Understanding Elevated PSA Levels: Impact of Frequent Sexual Activity
Elevated PSA levels? I am currently 27 years old. Recently, my health check report showed a PSA level of 5.01. After retesting at a clinic, my PSA level was 7.1, with a Free PSA of 25%. I later learned that many factors can influence PSA levels. I would like to know if more frequ...
Dr. Du Shixi Reply:
Hello: Sexual activity can elevate PSA levels, and there are many situations that can cause an increase; it does not necessarily indicate cancer. Close monitoring is essential. Wishing you good health.[Read More] Understanding Elevated PSA Levels: Impact of Frequent Sexual Activity
High PSA Levels at 26: Should I Worry About Prostate Cancer?
Elevated PSA levels? Hello, I am 26 years old and I would like to inquire about my recent PSA test results. My PSA level was 7.1 and my free PSA was 25%. Since I had sexual intercourse a few days before the test, my doctor recommended abstaining for a week before retesting. The s...
Dr. Du Shixi Reply:
Hello: I personally recommend that if you are seeing a specialist at a medical center, continue to follow their advice. If you are not at a medical center, please seek care from one. Generally, younger individuals may have higher values, which increases the likelihood of inflamma...[Read More] High PSA Levels at 26: Should I Worry About Prostate Cancer?
Does Sexual Activity Before Blood Tests Affect Free/Total PSA Ratio?
Will engaging in sexual intercourse the day before a blood test affect the Free/Total PSA Ratio? On April 26, I had a routine check-up at a general clinic and my PSA level was found to be 4.6. Later, on May 10, I went to a tertiary hospital for further blood tests, and the result...
Dr. Li Minghui Reply:
Hello: There is no reliable data to reference regarding whether the PSA ratio is affected by ejaculation. Wishing you good health.[Read More] Does Sexual Activity Before Blood Tests Affect Free/Total PSA Ratio?
Chronic Perineal Pain: Seeking Solutions Beyond Urology Consultations
Perineal pain Hello, doctor. I have been experiencing persistent left-sided perineal pain, along with a sensation of urinary urgency, frequent urination, and pain during ejaculation. I have consulted urologists multiple times and have undergone PSA tests and urinalysis, all of wh...
Dr. Du Shixi Reply:
Hello: If the symptoms are severe, please seek medical attention at a medical center. If multiple physicians find no abnormalities, it may not necessarily be a urological issue. The examination items should be determined by the examining physician. Wishing you good health.[Read More] Chronic Perineal Pain: Seeking Solutions Beyond Urology Consultations
Understanding Prostate Cysts: Causes, Symptoms, and Treatment Options
Prostatic cysts Hello Doctor: I developed chronic prostatitis after having epididymitis five years ago. Due to pain during ejaculation, I only ejaculate once every three months. At the beginning of last year, I experienced brown blood in my semen. The clinic doctor advised agains...
Dr. Du Shixi Reply:
Hello: The vesicles you mentioned do not require special attention. To treat epididymitis and prostatitis, please note that prostatitis can be difficult to treat. Some individuals may need to take medication for an extended period, possibly several months, and should not disconti...[Read More] Understanding Prostate Cysts: Causes, Symptoms, and Treatment Options
What to Do If Your PSA Levels Are Abnormal: A Guide for Men
What should I do if my PSA levels are abnormal? At 31 years old, I experienced gastritis at the age of 30, which led to a fever. Subsequent endoscopy revealed gastroesophageal reflux disease (GERD), which has not improved for nearly a year. At 31, I continued to undergo follow-up...
Dr. Sun Hongshun Reply:
Hello: Based on what you described, it is likely that you have acute or chronic prostatitis. I recommend getting an ultrasound or semen analysis at the hospital. Once a diagnosis is confirmed, we can discuss whether antibiotic treatment or other therapies are necessary. Wishing y...[Read More] What to Do If Your PSA Levels Are Abnormal: A Guide for Men
Left Prostate Nodule Found During Exam: Is Cancer a Concern?
There is a hard mass on the left side during digital rectal examination, and the PSA level is normal? Hello doctor, I previously had aseptic prostatitis, and whenever I accidentally ate something too spicy, I would experience symptoms including a tight, heavy feeling in the perin...
