caret icon Back to all discussions

PSA testing, what are your feelings about it?

Here in the prostate cancer community, there are many thoughts, feelings, and experiences about PSA testing. This is a space to share about all things PSA testing.

  1. PSA testing is basically a simple blood test and can easily be included as part of annual physical exam with or without the "dreaded" digital exam. I would tell any man to insist on a PSA test even if his MD says "you do not need one" because the test is not 100% accurate etc. While PSA testing is not a test for cancer it can offer some guidance for future action.


    Additionally I suggest to always keep a written history of your psa tests. If you see an increase in numbers over a few tests it may be a good idea to connect with a urologist vs staying with a GP. I did that a few months ago and candidly that early warning paid off for me. Dennis (ProstateCancer.net TEAM)

    1. Hi . Cases like yours make me wonder if those with a family history should get biomarker testing as opposed to just the PSA to determine the likelihood of cancer. How are you currently doing? Best, Richard (Team Member)

    2. my psa was normal but the digital found a knot on 1 side.gleason score showed stage 4.i had the seeding.the doct said afterwards I need radiation.i had told him I wasn't doing radiation.my psa is .08.now.i bet my prostate is very small.my ejac...is 2 drips but good swimmers

  2. PSA tests aren’t wrong/misleading (unless there’s a lab error). Many people have simply misunderstood its purpose.

    For initial diagnosis, a PSA test isn’t a “cancer test.” The PSA number itself is similar to a “check engine” light in your car; it indicates that something may be wrong, and further checks should be made “under the hood.” Might be as simple as a UTI; might be BPH; might be more serious. (Or the man might have engaged in an activity causing a temporary rise in PSA. Many things can affect PSA, which is why it’s important to be sure that your PSA is as accurate as possible.)

    Just need to have further checks. No need to panic, or rush to a quick treatment decision, or get overly concerned. With early and annual screening, if there is an elevated PSA, other tests and numbers should also play a role in deciding on additional treatment.

    1. Hi . Thanks for sharing this. Many (if not most) doctors don't discuss the benefits of exercise and that this can increase if started before treatment. For everyone out there, here is an article from our editorial team on exercises for prostate cancer: https://prostatecancer.net/living-coping/exercise and here is a video from our contributor Jim on exercise for helping with ADT side effects: https://prostatecancer.net/living/adt-exercise. were there particular exercise you found helpful? Best, Richard (Team Member)

    2. I did multi-joint exercises that utilize the largest muscle groups: squat, deadlift, bench press, row, overhead press, and lat pulldown exercises for a total of 1-1/2 hours each day (immediately after each radiation session and throughout the time ADT was in my system). On alternating days, I would also add some cardio - either jog 3-4 miles or swim 35-45 minutes.

      On the 7th day I rested…..

  3. I had an 8.6 the prior year. At my wellness exam, the doctor told me "we do not do PSA at your age". I finally took myself to urology. PSA 16.3 and 21 of 23 biopsies bad. Radiation; chemical castration. Alive but no longer a 'man'.

    1. You're still a man. Cancer creates a new me is my mantra. Sure, there are things I absolutely hate about such as radiation and ADT but I can still live most of my life with my new normal. Death ends it all.

    2. I hear you, brother

  4. If it was up to me, I'd have PSA testing for men start at 40.

Please read our rules before posting.