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Rising PSA after surgery and radiation

I was diagnosed with prostate cancer in 2016, 4+3 gleason score. I had a radical prosectomy followed by salvage radiation when psa was at .08. I was put on testosterone replacement therapy about 20 years ago. After having undetectable psa for 2 years I went back on trt. After a few months my psa is back up to .06. I stopped the trt. I was wondering if anyone had any advice regarding trt use in a similar situation? I'm also curious if a PSMAT scan is too early at this point? Thank you very much!

  1. I would lean toward an early PSMA sca especially with a rising PSA after surgery and radiation - One MD recently spoke at our support group and noted that for some men he believed TRT can generate a rising PSA and to be careful doing so

    1. Just had a PSMA, my PSA level many years after surgery is again rising (.265). PSMA shows no cancer. Doc says PSA is so small-not of concern for me. Says I have good cancer? Will die from something else. Good luck. DanF, moderator, ProstateCancer.net.

      1. I am always concerned with anyone who says you have a "good cancer" Personally I would be seeking out a second opinion.

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