Go Back  Bike Forums > Bike Forums > General Cycling Discussion
Reload this Page >

Under 50, PSA and Cycling

Notices
General Cycling Discussion Have a cycling related question or comment that doesn't fit in one of the other specialty forums? Drop on in and post in here! When possible, please select the forum above that most fits your post!

Under 50, PSA and Cycling

Old 01-03-20, 11:49 PM
  #1  
PedalingFool
Senior Member
Thread Starter
 
PedalingFool's Avatar
 
Join Date: Jun 2008
Location: Capac, MI
Posts: 355

Bikes: Trek 1.2, Trek Mtn, Specialized Gravel, Jamis TT, Specialized FatBoy

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 3 Post(s)
Liked 1 Time in 1 Post
Under 50, PSA and Cycling

I'm not 50 years old yet so I wasn't sure where to post this... my apologies if this isn't posted in the correct forum.

I'm wondering if any cyclists here, under 50, are having the same issues.

I've been averaging around 3-5,000 miles per year for the past 5 years or so. I always had frequent urination issues since I was a teenager but over the past year or so it's been getting really bad.

I did a PSA test and the results came back with a 34.1 PSA level. I understand that cycling may elevate PSA levels but that much? Now it was one of those home testing kits that you draw your own blood and send in to get the results. So maybe those aren't too reliable or accurate.

I have a doctor appointment on Wednesday Jan 8th. I won't be deviating from any of my cycling routines until this day and the doctor tells me otherwise.

48 years old (49 in March)
PedalingFool is offline  
Old 01-04-20, 12:54 AM
  #2  
bpcyclist
Senior Member
 
Join Date: Sep 2019
Location: Portland
Posts: 1,115
Mentioned: 10 Post(s)
Tagged: 0 Thread(s)
Quoted: 448 Post(s)
Liked 361 Times in 225 Posts
See who the urology people are in your area who cycle. That is the person to talk to. Maybe run it by people you trust in your local cycling groups. You don't have to tell them why you are asking. I am not a urologist and am no PSA expert, so I just don't know. But the one thing to always keep in mind for all of us about PSAs is that they remain pretty controversial in terms of just what we ought to be doing with the results of the test.
bpcyclist is offline  
Likes For bpcyclist:
Old 01-04-20, 05:46 AM
  #3  
jpescatore
Senior Member
 
Join Date: Oct 2017
Location: Ashton, MD USA
Posts: 1,072

Bikes: Trek Domane SL6 Disc, Jamis Renegade

Mentioned: 6 Post(s)
Tagged: 0 Thread(s)
Quoted: 295 Post(s)
Liked 199 Times in 146 Posts
A PSA of 34 is enormously high - definitely get a real test done.

I'm 62, I have a family history of prostate cancer so I've been doing the urologist testing regularly as the level has been creeping up over time. When it got near 10, the recommendation was to have a biopsy - came up clean. For the next test, I avoided biking and sex for a week before, and the level went down. Forgot to do so for next one and level went back up.

My urologist says there is no scientific data that shows any correlation between biking and temporarily elevated PSA levels, however.
jpescatore is offline  
Likes For jpescatore:
Old 01-04-20, 06:09 AM
  #4  
shelbyfv 
Senior Member
 
shelbyfv's Avatar
 
Join Date: Jun 2007
Location: TN
Posts: 8,170
Mentioned: 31 Post(s)
Tagged: 0 Thread(s)
Quoted: 2178 Post(s)
Liked 2,031 Times in 1,100 Posts
Originally Posted by jpescatore View Post
My urologist says there is no scientific data that shows any correlation between biking and temporarily elevated PSA levels, however.
Good to hear!
shelbyfv is online now  
Likes For shelbyfv:
Old 01-04-20, 06:27 AM
  #5  
sweeks
Senior Member
 
sweeks's Avatar
 
Join Date: Sep 2004
Location: Chicago area
Posts: 1,657

Bikes: Airborne "Carpe Diem", Motobecane "Mirage", Trek 6000, Strida 2, Dahon "Helios XL", Dahon "Mu XL", Tern "Verge S11i"

Mentioned: 18 Post(s)
Tagged: 0 Thread(s)
Quoted: 660 Post(s)
Liked 168 Times in 126 Posts
Not to be too graphic, but a few years ago, I noticed blood in my semen. I can tell you I went to a urologist pronto! He told me it was nothing to worry about, as the prostate is a mass of fragile blood vessels (his words) and prone to injury. He said blood in the urine is much more worrisome, as it can indicate bladder cancer or other serious conditions.
I changed the saddle (it was an OEM saddle on a Dahon folder) and the problem never came back. Oddly, my PSAs have always been low. I'll be 70 in August, FWIW.

EDIT: Back in the day, I was a med-tech and I did blood chemistry tests. Before the PSA ("Prostate-Specific Antigen") there was a test called "Prostatic Acid Phosphatase". One of the known causes of a false elevation was a recent "digital exam". It is not clear to me why this should not affect the PSA test, but apparently it doesn't. And, last time I had a physical exam, my doc said they're not doing the digital exam anymore because there were too many "false positives" that resulted in needless biopsies. Maybe he just didn't want to stick his finger... well, you know!

Last edited by sweeks; 01-04-20 at 06:35 AM.
sweeks is offline  
Likes For sweeks:
Old 01-04-20, 07:17 AM
  #6  
Koyote
Senior Member
 
Join Date: Sep 2017
Posts: 3,549
Mentioned: 28 Post(s)
Tagged: 0 Thread(s)
Quoted: 2894 Post(s)
Liked 3,731 Times in 1,678 Posts
PedalingFool : You did the smart thing by making a doctor's appt. At 48, you should have an annual physical which includes full blood work - which includes a PSA.

Your physician will almost certainly do a digital exam of your prostrate. If you've never experienced that before, you're in for a real treat.
Koyote is offline  
Likes For Koyote:
Old 01-04-20, 07:44 AM
  #7  
jon c. 
Senior Member
 
Join Date: Mar 2012
Location: Tallahassee, FL
Posts: 4,092
Mentioned: 4 Post(s)
Tagged: 0 Thread(s)
Quoted: 1134 Post(s)
Likes: 0
Liked 304 Times in 170 Posts
Originally Posted by sweeks View Post
One of the known causes of a false elevation was a recent "digital exam". It is not clear to me why this should not affect the PSA test, but apparently it doesn't.
I had a digital exam a year or two back and had blood drawn half an hour later. My PSA was elevated but when I advised my GP that I had just had the digital, he dismissed the high result as he said it was a function of the exam. And it was back to normal on the next set of texts.
jon c. is offline  
Likes For jon c.:
Old 01-04-20, 08:40 AM
  #8  
AlmostTrick
Tortoise Wins by a Hare!
 
AlmostTrick's Avatar
 
Join Date: Feb 2006
Location: Looney Tunes, IL
Posts: 7,289

Bikes: Wabi Special FG, Raleigh Roper, Nashbar AL-1, Miyata One Hundred, '70 Schwinn Lemonator and More!!

Mentioned: 21 Post(s)
Tagged: 0 Thread(s)
Quoted: 1486 Post(s)
Liked 832 Times in 442 Posts
I didn't know PSA levels could go that high. Get another test for sure and let us know how it goes.

My last test came up 4.25 and the uro center wanted to do a biopsy. After lots of reading on the controversial subject (and the risk/reward statistics) I said nope. I'm 59.

Last edited by AlmostTrick; 01-04-20 at 08:43 AM.
AlmostTrick is offline  
Likes For AlmostTrick:
Old 01-04-20, 09:38 AM
  #9  
TakingMyTime
Senior Member
 
Join Date: Aug 2012
Location: Los Alamitos, Calif.
Posts: 2,021

Bikes: Trek 7.4 FX, 5200 & 7700

Mentioned: 4 Post(s)
Tagged: 0 Thread(s)
Quoted: 757 Post(s)
Liked 507 Times in 315 Posts
I didn't know it could even go that high. Back when I used to get my level checked I would have fainted if my doctor told me it was that high
TakingMyTime is offline  
Likes For TakingMyTime:
Old 01-04-20, 09:42 AM
  #10  
Kabuki12
Senior Member
 
Kabuki12's Avatar
 
Join Date: Jan 2016
Location: Ventura County ,California
Posts: 1,611

Bikes: 1973 Windsor Profesional,1976 Kabuki diamond formula with full Campy, 1977 Raleigh Competition GS , 1971 Stella original Campy equip. 1978 Raleigh Super Grand Prix, 1972 Italvega Gran Rally ,1972 Super Mondia Special,Medici Pro Strada,Colnago

Mentioned: 18 Post(s)
Tagged: 0 Thread(s)
Quoted: 359 Post(s)
Liked 548 Times in 367 Posts
I am 65 years young and have been riding most of my life . My psa is super low, I can’t remember the exact number but my Dr. said it is a baseline and the important thing is any upward trend in the number needs to be addressed by a specialist. He knows I am a cyclist and also my other small issues. I think things like health issues should be primary importance in life, always talk to your Doc if anything concerns you. Better to be safe. Joe
Kabuki12 is offline  
Likes For Kabuki12:
Old 01-04-20, 09:44 AM
  #11  
Crapwonk
Junior Member
 
Join Date: Feb 2014
Location: Smith Mountain Lake, near Roanoke, VA
Posts: 12
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 5 Post(s)
Liked 10 Times in 7 Posts
PSA Testing

Best practice is to refrain from sex for 48 hours before PSA testing and to do the blood draw before the digital rectal exam. Both of those can increase PSA. However, 38 is off the charts. There is a different, more accurate prostate-related blood test that is needed if you have a high PSA test. As a general note, you can schedule your blood draws for a physical a week before the actual physical and then have the results in hand to discuss with your physician at the physical. Much more useful than getting a sheet of numbers after the physical.

I had a PSA above 10 a couple of years ago, had the second prostate-related test, and then had a biopsy. The biopsy was not fun, but mostly due to the unknown nature of the test itself and the fear of a cancer diagnosis. The biopsy itself is virtually painless and quite fast. Don't let that fear hold you back if you need a prostate biopsy. Turns out I had a prostate infection that took several months of antibiotics to recover from.
Crapwonk is offline  
Likes For Crapwonk:
Old 01-04-20, 12:07 PM
  #12  
BikeMaster119
Junior Member
 
Join Date: Jan 2020
Posts: 11
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Liked 2 Times in 2 Posts
Originally Posted by PedalingFool View Post
I'm not 50 years old yet so I wasn't sure where to post this... my apologies if this isn't posted in the correct forum.

I'm wondering if any cyclists here, under 50, are having the same issues.

I've been averaging around 3-5,000 miles per year for the past 5 years or so. I always had frequent urination issues since I was a teenager but over the past year or so it's been getting really bad.

I did a PSA test and the results came back with a 34.1 PSA level. I understand that cycling may elevate PSA levels but that much? Now it was one of those home testing kits that you draw your own blood and send in to get the results. So maybe those aren't too reliable or accurate.

I have a doctor appointment on Wednesday Jan 8th. I won't be deviating from any of my cycling routines until this day and the doctor tells me otherwise.

48 years old (49 in March)
Normally I do not think the problem is from the bicycle, you may have a prostate problem, the urination from there comes, health and pedaling increase.
BikeMaster119 is offline  
Likes For BikeMaster119:
Old 01-04-20, 01:42 PM
  #13  
BarryVee
Senior Member
 
BarryVee's Avatar
 
Join Date: Apr 2015
Location: N. California
Posts: 158

Bikes: Trek Emonda SL6, Santa Cruz Tallboy 27.5+

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 37 Post(s)
Likes: 0
Liked 9 Times in 6 Posts
Elevated PSA

Doc got excited when mine jumped from a normal of <1 to 11. Doc ordered me off the bike a couple weeks and PSA retested at 6. Lowered my seat nose slightly and returned to riding. Follow up test and subsequent tests are back to normal.

IMO any abnormal test result should be investigated. And our Doctor should be informed how much we ride.

Last edited by BarryVee; 01-04-20 at 01:49 PM.
BarryVee is offline  
Likes For BarryVee:
Old 01-04-20, 01:46 PM
  #14  
Rajflyboy
Banned.
 
Rajflyboy's Avatar
 
Join Date: Oct 2018
Location: Carolinas
Posts: 1,293

Bikes: Orbea

Mentioned: 8 Post(s)
Tagged: 0 Thread(s)
Quoted: 917 Post(s)
Liked 204 Times in 169 Posts
Damn

I guess I need to become a priest.
Rajflyboy is offline  
Likes For Rajflyboy:
Old 01-04-20, 02:07 PM
  #15  
308jerry
Senior Member
 
Join Date: Jul 2018
Posts: 300
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 144 Post(s)
Liked 70 Times in 43 Posts
Originally Posted by Rajflyboy View Post
Damn

I guess I need to become a priest.

Please.... Don't go there.......
308jerry is offline  
Likes For 308jerry:
Old 01-04-20, 03:10 PM
  #16  
Rajflyboy
Banned.
 
Rajflyboy's Avatar
 
Join Date: Oct 2018
Location: Carolinas
Posts: 1,293

Bikes: Orbea

Mentioned: 8 Post(s)
Tagged: 0 Thread(s)
Quoted: 917 Post(s)
Liked 204 Times in 169 Posts
I didn’t realize carrying out biology raised psa levels

Rajflyboy is offline  
Likes For Rajflyboy:
Old 01-04-20, 03:56 PM
  #17  
OldTryGuy
Senior Member
 
Join Date: Jun 2013
Location: SW Fl.
Posts: 5,097

Bikes: Day6 Semi Recumbent "FIREBALL", 1981 Custom Touring Paramount, 1983 Road Paramount, 2013 Giant Propel Advanced SL3, 2018 Specialized Red Roubaix Expert mech., 2002 Magna 7sp hybrid, 1976 Bassett Racing 45sp Cruiser

Mentioned: 16 Post(s)
Tagged: 0 Thread(s)
Quoted: 885 Post(s)
Liked 395 Times in 264 Posts
Originally Posted by PedalingFool View Post
I'm not 50 years old yet so I wasn't sure where to post this... my apologies if this isn't posted in the correct forum.

I'm wondering if any cyclists here, under 50, are having the same issues.

I've been averaging around 3-5,000 miles per year for the past 5 years or so. I always had frequent urination issues since I was a teenager but over the past year or so it's been getting really bad.

I did a PSA test and the results came back with a 34.1 PSA level. I understand that cycling may elevate PSA levels but that much? Now it was one of those home testing kits that you draw your own blood and send in to get the results. So maybe those aren't too reliable or accurate.

I have a doctor appointment on Wednesday Jan 8th. I won't be deviating from any of my cycling routines until this day and the doctor tells me otherwise.

48 years old (49 in March)
I am a GLEASON 10 PCa Prostate Cancer surviving 69yo bicycle rider AND YES, BICYCLING CAN RAISE THE PSA along with infection, sex, lifting weights, stress, DRE plus----

PSA numbers can be triple digit and higher. A high number does not prove the existence of PCa but it is a warning sign that something is up. I would run, not walk from a Dr. who says bicycling right before a blood test is not a problem.

A TRUS biopsy, the most prevalent biopsy performed, samples very little of the prostate and as such is not very reliable. A 3TmpMRI is not invasive and can reveal PCa that a TRUS can easily miss. The newer Micro-Ultrasound Technology --- https://www.ncbi.nlm.nih.gov/pubmed/31309290 --- could very well be the new Gold Standard.
OldTryGuy is offline  
Likes For OldTryGuy:

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Thread Tools
Search this Thread

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service - Do Not Sell My Personal Information -

Copyright 2021 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.