Ep. 20 - Why An Increase in PSA Doubling Time is a Good Sign

You know, men are super anxious about PSA Tests. The higher the number, the more of a problem is usually what men think.

They think that they are going to die today because they see that high number. And that’s not true.

In this episode of the podcast, Dr. Geo goes deeper into PSA scores and what you need to know about them.

He also shares why an increase in PSA doubling time is a good sign for you and how you can have better conversations with your urologist about your health.

#menshealth #urologist #prostatecancer #prostatecancerawareness

00:00 - Why An Increase in PSA Doubling Time is a Good Sign
01:23 - Stress a Little Less
02:18 - Drive Your Own Ship
03:56 - Longer PSA Doubling Time
07:09 - Enlarged Prostate
09:52 - Gleason Scores for Prostate Cancer

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DISCLAIMER: This video is educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video, including but not limited to economic loss, injury, illness, or death.

[SuperQdaddy]

My psa was 3.5..on my yearly blood test..it went to 13 following year..so i went for mri and biopsy..was told i had aggressive cancer gleason 8..i wish i went for psa test in 6 months..i had no signs and was very healthy...had surgery and radiation..so far im 4 years cancer free...64 years old thats my story

[entropicmomathome]

my dad is in his 70's and his PSA came back at 59 🥺 I'm really praying is not cancer!

[bobstrom]

Best explanation of the PSA "terms" I've heard. Thanks so much for the clarity!

[dlindo]

My psa doubled and my psa percentage went down in 6 months. My doc wanted to do a biopsy. I declined. Turns out I had an infection in my prostate that a month course of antibiotics cured . So don’t let a doctor do a biopsy if it’s not needed. 🙄

[tweet]

interesting conversation...my PSA was low up until a year ago (64, very active lifestyle). This past physical my PSA doubled to 4.6. My Dr. (Sloane Kettering)
recommended an MRI and a lesion was found. Then, I had 4K score test. PSA up to 5.69. I'm speaking with him tomorrow and my hunch is he'll want
me to have an MRI biopsy to get definitive idea about next step. It's been nerve wracking to say the least, but getting to the truth.

[mrrecluse]

My PSA went from 1.2 to 3.38 in a little less than 3 years. My family Doctor acted like it was nothing to be concerned about. This change in my PSA started just before I turned 71. I'm 73 now.
These are small numbers for a man in my age group, but these small numbers jumped fast enough for me to not trust my family Doctor, and head to a Urologist. It was then that I learned what I thought to be plausible....that I had prostate cancer.
I agree with Dr. Geo 100%. The rate of change in PSA should be followed up. It may be no big deal, or it may mean cancer. I thought it quite possibly did mean cancer, and I was right.

[MrCabimero]

I am a practicing MD for over 30 yrs. I have had several patients, and one now, that have prostate cancer and their PSA was < 4. I have had several with PSA <1. The Free and percent free does NOT tell you if you have cancer or not. It only tells you what the ODDS are that you have cancer or don't-it is not a test that has a yes or no answer .

[davidgeorgea]

Had prostate cancer 2010 .
I had my prostate removed oct 2010 .
PSA was rising and l received 36 doses of Radiotherapy.
Again my monitoring showed my PSA rising.
So onto Hormone treatment, PSA almost negligible and stable.
I was advised to take a break, but to still have my blood check every 3 months.
3 years on my PSA has reached 9.5 .
I am now returning to hormone treatment.
I am 77yrs old, it’s almost now 14yrs since l started on this journey.
I was told that l could out live this, and die of something quite different to prostate cancer.
I hope this might be a helpful David 🥰

[mjudkins]

Thanks for this video May God bless us all

[Totem]

I have my PSA tested twice per year for the past 10 years. It has bumped around between 6 and 8 during this time and as high14 once. (talk about scary) My last tri-view guided biopsy (17 samples) once again showed no cancer in 2022. I'll have another one spring 2024 because of my family history of all males dying of prostate cancer. My urologist, 40 years in the biz and head of the urology department at OHSU, said I am atypical. I don't stress on PSA anymore. I also am atypical on nutrition, you might say, as well as fitness. So who knows?

[johnfowler]

Great video doctor thank you for clearing things up. I've been doing PSA tests every year ( as per Medicare) since I turned 72 and DREs every year since 65 which did not disclose any issues. My PSAs were always in 2.2-2.6 range up until 75 then my PSA jumped to 4.11. Went to an urologist who retested my PSA in 6 months and it went back down to 3.2. Again 6 months later went to 4.2. Had and MRI which indicated 2 lesions of "possible concern" and the urologist wants to do a biopsy. My question is at my age of 76 and not having any symptoms related to enlarged prostate or cancer whatsoever, is it really necessary?

[pmaz-]

Yet many if not most urologists order a biopsy when total PSA is above 4. Why? Because they're up against a quota and total revenue!

[joshepherd]

Thanks so much for this information. Its the best advice I have heard.

[colemant]

WOW... A wealth of information that I need to absorb... (Recurrent Prostate cancer).... Going through Lymph and Prostate biopsies now. This helps me to ask the right questions. Thank YOU!

[atchafalaya]

I read that for every 10, 000 prostates removed only one man's life is saved. Maybe the best thing is to leave all this PSA stuff alone for older men.

[stevethompson]

I was diagnosed with prostate cancer in 2017 psa was 90. Had radiation, went on Hormone drugs for a while. Had many side effects on these drugs, so stop them. I have worked out for 45yrs & now i eat a keto/carnivore diet. My psa is now 16 It has been as high as 278, so i went on hormone drugs again. Now at the age of 66yrs i have decided no more drugs, i take my chances. I feel great, fit, strong & able to do all the things that make life great. Im not worried about death.

[nvan]

Try to follow the same regime prior to my PSA tests every 3 months or to. Gleason 6 (3+3), TURP surgery a year ago, yet my PSA still remains elevated with the most recent reading of 27, previous was 22. This seems to be contrary to what is normally seen with PSA values post TURP. PSMA-Pet scan few months ago only confirmed plenty of activity in the prostate and nothing apparently outside which is good. Had a conversation with a radiation oncologist at BC Cancer Agency and we both agree that unless the number of cores with cancer increases on my next biopsy (currently 2 test positive), no reason to get more invasive treatment. Not eligible for brachytherapy due to prior TURP.

[thelegendarysweendog]

My PSA was 52 in January of 2023 with a biopsy test after, and a diagnosis of prostate cancer, I since then started a plant based no sugar diet, started working out on a rebounder every day and my PSA went down to 42 am I keeping it at bay, maybe reversing it ?

[daisuke]

Test worked for me though admittedly it was one small 6+6 so no action for 2 plus years except it led to an insurance exclusion

[skyking]

I I have BPH. My total PSA has stayed between 7 and 10 since 2017. Free PSA has been at 12. I had biopsy an MRI with negative results. Values vary a point or two between testing Labs. At 76 I'm not getting anymore treatments unless PSA spikes. I test every six months.