca.
Is the rx worse than the disease? Individualized don't know ur age, family history, race, symptoms, digital prostate exam. Psa is more a measure of prostate volume than specifically for cancer cells. Dramatic changes should get followup, get a free/total psa, rectal exam, maybe more, e.g. Sono. See urologist. Maybe enlarged but no ca, .
Dr. Arthur Heller
Dr. Arthur Heller
Thank
Dr. Randy Baker
Holistic Medicine
1 doctor agrees
In brief: Possibly never but..
It may well be worthwhile to be tested to see if you have prostate cancer, which is likely (but not certain) with a psa that high, but even if you do have prostate cancer, treatment is usually not necessary and often does more harm than good.
Most men, if they live long enough, will develop prostate cancer, but most will not die from it. But it would be wise to see a urologist. See my comment:.

In brief: Possibly never but..
It may well be worthwhile to be tested to see if you have prostate cancer, which is likely (but not certain) with a psa that high, but even if you do have prostate cancer, treatment is usually not necessary and often does more harm than good.
Most men, if they live long enough, will develop prostate cancer, but most will not die from it. But it would be wise to see a urologist. See my comment:.
Dr. Randy Baker
Dr. Randy Baker
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3 comments
Dr. Randy Baker
It may be wise to see 2 urologists to get a second opinion. Prostate cancer is only harmful if it spreads outside the prostate,and if you have it, the relatively slow rise in PSA suggests you have a slow-growing type. See www.huffingtonpost.com/glenn-d-braunstein-md/psa-prostate-cancer-screen_b_1011836.html for more info.You might also want to consider complementary therapies like MCP- see comment
Dr. Randy Baker
There are many natural therapies including healthy diet and lifestyle that can help if you do have prostate cancer, so that is the sort of intervention that may help most. Modified citrus pectin is a very interesting option for prostate cancer- see http://www.lef.org/magazine/mag2011/jul2011_Novel-Citrus-Extract-Blocks-Deadly-Cancer-Cell-Signaling_01.htm for a good discussion of this.
Dr. JUDY WASHINGTON
Family Medicine
In brief: Depends on your age
The discussion of intervention depends on your age and symptoms.
You need to sit down with your urologist and discuss this. If you are 50 the answer is intervention now. If you are 70, then the answer may be different.

In brief: Depends on your age
The discussion of intervention depends on your age and symptoms.
You need to sit down with your urologist and discuss this. If you are 50 the answer is intervention now. If you are 70, then the answer may be different.
Dr. JUDY WASHINGTON
Dr. JUDY WASHINGTON
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