PSA test after bottoming

  • iconoclast

    Posts: 6

    Jul 13, 2015 8:24 PM GMT
    A few days after I was vigorously topped for the very first time icon_biggrin.gif I had some blood work done that I didn't realize included a PSA (prostate specific antigen) test. The results came back seriously elevated (as in, six months ago the result was a low 0.9 and this result was 9.0, where 4 and above is abnormal). A few web searches revealed that the elevated result could be caused by the prostate stimulation I got a few days before, not to mention the massive orgasm I had in conjunction with it. Anyway, just wondering if any of you had experience with this? I didn't connect the dots until after I left the doctor's office and so I was referred on to a urologist. I've just had another lab done for it on my own, expecting to see a much lower number (I have not bottomed since and haven't ejaculated in several days either).
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    Jul 14, 2015 5:14 AM GMT
    MuchMoreThanMuscle saidI have heard of this and if I recall correctly, just make sure to inform your physician of your sexual proclivities in the bedroom. S/he may tell you to avoid receptive anal sex for awhile.

    I would recommend that you masturbate regularly to clear the prostate. If I'm not mistaken the "abuse" that a prostate can take from the constant "jabbing" of being topped is the only concern.

    If I don't masturbate and clear my prostate regularly I will have a vicious case of prostatitis that really hurts.

    Also, and this is just on a purely personal and anecdotal level but I find that eating lycopene rich foods and also drinking water with a couple teaspoons of organic apple cider vinegar helps to keep my prostate feeling great.

    Don't go long bouts without ejaculating. It's very good to clean and flush it out with regularity.


    Great advice. Could you maybe post a video of you doing this? I think it would help a lot of us understand proper technique....
  • Destinharbor

    Posts: 4435

    Jul 14, 2015 2:56 PM GMT
    I've never heard of anal sex causing a jump in the PSA numbers but who knows? At your age you should have an established relationship with a urologist anyway. Current thinking is that the PSA is only an indication that something should be watched. That doctors over-reacted to elevated numbers and actually did more harm than good with the treatment for decades. Go to the urologist. He'll guide you. My PSA jumps occasionally but as long as it comes back down fairly quickly, it doesn't mean anything. Don't worry.
  • FRE0

    Posts: 4865

    Jul 14, 2015 5:12 PM GMT
    It is not a good idea to depend on only one reading. The PSA can vary significantly from one test to another just as blood pressure can. Also, there are several things that can cause the PSA to be elevated. Even a bladder infection can cause an elevated PSA.

    Consider waiting a few weeks and having a retest.
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    Jul 14, 2015 5:42 PM GMT
    iconoclast said
    Anyway, just wondering if any of you had experience with this? I didn't connect the dots until after I left the doctor's office and so I was referred on to a urologist. I've just had another lab done for it on my own, expecting to see a much lower number (I have not bottomed since and haven't ejaculated in several days either).

    Yes. Patients are typically advised to abstain from sex for 3 days prior to a PSA test. Although I've had some doctors omit that guidance, I just know to always do it on my own.

    The PSA test measures prostate stress or stimulation. It is not exclusively a cancer test, as some people think. A high PSA number MAY be due to cancer, but also caused by infection, or recent sexual activity. A 9 reading is high, and should now be followed by a retest, preceded by 3 days of sexual abstinence, including no masturbation.

    My PSA went over 14. A biopsy showed somewhat advanced cancer. At 48 you are still on the low age range for contracting cancer, but not outside the realm of possibility. An infection, that I've also had, likewise needs attention.

    I would strongly urge you to retest. Your recent sexual activity would be a good candidate for a high PSA reading. But that's no guarantee.
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    Jul 15, 2015 4:54 AM GMT


    Yeah, something my doctor neglected to tell me, way before the actual PSA test. At least a week before the test, you must abstain from any sexual release or stimulation of your prostate.

    I had my PSA checked yearly (for 5 years) as part of routine tests and it kept increasing. Doctor said he wanted to establish a 'baseline', but my readings were all inaccurate because of the lack of instruction above.

    PSA test is controversial for this reason. I would recommend digital rectal exam(s) (DRE) instead of relying on numbers from PSA. Unless you can abstain for a week, but even during your sleep cycle, we get aroused with precum leakage so there is really no getting around full abstinence of the prostate gland. I heard one horror story from a friend who had a biopsy, due to his PSA level too high and after an ordered colonoscopy, became urinary incontinence (much like an enlarged prostate, he had to pee many times during the night), the biopsy showed nothing and now he has to live with the incontinence.

