What is a normal PSA level for 34 year old? Mine was 1.9

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jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/16/2009 3:08 PM (GMT -6)   
Hi, in February of 2009 I had full blood work including a psa test. When the results came in the doctor never mentioned anything bad about my level of psa which was 1.9 but lately I have been having some dull pain in the tube that leads to my right testicle. Kind of like the feeling of light hit on the testicle. I am not really sure if it is the tube leading to the testicle or the testicle as pain seems to radiate.
 
So I decided to go to the urologist to see what is wrong and he examined my testicles and said he didn't feel any bumps or anything unusual for the testicle. I did mention to him that I have used anabolic steroids in the past. I had stoped using the steroids the week after my psa test in February. I also didn't mention to him what my psa test was back in February. Because he knew of the steroid usage he wanted me to take a ultrasound on my testicles and some blood work which includes a psa test. I should have the results in on Wednesday, however, now looking at my past psa test I am wondering if it was already high for a 34 year old man. I thought that 4.0 was considered high but from what I have been reading on the Internet it seems it should be based upon age. So does this mean 1.9 for 34 is high.
 
I understand that the big factor is what are my psa results on Wednesday and has there been a big jump in the psa level. Just trying to get an idea of if my psa (1.9) results were high already.
Also I see that there are issues that can cause a false positive like sex with in 24hrs of the test which I am sure that was the case with me as my wife is a nympho. Would this have played a factor in it to?
Thanks, Jason

Herophilus
Regular Member


Date Joined Sep 2009
Total Posts : 478
   Posted 11/16/2009 3:32 PM (GMT -6)   

Jason,

Good questions. I’m kind of new myself to this topic. However others that have lots more knowledge than I, are going to make comments. I can only tell you what I would do. I am not a physician but if my 34 year old son came home and told me he had a PSA of 1.9 I’d have him in a urologist office ASAP; but remembering that it is not an emergency. As a matter of fact my youngest brother just found out that he has a 4.9 psa at age 47 and is going to see a urologist in December. The good news for you is that your answer is shortly coming to you as you have a new result Wednesday if I understand your post. Follow the advice of your urologist. Always consider getting a second opinion. Please post back and keep us in the loop.

Hero 


Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. 75% of one core.
da Vinci at Wash U, Barnes on 11/02/09
Pathology Changed Gleason to 4 + 3 = 7. Gleason 7 present in all 4 quadrants
All(4)periprostatic Lymph Nodes Negative, All(10)pelvic Lymph Nodes negative
Seminal Vesicles tumor free. No prostate extension


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 11/16/2009 3:34 PM (GMT -6)   
What is a normal 34yr old male, it varies so much its also an impossible answer
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/16/2009 3:36 PM (GMT -6)   
So than is a 1.9 high?

DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 659
   Posted 11/16/2009 3:50 PM (GMT -6)   
Jason,

Since you've looked on the web, you may have already seen this:

"while 2 ng/mL may be normal in a 60-year old, this level is more likely to signify cancer in men between ages 40 and 49. "

http://www.phoenix5.org/Basics/UndPSAJH.html Johns Hopkins

Of all the links I found, none mentioned men under 40.

You're just below 2, but you're also well below 40. So it's hard to say. Definitely worth checking further.

Good luck,

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009 still undetectable!


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 691
   Posted 11/16/2009 3:57 PM (GMT -6)   
Here is a citation by Catalona, who I follow. I suggest you find out what is causing the rising PSA.

"I conducted a large PSA screening study that enrolled 36,000 men and lasted for 12 years.

After the study was completed, my research group evaluated the median PSA value of all the men enrolled in the study in each age decade and related it to the risk of being diagnosed with prostate cancer and of having aggressive-appearing disease.

The median PSA was 0.7 for men in their 40s, 0.9 for men in their 50s, 1.3 for men in their 60s and 1.7 for men in their 70s.

