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ibuprofen psa test

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Q: Prostatitis or cancer?
Please help to calm me down. It started late last year with frequent urinations with no other symptoms, my PSA was 2.7 and I was sent to Urologist for further testing. The Urologist did the DRE and told me that my prostate is soft and no nodule detected even though the right side of the prostate is slightly larger. He suspected there is some sort of inflamation that cause a slightly elevated PSA and gave me one month Septra & 2 weeks of Ibuprofen 600mg, After 2-3 weeks, my frequencies were completely back to normal. A month later, the urination started again with some discomforts in the pelvic area after having more frequent sex with my wife. I had PSA checked again before came back to see the Specialist. The PSA was 3.5 and prostate was felt again but unchanged, no nodule and soft. Cirpo given but not much change. The discomfort symptom still come and go, it usually come back a day after sex and last about a week. I’m afraid to do biopsy and cancer is diagnosed. Please help me. Thx.

A: Benign inflammation and other conditions such as BPH (benign prostatic hyperplasia) can cause an elevated PSA. Elevated PSA levels don’t always mean cancer. PSA can be increased if a man has ejaculated within two days of the test.

Some physicians consider 4.0 and above to be an elevated PSA.

You will need to follow the advice of your specialist in this situation. If he/she recommends a TURP procedure http://users.isp.com/keoni/turp/Whatis.html, you may want to agree for your peace of mind.

This question may be a little too technical for Yahoo Answers, as most of us aren’t medical professionals. I have some knowledge of TURPs and prostate hyperplastia and prostate cancer, as my father died of prostate cancer.

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