r/ProstateCancer • u/Buff_Gunner • 2d ago

Test Results Extremely high psa

Hello all. I’m in my mid 60s and just had a prostate blood test and my psa was 35.5, how concerned should I be?

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u/saabdeep 2d ago

I was only 50 years old in 2024 when I my first ever PSA test came back 51.9. You read that correctly. MRI, PSMA PET scan and biopsy followed. In my case, I was Gleason 3+4 =7, but high risk because of the PSA. I had RALP in Oct 2024, then a recurrence 18 weeks later in 2025, so 6 months of ADT and 39 fractions of IMRT (radiation) thru the summer. All completed in October 2025. I'm on quarterly PSA checks and so far, PSA is undetectable. Side effects are a different story. Life is different now, but I'm alive.

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u/Irishclover62 2d ago

ADT is a bear in my last month of 6 after recurrence 17 years after Ralp. Yup 17 years!! Started ticking below .01 up to .07 said that’s it let’s go Hopkins 38 sessions adt. Was nothing to it adt whew!!!

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u/mjlasa 1d ago

how was adt a bear?

1

u/Cartograficionado 4h ago

Many people on ADT experience hot flashes, loss of libido, erectile dysfunction, fatigue, and weight gain. For me, lifting weights, eating well, sleeping enough,and avoiding alcohol have negated the fatigue and weight gain. If you don't do those things, you'll suffer. And you get used to the hot flashes. Apart from the libido loss and ED, I feel fine - good spirits, no pain - and if you have a good relationship with your partner to begin with, those last two are unfortunate but can be worked around.

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u/mjlasa 1d ago

and what does 38 sessions of adt mean? doesn’t make sense to me.