Hello Devonroy and thanks for posting,

I can understand you asking, but I am afraid I can't tell you what this recent rise in PSA might mean.

I expect you already know that a continuous rise in PSA levels after treatment can sometimes be an early sign that a prostate cancer is becoming active. And as your doctors have brought forward the date for your next PSA test, I can appreciate you wondering if this is what is happening. It might be a possibility, but it sounds like the doctors want to see what the level is next time before deciding what the cause is.

It may be worth knowing that some things can have an effect on PSA levels, for example taking vigorous exercise or ejaculating in the 48 hours before the sample of blood is taken to test.

'Not knowing' is inevitably unsettling. If you have a urology/prostate cancer nurse at the hospital it could be worth contacting them to talk this over. Or otherwise your GP. But I think it seems to be a bit of a waiting game with the answer depending on your next PSA test, so for now if you can, try not to dwell on the outcome too much. 

Give us a call if you want to talk anything over. The number to call is Freephone 0808 800 4040 and we are around weekdays from 9-5.

Best wishes,

Julia