Karren- I'm certainly not qualified to give you any advice on that,but I think you need to do some more homework and get advice from people who really know what they are talking about. The massive funding that goes into breast cancer research means that the state of knowledge and the treatment and surgical techniques are I think much more sophisticated than is the case with prostate cancer. AJ was faced with a quantified horrendous odds-on probability of developing breast cancer, and had available nipple saving and sensation saving surgeries which probably left her far better of than the average person who has had breast enhancement surgery. On the other hand I am not aware of any DNA markers etc. which enable accurate assessment of prostate cancer risk, and the available surgeries seem to carry sufficiently high risk of adverse outcomes, such as impotence and incontinence, that it might be difficult to obtain prophylactic surgery. I know that at least a proportion of prostate cancers are stalled at least for a significant period by an androgen blockade (ie chemical or physical castration) and/or administration of estrogen, and maybe the phytoestrogens in PM are capable of fulfilling this function. That does entail a loss of male function, but our own experience is that it has been far less disastrous to our physical relationship than I ever would have expected and indeed things have been far better for us since I gave up what had become usually unsuccessful and frustrating efforts to reach a normal male climax.
I would have thought that you should discover your free to total PSA ratio if you do not already have that information, and it might be worthwhile paying for extra PSA tests - but I have no idea how much they cost. If the ratio is poor I expect you could get a biopsy. Yes, I know that biopsies too can give false negatives. I can get a PSA and other tests as often as I can persuade someone authorised to order one that it is necessary or desirable - but on the other hand I have to pay directly for pharmaceuticals unless administered in hospital, and it can take for ever and a day to get to see a specialist.
MonikaT- Yes I have had a number of digital exams - two within the last three months, but I gather they show nothing more than some enlargement.
I have a powerful indication that my BPH is much improved. A few weeks ago I passed a massive bladder stone 14 x 10 x 7mm. I felt it shoot rapidly through my prostate and urethra and jam at the exit from which I managed to extract it. It has now disappeared somewhere into the lab system at the hospital and the report isn't back yet.
I would have thought that you should discover your free to total PSA ratio if you do not already have that information, and it might be worthwhile paying for extra PSA tests - but I have no idea how much they cost. If the ratio is poor I expect you could get a biopsy. Yes, I know that biopsies too can give false negatives. I can get a PSA and other tests as often as I can persuade someone authorised to order one that it is necessary or desirable - but on the other hand I have to pay directly for pharmaceuticals unless administered in hospital, and it can take for ever and a day to get to see a specialist.
MonikaT- Yes I have had a number of digital exams - two within the last three months, but I gather they show nothing more than some enlargement.
I have a powerful indication that my BPH is much improved. A few weeks ago I passed a massive bladder stone 14 x 10 x 7mm. I felt it shoot rapidly through my prostate and urethra and jam at the exit from which I managed to extract it. It has now disappeared somewhere into the lab system at the hospital and the report isn't back yet.

