Ask general practitioner Maarten: PSA value

By Submitted Message
Posted in Health, General practitioner Maarten
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2 August 2023

Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand.

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Dear Martin,

I am D., 173 tall and 67 kilos, medication 1 aspirin, 1 doxa and 1 finasteride per day.

My question is about PSA, my PSA value is almost 16, now I am taking finasteride with doxazosin. I know that I have to use this remedy for 6 months to come to a conclusion whether or not it works. If it works and the PSA goes down, does this mean that if I continue with this, the PSA will continue to drop or will this also come to an end?

I have been using this product for 2 months now and I want to have it checked this year whether the value has decreased. If not, should I consider a Holep treatment or a Turp, which is better and less painful?

Thank you for your opinion.

Regards,

D.

****

Dear D,
If you are using prostate gets smaller, the PSA generally goes down. If it does not get smaller and you have complaints, a Holep treatment generally has fewer complications.
Do get an MRI, if it hasn't already been done, to see if there's nothing else going on.
Whether the PSA continues to fall after six months is anyone's guess. Usually the hair will grow.
Sincerely,
Dr. Maarten

Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information (see list at the top of the page).

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