I wouldn't kick yourself too hard alephnull...I waited until 50 too. Wish I did a PSA at 40 but the Army does them at 50 and I had never heard of one until I had one of 92. I think we all wish we did some things differently early on in life.
For sure, I knew too much supposedly, and it hurt me bad. My PSA had gone up to 4.1 from just under 2 over about
a 10 year period. But, I knew I had lots of reason for a high PSA, what with a 30 year history of prostatitis coming and going, and I knew I had BPH( 87 gms as it turns out!). And besides, that PSA of 4 also had a free PSA of 23%, and I knew PCa's were more associated with much lower %. And I knew that most Bxs were negative but could cause significant problems of their own. And I knew the controversy about
if you should even get a PSA because they lead to so much harmful over treatment, and how most men will die with PCa and not from it, but they might be harmed from treatment they really did not need. Etc, etc, ad infinitum, ad nauseum. So I ended up nearly killing myself, and the future is still dangerous.(of course, the future is always uncertain no matter what, so)
So I took lot's of supposedly prostate healthy supplements and put off another PSA. Until I decided I wanted some testosterone therapy, which of course pretty much requires a PSA. My general guy says a I have an enlarged but otherwise normal feeling Prostate. We discuss all the PSA controversy, he agrees it is controversial but he tends to recommend them because his father(or FIL) died of PCa. So I get er done.
Boy am I shocked when the result comes back 9.1, a little over a double in about
2 1/2 years or so. So it takes me about
3 weeks to get to the Urologist, and my general guy calls me in 10 days of Cipro just in case prostatitis is causing the rise, due to my history. The Uro gets another PSA, and I nearly fall out when it is not lower, but instead has gone up to 10.9, 1.8 points in a few weeks! Believe it or not, the Uro tells me not to panic, I have a little time. With my large prostate, he is not so much concerned about
the number, but with the rise, if it was him, he would have the Bx. But he didn't push me. I opt for the Bx with huge reservations. He does the Bx, tells me again my prostate size could easily account for all of that PSA, not to worry too as we wait over thanksgiving for good news.
He leaves a message that I need to come in to discuss the findings, and I can tell by his voice that it is not good. 5 out of 12 positive, 1 is a G9 plus 1 PNI. Next thing you know, 4 wks ago I am at Vanderbilt getting the robot with lymph node dissection. Post op path showed G9, either in or at the edge of the seminal vesicle, lymph nodes clear, (margins? not sure). He feels I have a "good", but obviously not great, chance of a cure as he cut wide and "thinks" he probably got it all. We will monitor PSAs closely before deciding if I need any more treatment.
So here I am 4 weeks post op still recovering. My mind has gone wild since that 1st high PSA, as I am sure is common with my new brothers in the G9 club. I get a lot of help reading all of your stories!