If a man’s PSA was less than the median for his age group, his risk for being diagnosed with prostate cancer was low. If his PSA was above the median, the risk for being diagnosed with prostate cancer was higher than in the general population. The higher the PSA, the greater the risk for cancer and the greater the risk for aggressive disease. It is important that all of these age-specific median PSA values are lower that commonly used PSA cutoffs for screening, such as 4, 3, or 2.5.
"

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 11/16/2009 4:06 PM (GMT -6)   
Jason You said:
'I had stoped using the steroids the week after my psa test"

Its impossible to say what impact that may have had, ask your Dr if you should retest after being clean for a period of time
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 3652
   Posted 11/16/2009 4:16 PM (GMT -6)   
Jason the other important factor on PSA is not just what the number is but How is changes. I PSA has always been elivated. Each year that was a slight climb. Then just over a year ago it had a larger than norman jump. RED FLAG.... On to the Uro...,He did not feel anything but did know of my family history and recomended a biopsy..... Positive it was..

You are already under Uro's care. I would ask him the PSA question and have him stay on top of you blood work... Probably good idea to stay away from roids.

Best of luck
Jeff T
Cajun Country
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.


jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/16/2009 4:17 PM (GMT -6)   
DJBearGuy said...
Jason,

Since you've looked on the web, you may have already seen this:

"while 2 ng/mL may be normal in a 60-year old, this level is more likely to signify cancer in men between ages 40 and 49. "

http://www.phoenix5.org/Basics/UndPSAJH.html Johns Hopkins

Of all the links I found, none mentioned men under 40.

You're just below 2, but you're also well below 40. So it's hard to say. Definitely worth checking further.

Good luck,


DJ
 
 
Yea, I read this and thats what brought about my concern.

Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 845
   Posted 11/16/2009 4:22 PM (GMT -6)   
I think your PSA is a little high for your age but still no need to panic. The general trend is for PSA to start low, then as we age, the prostate gets larger and so generates more PSA. If PCa enters somewhere along that path, that will generate even more PSA. But of course there are wide variations in individuals, and you may just have a larger than normal prostate.

Things that can stir up the prostate and cause it to produce a little more PSA are cycling, a DRE (Digital Rectal Exam by your doctor) and of course sex. I suggest abstain from all of those for two days before your next PSA -- though that last might be hard with a nympho wife :-)

In its early stages, PCa has no symptoms, so it's highly unlikely that your testicular pain is caused by PCa. The usual first symptom of PCa, where there are symptoms, is difficult urination.
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
19-month: 0.09 (maybe)
ED:
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. Have "graduated" to just the pump.


jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/16/2009 4:30 PM (GMT -6)   
Did anyone experience symptoms like me that led you to go to the urologist, another words does anyone experience pain in the scrotal area or in any other area. Again, its really hard to tell if it truly coming from the scrotal area or not. I do seem to have to go pee a lot but I don't have problems urinating, don't have to get out of bed at night, no stoping or starting issues and usually it seems that the amount I pee usually is of the average. If it was the prostate that is causing the pain exactly where would you feel the pain (the base of the penis, below the penis, in the middle of the penis) etc...

ChrisR
Veteran Member


Date Joined Apr 2008
Total Posts : 717
   Posted 11/16/2009 5:33 PM (GMT -6)   
1.9 is high for your age, but not a high PSA.  You also "CANNOT" ejaculate before the test or have DRE before the test.  You should not ejaculate within 72 hours to be safe.  Ejaculation will raise your PSA. 
Dx 42
Gleason 6 (tertiary score 0)
OPEN RP 10/08  Johns Hopkins
pT2 Organ confined Gleason 6
PSA Undetectable as of 10/15/09
Next PSA 10/15/2010


jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/16/2009 5:56 PM (GMT -6)   
So on my last PSA test I had sex with in 16hrs, does this mean that the test is no good and should I take another regarless of results

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 3652
   Posted 11/16/2009 5:59 PM (GMT -6)   
There is some debate about sex and PSA test.

Jeff T
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24283
   Posted 11/16/2009 8:54 PM (GMT -6)   
Actually, Jason, in our group here, talking to a guy that says he has a nympho for a wife would make for a good thread by itself.

From my own research in the past, your current PSA, if accurate, is "age-high", but if you are in the hands of a good urologist, you are where you need to be for help.

