Be Chaste Before a PSA Test

Conversely, I was chaste, had the test with a raised level, had the digital exam, then biopsy. Urinary infection in the end.

 

I'm confused. Is this a post about your prostate or your stance on vaccines and junk science?

 

I did and I do but that's beside the point.

This looks like a thinly-veiled knock on your former doctor because he wanted you to get a vaccine.

But congrats on your negative PSA test. I would still get the finger up your bum though.

 

Could have been COVID

I got the vax and never got COVID or a UTI



Just saying

 

I hear you, it's tough these days to find doctors that don't believe in science, good luck with your search.

 

Me too! Also, I never took Ivermectin but mysteriously I also didn't get lice - which it was designed for.

Clean living I suppose.

 

We’re all the science experiment, whether you get the jabs or not, preaching about it from either side is just a waste of time. Choose what you want for yourself and those you’re responsible for and live your life.
Just our personal experience and don’t really care if anyone approves or not,
but we decided to pass on the shots, even as my Wife is in the medical field, but we saw they literally treated people with vitamin C, D and zinc when they were admitted to the hospital with it. And we’ve taken those supplements for years prior and still do daily, along with trying to eat decent and exercise and practice hygiene, still haven’t had the Rona or the flu.
Almost every one of her coworkers who got all the shots have had covid multiple times, the few who opted out have not.
Is that science? Don’t know, is that anything other than luck? Don’t know, don’t care.

Again, not preaching, do what the fuck you want, just like everything else on this forum right?
Wanna wear a steel or plastic cage on your cock?? So odd!!! Go for it!

Be happy and live life and make your choices and deal with your consequences

 

Skeptics just need a sense of humor is all

 

With me the PSA tests always came out pretty good. It was the old finger up the butt that indicated an enlarged prostate, and guess what? i have prostate cancer. Slow moving but cancer non the less. Moral of the story do not refuse any kind of test for this. Any or all of them could be the one thing that saves your life.

 

Urinary infections are bad enough on their own! Glad it turned out not to be anything worse for you.

 

Has anyone seen a jump in psa since starting chastity?
I’ll be due for labs next spring as I’m on TRT, and psa will be part of that, and we’ve cut my orgasms drastically, well, for us any way. So I’ll see if my psa changes much between spring of ‘22 and ‘23.
Just wondering if orgasms affect it. I know you can find both viewpoints out there, shocking, just like everything else

 

Great response - sometimes the good old fashioned way is best - I trust things work out for you & you monitor things closely !

 

Well, this thread predictably turned to snark and sniping.

Glad you found a doctor willing to listen. Seems a rare thing.

I'm on TRT and get labs every 6 months. I'll need to go back and look at my results and see how it lines up with chaste periods.

 

Ejaculation and strenuous physical exercise within 48 hours can elevate PSA . I'd also avoid physical stimulation of the prostate for the same period of time prior to the test. PSA's aren't foolproof (though they're more reliable vs. digital rectal examinations). Probably worth following up on in a short bit. That's especially true you have a significant family history of prostate and other cancers.

Wether or not ejaculation is protective from Prostate cancer is unclear. There is evidence that men who ejaculate more frequently tend to have lower rates of cancer. But, there are several confounds, like men who can ejaculate more frequently, are probably in better health anyway.

This isn't the place to discuss COVID-19 vaccinations ( I'd be happy to do so via PM). If you do end up requiring treatment, you'll be hard pressed find an Oncologist that will treat patients who are not up to date on their vaccines though.

 

Given the direction of the thread, story time, I guess ....

My old doc always did a DRE, but retired. My new doc is a woman who never does one. She's very conservative when it comes to male patient getting naked without an assistant present to cover her ass. When I started having BPH problems, her PA (who is also a woman) saw me and didn't waste any time before giving me a DRE (and without an assistant in the room). Wham, bam, thank you ma'am.

After getting referred to my now-urologist, who is also a prostate cancer specialist, he does a DRE every time along with PSA blood work. I asked him why my new doc relied on PSA when he and my old doc did DREs. He said that partly it's how they have been trained, but PSA doesn't tell the whole story. He can tell by the texture of the prostate whether or not he needs to take a closer look regardless of PSA and said, "A nodule trumps a low PSA score".

At about that time, I was also on testosterone therapy so he and my endocrine doc were both watching my PSA and red blood cell count every visit (three docs, three tests a year). I made the mistake of having sex and an orgasm the day before a blood draw and had elevated PSA in the mid 3s. Like you, no one told me that we're not supposed to have sex before a draw and when I asked my urologist, he said "24 hours is fine and other things can make it high. If we get a high number, we go over it and retest so it's not that big of a deal. I'm looking for trends." My re-test was lower, so no harm no foul I guess. In any case, none of my docs has ever told me to abstain.

When my regular doc asked about it, she agreed that one high test is a blip, two is concerning, and thee is a pattern and doesn't tell her patients not to have sex either. My next test a few months later was higher, and so was the retest a few weeks later so my endo and oruolgy docs put their heads together and stopped my testosterone and I had a biopsy, which showed "some atypia, but inconclusive". I had a second biopsy some time later, which was clear. I'll spare you the details, but if you've never had the pleasure then consider yourself lucky.

Then, months later I made a big mistake by indulging in some prostate play over the weekend before a blood draw that I had forgotten all about. When I got the reminder text, I knew that I should postpone the draw but I had a visit with my doc scheduled that week and rescheduling would've meant waiting 4 months because docs here are booked months out. Long story short, my results were very high (as you might expect), so after listening to my sheepish explanation about butt play he asked me to have a pelvic MRI so he could get a better look at my prostate. The result was absolutely clean and normal, so at least I have that going for me.

So, that's my experience. Hope it's not over-sharing.

 

PSA level is very often too high. Prostate stimulation in every way induces this.
Even cycling.

In my eyes it is not so valid. Rectal sonography is best.

 

My PSA numbers were fine, but my prostate had swollen shut. Don’t let doctors tell you that the PSA test is more accurate. A manual inspection or a sonogram is your best best, along WITH a PSA test. It’s your life you are dealing with.

 

I had a very similar experience as the OP. I mistakenly thought ejaculating might help my PSA score, the result was over 6 like the OP. Back in 2019 I was over 5 and was referred to a urologist who confirmed my prostate was enlarged. A biopsy was performed and came back clean. From that point on my score would steadily decrease but I kept up on my prostate exams. Like another poster, my doctor said that PSA was not the ultimate factor. If there were nodules he would be more concerned, fortunately it is smooth. But now since the PSA was so elevated, he recommeded a more expensive blood test that I guess is more thorough which is happening tomorrow morning. Depending on that result he might recomment another biopsy which I am reluctant to have done.

 

The PSA is imperfect and is often high due to an enlarged prostate. A digital exam can help confirm BPH. It seems to take a variety of tests and exams to develop a diagnosis.

Finding a urologist and getting regular exams is a very good idea for guys. Many will experience prostate issues of one sort another as they age.

 

My brother had the same problem. He literally could not urinate. They basically went in and "scooped some of it out".

I've had two. The second is just as much fun as the first . The pelvic MRI maxed out my insurance deductible, but it left no question unanswered.

 

Mine was 2.5 and a slightly enlarged prostate for my age, then I had been chaste but milking myself to give myself some relief. I also bike ride a lot.

Doctor wanted to refer me to urologist because my father had prostate cancer.

I got another doctor, she is crazy conservative, and kept trying to send me to specialists and spend my money all the time. When I did my research , in 2 years time my prostate size would be normal (measured via ultrasound)...lol I have no problems urinating.

I get this checked annually, if I see a increase ill worry then.