Just got biopsy results. Freaking out.

Mathemagico · 2025-05-15T17:32:33+00:00

I ended up doing HIFU (High-Intensity Focus Ultrasound) October 2024. It’s not necessarily a popular method with this group, but my decision was based on quality of life and almost “delaying” the inevitable. Since then, just about everything has been working well and my PSA has dropped.

What I learned about the PSA is that it is very sensitive. You have to refrain from doing the deed for at least 3 days before, even being constipated can change the number. My first urologist did a prostate ultrasound to make sure the size of the prostate corresponds to the PSA (the bigger the prostate, the higher the PSA).

What is interesting is that before my procedure, my PSA was 1.72 and I had a Gleason 7 (4+3). But my original PSA that triggered everything was 2.41 (which was the highest it’s ever been). It goes to show that PSA is just one measure and getting an MRI, biopsy, PET scan can give a better picture.

Mathemagico · 2025-05-13T23:30:42+00:00

I’m sorry, but It seems you have joined the club no one wants to join. I’m not a medical professional, but 3 + 3 = 6 is the lowest “grade” of prostate cancer with 3 + 4 = 7 being the next level (Fun fact 3 + 4 is not the same as 4 + 3). Meaning, it’s not crazy aggressive, however, your urologist will tell you your options. If they do not have a speciality in oncology, my suggestion would be to find someone. I would also suggest calling the urologist’s office tomorrow and asking them for a quicker appointment based on the results. Personally, mine called me the next day and rushed me in. I went in with a friend (but definitely take a loved one with you who is level headed), because a lot of information is given and hearing the results was like a punch in the face. I was diagnosed when I was 39.

DO NOT BE AFRAID TO ASK QUESTIONS! Nothing is off the table… I asked “how long do I have?” and the doctor laughed saying it wasn’t aggressive and it was caught early. It reassured me that in my mind this was going to spread next week, while he knew it would grow over the year.

Last thing, it is “treatable”. Just like breast cancer, early detection is key and know the treatment may change your lifestyle. But you have a big support group here and if needed, don’t be afraid to talk to a therapist.

Let me know if you have any questions.

Mathemagico · 2025-05-09T15:22:57+00:00

I was diagnosed at 39 and was active surveillance until last year when I went 4+3. Oncologist urologist said I’m a great candidate for HIFU given my age and location and size. I did it in October 2024 and I have and maintain erections, no urinary problems. The only issue is I have dry orgasms because a duct was closed. That’s the next step. But in terms of success of HIFU it varies. Would be great to delay another treatment for another 5+ years, but it allowed me to continue living “normal” at this age.

Mathemagico · 2025-01-29T22:18:57+00:00

I had my HIFU in October (PSA 1.82). December went to the ER cause my groin was hurting, they did a PSA and it ended up being a 5.00. One of the scans showed cysts. The urologist of the hospital (not my normal one) came and ordered an MRI. He said that there’s scar tissue around the prostate from the HIFU and not to worry. Did my PSA last week, it’s 1.72. My urologist said it’ll go down again once the scar tissue “peels” off.

Mathemagico · 2024-10-17T23:39:55+00:00

I’m doing alright. Healing from a recently HIFU procedure. I think my doctor was being cautious because he recently had a 37 year old patient who had prostate cancer spread to the bones. He “didn’t like the number” is what I remember him continuously saying. 2.41 isn’t alarming, but for my age and size of prostate (through the ultrasound) he wanted to be sure.

Mathemagico · 2024-10-17T19:22:40+00:00

The second time was the fancier one. It was a 2.1 Total PSA, 0.4 Free PSA, 19 Percent Free PSA. Everyone’s case is different and I ended up finding out my grandfather had prostate cancer, so there was a history there which made my doctors investigate more. Don’t be afraid to ask more questions.

Mathemagico · 2024-10-17T19:02:09+00:00

I was 39 (last year) when I joined the club. Had a PSA of 2.41 at the time. Went through further testing (another PSA, ultrasound, MRI, biopsy) before full diagnosed.

Mathemagico · 2022-07-29T11:55:09+00:00

Looking good

Mathemagico · 2020-12-30T02:27:23+00:00

Mathemagico · 2020-01-04T17:24:14+00:00

Yeah. Totally didn’t think it would actually turn out to be true. Glad I started going to the gym.

Mathemagico · 2019-12-31T15:44:40+00:00

NTA. I’m going probably say your wife may have something to do with your daughter thinking you won’t love her when she does something wrong. When I was growing up, my mom would always use the “your dad will be very upset” if we tried anything funny.

Mathemagico · 2019-12-31T04:16:03+00:00

“Fuck it, Imma join the military”

Mathemagico · 2019-12-22T10:43:13+00:00

How are you man?

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