Many of us with PC had no symptons, no pains, no lumps, no urination problems, no nothing prior to our PC diagnoses. Doesn't mean your pains aren't related, but probably aren't. I certainly hope for your sake, that you don't need full membership here.

Please keep us posted closely of what you find out.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


O Buddy Boy
Regular Member


Date Joined Oct 2009
Total Posts : 106
   Posted 11/16/2009 9:14 PM (GMT -6)   
Jason,

I had symptoms like yours when I was your age. They were diagnosed as epididymitis, i.e. a testicular infection.

But your Uro would know that. Also the infection does not mean you will get cancer.

Other thing to consider is that PCa skews high in younger African American men. You did not mention your heritage.

OBB
55 yo
Dx:9/29/09
DRE: Susp
PSA: 3.5
Gleason: 3+4/7
6/12 Cores Positive; Sextants were 1%, 3%, 8%, 15%, 12%, 0%
RALP: 10/09/09
PATH:
Margins: Clear
Lymph Nodes: Clear
Seminal Vesicles: Clear
Gleason: No increase from biopsy 3+4/7
Some perineural and capsule invasion.
T2c,NO,MX
Incontinence: Minor. 1 light pad a day. Some days don't need it.
ED: Natural with encouragement. 20mg Cialis and pump just makes things more fun.


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 11/16/2009 10:08 PM (GMT -6)   

Your Q:  So on my last PSA test I had sex with in 16hrs, does this mean that the test is no good and should I take another regarless of results?

A:  Ejaculating within 16 hours of having a PSA test definitely influenced (raised) the results.  The only controversy about this fact is how much of an influence it had, and how long you should abstain prior to having your next PSA...some say 2-days, others say 3-days.  I'd play it smart this time...no sex, no bike riding, no uber strenuous workouts 3 days before your next one.  Toss this one out.


jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/16/2009 10:24 PM (GMT -6)   
Purgatory said...
Actually, Jason, in our group here, talking to a guy that says he has a nympho for a wife would make for a good thread by itself.

From my own research in the past, your current PSA, if accurate, is "age-high", but if you are in the hands of a good urologist, you are where you need to be for help.

Many of us with PC had no symptons, no pains, no lumps, no urination problems, no nothing prior to our PC diagnoses. Doesn't mean your pains aren't related, but probably aren't. I certainly hope for your sake, that you don't need full membership here.

Please keep us posted closely of what you find out.

David in SC

Well for my sake I hope I am not a new member too and I would be lying if I said I was not worried. At least though I only have to wait till Wednesday to find out a bit more. I have used a lot of steroids in the past and I am afraid that it may have caught up to me. If I am lucky it was just a false positive but I am not counting on that. I have an appointment on Wensday and my results should be in by then I will sure let you know.
 
Thanks for the help
Jason
 
Oh, and I am white

Post Edited (jason33157) : 11/16/2009 8:43:33 PM (GMT-7)


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2358
   Posted 11/17/2009 1:15 AM (GMT -6)   
Jason
I have a 42 year old son and a 40 year old they both have a PSA lower than 1. Your PSA sounds high for a 38 year old but it could be caused by an enlarge prostate or some other reason.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 7665
   Posted 11/17/2009 1:55 AM (GMT -6)   
Hi Jason,
Welcome to HealingWell. A couple questions I gathered from your posts. You don't mention if you have any history of prostate cancer in your family. That might be useful information for you to make note of. Your PSA of 1.9 is high for your age, but you have mitigating factors you need to always be open with your doctor about. Your PED usage can affect your reproductive system in many well known ways. I am not certain it can cause elevated PSA or not. That stated, many things can be a factor including urinary tract infection and prostatitis.

Finally, on PSA alone, you are lacking information. Have you had a DRE? What did your doctor say about it?

Tony
Prostate Cancer Forum Co-Moderator

Post Edited (TC-LasVegas) : 11/16/2009 11:58:50 PM (GMT-7)


jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/17/2009 6:17 PM (GMT -6)   
TC-LasVegas said...
Hi Jason,
Welcome to HealingWell. A couple questions I gathered from your posts. You don't mention if you have any history of prostate cancer in your family. That might be useful information for you to make note of. Your PSA of 1.9 is high for your age, but you have mitigating factors you need to always be open with your doctor about. Your PED usage can affect your reproductive system in many well known ways. I am not certain it can cause elevated PSA or not. That stated, many things can be a factor including urinary tract infection and prostatitis.

Finally, on PSA alone, you are lacking information. Have you had a DRE? What did your doctor say about it?

Tony

I think there is a history in my family of PC, in fact I think that is what my grandfather died from. He was somewhat old, 80+ maybe. I think my grandfather from my fathers side also had PC ( not totally sure though), he was also very old and decided not to treat the cancer, he died soon after but for other reason not related to PC, he was about 76 or so. I also did tell my doctor about the steroid usage and the drugs I used to get off steroids like HCG and Clomid which seem to help in recovery of post cycle steroids. I have not had a DRE test and I guess we will find out upon my results what my next step will be.  If all goes well I should have my results back and should have some information tomorrow.
 
 
I know that the test he ordered where
1. Alpha feto portien
2. Beta HCG
3. PSA
4. Testosterone Serum
 
Jason

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24283
   Posted 11/17/2009 6:34 PM (GMT -6)   
Jason,

It will be interesting on that range of tests to see the result if you care to share them with us.

Good luck
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/17/2009 6:40 PM (GMT -6)   
Purgatory said...
Jason,

It will be interesting on that range of tests to see the result if you care to share them with us.

Good luck

No matter how bad or good it will be I will share it. Remember, I might be a member here real soon.

jason33157
New Member


Date Joined Nov 2009
Total Posts : 10
   Posted 11/18/2009 2:04 PM (GMT -6)   
So today I got my test results, the doctor said everything is fine. I think he was the assistants doctor but still a urologist. I did not feel to confident with him. I had to ask him about the results to get anything out of him. I asked about my PSA test and he said it was normal (1.2). I asked if he thought 1.2 was a little high for my age. He went on to say that anything beyond 4 would be something to worry about. Then in the hall way I saw the main doctor and he asked how my results came back and I told him that my PSA level was 1.2 down from 1.9 nine months ago. I asked him if my 1.2 was high for my age and he said yes but didn't seem to be concerned about it. I asked if we should do a rectal exam and he said no that we can just take another PSA test in 6 months.

The question is should I have another opinion from another doctor?

Now when I was on steroids back in Feb 2009 my psa was 1.9



PSA=1.2


What would you suggest?

Post Edited (jason33157) : 11/18/2009 5:26:10 PM (GMT-7)


SHU93
Regular Member


Date Joined Aug 2008
Total Posts : 326
   Posted 11/18/2009 2:35 PM (GMT -6)   
If your uncomfortable with your explanation, I would suggest going to another urologist. Didnt seem like they gave you much time....Dont want to alarm you I was diagnosed when I just turned 37 my PSA was much higher but based on my results my cancer wasnt at a beginning stage... If it gives you piece of mind go somewhere else. As one friend who is a doc said to me Doctors do care about their patients but know one cares more about the patient and thier disease then the patient themselves... Saw a doc recently a friend of a friend and said Wow PC so young I wouldnt have even tested you with a psa at ur age. I said to him thank  God your not my doctor!
 
It probably is nothing but for your OWN sake go to someone else....
 
 
Age Dx 37, 7/2008, First PSA : 4.17 5/2008
Second PSA After 2 weeks of antibiotics : 3.9 6/2008
DRE: Negative 5/2008, Biopsy: 6 out 12 Postive all on right side, Gleason 7 (3+4). Bone Scan/CAT Scan: Clear 7/2008
Cystoscope: Normal 7/2008, Prostate MRI: Normal 7/2008
Da Vinci Surgery 7/2008, PostOp: T2c (On Both sides), margins clear, seminal clear, nodes, clear. Gleason 6(3+3).
4 Post OP PSA's from 9/2008 to 6/2009: <0.1
 
 
 

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