Dr. Li Xinyi Reply:
Basically, it resembles a phenomenon of fibrosis following inflammation, and the likelihood of cancer is very low. However, no doctor can provide an absolute guarantee; a definitive diagnosis requires a biopsy. If a biopsy is not performed, careful monitoring in an outpatient set...[Read More] Left Prostate Nodule Found During Exam: Is Cancer a Concern?
Understanding Prostate Biopsy Results: What Limited Atypical Glands Mean
Questions about prostate biopsy? Hello Dr. Du, I recently had a biopsy due to elevated PSA levels, and the pathology report indicates limited atypical glands with focal loss of basal cells (confirmed by HMWCK immunostain). I researched online and found that further sampling may b...
Dr. Du Shixi Reply:
Hello: In simple terms, there are no malignant cells observed, but the biopsy only samples a small portion of tissue. Therefore, in some patients with only small lesions, this phenomenon may occur. Since the biopsy can cause damage, it is generally recommended to follow up after ...[Read More] Understanding Prostate Biopsy Results: What Limited Atypical Glands Mean
Can MRI Detect Prostate Cancer After Surgery? Understanding PSA Testing
Prostate cancer Thank you very much for Dr. Jian's response. I would like to ask if cancer cells can be detected on an unremoved prostate using MRI-PET scans. My father has undergone this examination, and the results showed no issues. After his prostate laser surgery, he fel...
Dr. Jian Weihong Reply:
Hello: MRI can be referenced, but it is generally recommended to wait for a period of time before surgery, as it may affect the interpretation even if a stent has been placed. In addition to medication, lifestyle habits should be taken into consideration. First, identify the caus...[Read More] Can MRI Detect Prostate Cancer After Surgery? Understanding PSA Testing
Can MRI Detect Cancer Cells in Unremoved Prostate? Expert Insights
Continuation of Q&A #195491? I would like to ask the doctor about the Q&A <a href="https://adoctor.tw/article/195491">#195491</a>. Is it possible to determine the presence of cancer cells in the unremoved prostate using MRI with PET scanning? My fath...
Dr. Du Shixi Reply:
Hello: MRI can be referenced, but it is generally recommended to wait for a period of time before surgery, as it may affect the interpretation even if a stent is placed. In addition to medication, lifestyle habits should be taken into consideration. First, identify the causes of ...[Read More] Can MRI Detect Cancer Cells in Unremoved Prostate? Expert Insights
Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Elevated PSA Levels and Cancer Treatment Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The physician recommended laser surgery to treat benign prostat...
Dr. Jian Weihong Reply:
Hello: 1. The PSA level has been elevated for over two months following surgery. Although surgery and inflammation can cause an increase, it should ideally decrease. If inflammation is present, it should be well-controlled. Additionally, what is the current assessment of the tu...[Read More] Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Understanding BPH Treatment and Cancer Risks in Older Patients
Treatment for Benign Prostatic Hyperplasia (BPH) Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The doctor recommended laser surgery to treat benign pr...
Dr. Du Shixi Reply:
Hello: 1. The PSA level has been elevated for over two months due to surgery. While surgery and inflammation can cause an increase, it should generally decrease. If inflammation is present, it should be well-managed. Additionally, what is the current stage of the tumor? This is...[Read More] Understanding BPH Treatment and Cancer Risks in Older Patients
Understanding Prostate Cancer Treatment and Diagnostic Options
Treatment of prostate cancer? Hello Doctor, my father was diagnosed with stage IV prostate cancer with bone metastasis in early November last year. His initial PSA level was 256. He is currently receiving monthly injections of Enzalutamide and taking oral medication, which is Bic...
Dr. Li Minghui Reply:
Hello: Please discuss your bone pain issues with your attending physician. Depending on the size of the hospital, it is generally experienced that pain may occur before medication is taken, and pain relief medication may still be needed after treatment. Additionally, health insur...[Read More] Understanding Prostate Cancer Treatment and Diagnostic Options
Managing Advanced Prostate Cancer: Treatment Options and Diagnostic Clarity
Stage IV prostate cancer Hello Doctor, my father was diagnosed with stage IV prostate cancer with bone metastasis in early November last year. His initial PSA level was 256. He is currently receiving monthly injections of Enzalutamide and taking oral medication, which is Bicaluta...