    I ended up telling my doctor to stop doing the blood PSA test. icon_confused.gif
  • iconoclast

    Posts: 6

    Jul 15, 2015 6:15 PM GMT
    Thanks for the advice everyone, all of the tips and information are very useful. I just had a retest this week after no receptive anal intercourse for weeks and no ejaculation for several days beforehand. It was much lower at 4.9 but still just outside of the normal range. Going to see a urologist in a couple of weeks to sort it out. I suspect it's just an irritation or prostatitis but maybe he can figure out more with an exam. With so many possible confounding things it's not a great test but as with anything medical they tend to err on the side of caution.
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    Jul 15, 2015 7:14 PM GMT
    iconoclast saidThanks for the advice everyone, all of the tips and information are very useful. I just had a retest this week after no receptive anal intercourse for weeks and no ejaculation for several days beforehand. It was much lower at 4.9 but still just outside of the normal range. Going to see a urologist in a couple of weeks to sort it out. I suspect it's just an irritation or prostatitis but maybe he can figure out more with an exam. With so many possible confounding things it's not a great test but as with anything medical they tend to err on the side of caution.

    Good decision.
  • carew28

    Posts: 661

    Aug 18, 2015 7:41 PM GMT
    Good luck with your urology appt. It's good that your later PSA was lower, but it's better to be safe than sorry, and a followup urology appt. sounds like the right thing to do.

    I have a PSA test done twice yearly, because of a history of prostate problems in my family. The first ones, several years ago, came out slightly above 1, which is low, and good. Later ones increased to slightly above 2, which isn't too bad. The one I had last February was about 3.5, the highest ever. My physician's asst. said if it continued to increase, he was going to refer me to a specialist. However, the latest PSA, which I had last week, was down to 2.5, so that was somewhat of a relief. The P.A. said an occasional high PSA isn't too bad. It's a steadily increasing PSA that might warrant a biopsy.

    Unfortunately, the urinalysis also, for the first time, found moderate traces of blood in my urine. So now I must go for an ultrasound. There are many causes of blood in urine, some serious and some not so serious. The chances of it possibly being something serious increase with age, so I think the prudent thing is to go for the ultrasound.

    I miss so much the good old days, when I'd go for an annual physical, it comes out fine, and the doctor says "You're fine, see you next year !" Now, they always seem to find something that needs further checking, and it's one appointment after another. Oh well, I guess that's life, and a part of the aging process that we must all go through.
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    Aug 18, 2015 8:04 PM GMT
    carew28 saidGood luck with your urology appt. It's good that your later PSA was lower, but it's better to be safe than sorry, and a followup urology appt. sounds like the right thing to do.

    I have a PSA test done twice yearly, because of a history of prostate problems in my family. The first ones, several years ago, came out slightly above 1, which is low, and good. Later ones increased to slightly above 2, which isn't too bad. The one I had last February was about 3.5, the highest ever. My physician's asst. said if it continued to increase, he was going to refer me to a specialist. However, the latest PSA, which I had last week, was down to 2.5, so that was somewhat of a relief. The P.A. said an occasional high PSA isn't too bad. It's a steadily increasing PSA that might warrant a biopsy.

    Unfortunately, the urinalysis also, for the first time, found moderate traces of blood in my urine. So now I must go for an ultrasound. There are many causes of blood in urine, some serious and some not so serious. The chances of it possibly being something serious increase with age, so I think the prudent thing is to go for the ultrasound.

    I miss so much the good old days, when I'd go for an annual physical, it comes out fine, and the doctor says "You're fine, see you next year !" Now, they always seem to find something that needs further checking, and it's one appointment after another. Oh well, I guess that's life, and a part of the aging process that we must all go through.

    I had a negative ultrasound, and the doctors also found nothing with a DRE. Nor did I have have any particular pain, although I was experiencing urine blockage. But my sky-high PSA of 14 meant I needed a biopsy. It found my advanced prostate cancer, that led to radiation and surgical implants. BTW, 4 years later I'm still cancer free.

    No single test definitably answers the question of whether you have prostate cancer, except a biopsy from the suspected area. Not PSA, not DRE, not ultrasound, none of them. They are merely potential warning flags.