Elevated PSA, what should DP expect from GP?

[Flowerslamp]

DP has had a routine blood test through work, which has identified a slightly elevated PSA level.

3.4, when it shouldn't be above 2.5 for his age.

I known the test can be controversial and some think it leads to unecessary interventions. As I understand it, this result is higher than normal but not in the danger zone, although might indicate higher risk (and his father had prostate cancer some years ago).

DP is not a fan of doctors and thinks he will be "fobbed off" because the result is only marginally high.

So, what should he be asking/expecting from GP? What happens next?

I would have thought at least a prostate exam or an ultrasound scan or a retest to see if it remains the same.

I think a retest is probably the most sensible first action? DP will see that as a fobbing off!

Prostate cancer has a high profile in the UK so I don't think he'll be fobbed off. Anyhow he should insist on what he wants the next steps to be for his own peace of mind.

But what should they be?

You are joking? My friend was fobbed off, ended up going private ... low and behold stage 3 prostate cancer. He'd be dead if he listened to his GP.

Also, a high PSA level doesn't necessarily mean cancer.

My husband's was 14.5 and after an examination and tests it was indeed found to be cancer.

My friend's husband had a PSA of 29 and after loads of tests it was found to be non-cancerous and simply an enlarged prostate.

I'm sure the very least your DP will be examined. All the best....

He should insist on
1, retest of bloods
2, prostate exam
3, ultrasound scan

As PP have said it could be an enlarged prostate and should therefore be kept an eye on. Enlarged prostate can lead to urination frequency and sexual dysfunction too

Why/how is your friend getting fobbed off. I would insist on tests.

Which is why you request further examinations and tests.

My DH had a significant reading.
He decided that he definitely had months to live and was sent for an MRI.
It turned out to be an infection which cleared up with a lengthy course of antibiotics