Dr. Du Shixi Reply:
Hello: Please discuss your bone pain issues with your attending physician. Depending on the size of the hospital, it is generally experienced that pain may occur before medication is taken, and pain relief medication may still be needed after treatment. Additionally, health insur...[Read More] Managing Advanced Prostate Cancer: Treatment Options and Diagnostic Clarity
Managing Persistent Elevated PSA Levels After Two Benign Biopsies
If the PSA levels are abnormal and persistently elevated, and two biopsies have confirmed benign results, the next steps in management may include: 1. **Active Surveillance**: Continue monitoring PSA levels and perform regular follow-up exams, including digital rectal exams (DRE...
Dr. Cai Zhuorong Reply:
In addition to PSA and free PSA, the volume of the prostate and the PHI score can also be considered for a comprehensive assessment. Furthermore, whether the MRI conducted in September raises suspicion of potential prostate cancer lesions is also an important reference. Evaluatin...[Read More] Managing Persistent Elevated PSA Levels After Two Benign Biopsies
Understanding Rising PSA Levels: When to Seek Further Evaluation
PSA levels have been rising in recent years? Hello, Dr. Hsu. My PSA levels have been rising over the past five years, starting from 9.7 and increasing to 14.3. The doctor performed a digital rectal exam and a biopsy, which showed benign results with benign prostatic hyperplasia. ...
Dr. Xu Wencang Reply:
Is there any abnormality in the MRI? A biopsy can be performed, and a transurethral resection of the prostate (TURP) or laser prostatectomy can be done, followed by pathological examination.[Read More] Understanding Rising PSA Levels: When to Seek Further Evaluation
Understanding Low Free PSA/Total PSA Ratios: When to See a Urologist
Free PSA / Total PSA is below the normal range? Hello, Doctor. I recently received my health check report and noticed that my free prostate-specific antigen (FPSA) to total prostate-specific antigen (TPSA) ratio is 0.18 (the report suggests it should be greater than 0.25). Upon r...
Dr. Du Shixi Reply:
Hello: As long as the PSA levels are normal, this ratio can be of less concern. Generally, it is recommended for individuals over 45 years old to have a PSA test once a year. Wishing you good health.[Read More] Understanding Low Free PSA/Total PSA Ratios: When to See a Urologist
Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation
Urinary problems Hello Doctor, I had urinary issues (frequent urination, painful urination, and a feeling of incomplete emptying) a month or two ago, so I went to a large hospital for examination. The urine test showed no inflammation, and my PSA levels were normal. The doctor di...
Dr. Liu Mingyue Reply:
Hello: 1. Is having a strong odor in urine a symptom of prostatitis? If a urinalysis is normal at this time, it may be due to insufficient hydration. If you are concerned, you can have a urinalysis done when experiencing urinary symptoms. 2. Should I continue taking medication...[Read More] Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation
Understanding Chronic Prostatitis: Symptoms, Treatment, and Next Steps
I have chronic prostatitis? Hello Doctor, I had urinary issues (frequent urination, painful urination, and a feeling of incomplete emptying) a month or two ago, so I went to a large hospital for an examination. The urinalysis showed no inflammation, and my PSA levels were normal....
Dr. Du Shixi Reply:
Hello: 1. Is having a strong odor in urine a symptom of prostatitis? If a urinalysis is normal at this time, it may be due to insufficient hydration. If you are concerned, you can have a urinalysis done when experiencing symptoms during urination. 2. Should I continue taking m...[Read More] Understanding Chronic Prostatitis: Symptoms, Treatment, and Next Steps
Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation
Urinary problems Hello Doctor, I have been experiencing urinary issues (frequent urination, painful urination, and a feeling of incomplete emptying) for the past couple of months, so I went to a major hospital for an examination. The urinalysis showed no signs of infection, and m...
Dr. Du Shixi Reply:
Hello: If not taking medication will affect your quality of life, then you should take the medication. Additionally, pay attention to your lifestyle. Wishing you good health.[Read More] Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation