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Aneros and PSA Test
  • CockadoodleCockadoodle
    Posts: 397
    Hi, guys...I need some collective wisdom and group experience.

    As you all know, I'm a pretty constant Anerosian. I try to get in 5 or more sessions a week, and have little trouble doing that. So...here's my dilemma.

    I have my annual physical exam set for March 19th. I know my GP is gonna want a PSA test run. So, from your collective experience, how much time do I have to allow between my last Aneros session and my PSA test? I've heard anything from a week to a month. Obviously I want to keep this to a bare minimum, so I'm really interested in your feedback. I'll follow your lead on this and allow as much time as necessary.

    BTW, my PSA score have always been very low 1 or under. The last time, and without withholding Aneros, my score was 3.2. This concerned my wife, but I knew the reason. I don't want to repeat this and want as accurate a PSA score as I can.

    Your input is invited and sought.

    Cockadoodle
  • rumelrumel
    Posts: 2,254
    Cockadoodle,

    I am not certain where I read it but I believe it was recommended that one abstain from any sexual activity/stimulation for 48-72 hours prior to the PSA blood test to get an accurate base line PSA number. A quick call to your urologist/GP would perhaps confirm this. I'd go with the 72 hour + number to be on the safe side. You can go 3 days without a session! :) Just think about the wonderful session you can have afterward! 

    Upon further investigation, I found an article from Johns Hopkins Prostate Bulletin. Which said the following : “More often, PSA gives a false-positive result, possibly due to BPH or some other factor. Urological difficulties, such as prostatitis or urinary retention, and invasive procedures, such as a prostate biopsy, may raise PSA levels. Therefore, experts recommend waiting up to four to six weeks after significant events, such as a biopsy, or a few days for lesser events before having a PSA test. For men over age 50, ejaculation within the past two days may artificially raise PSA levels. Though it's not necessary to avoid sex before a PSA test, men should be aware of the time of their last ejaculation in case results are high. Finally, while DRE or other aspects of a prostate exam shouldn't interfere with PSA levels, doctors recommend that blood be drawn before the rectal exam as a precaution.”So it would seem that a 10 day wait period may be more than required for normal abstention, the 3 day period will probably suffice.
    :)
  • rookrook
    Posts: 1,603
    Mine actually improved.

    Hey C,
    I hear 'ya. Got PCa in my 'Y' line and was around for the final days for my Dad and an Uncle. Dad's went to bone cancer in his lower spine then lung.

    My Uro's a bit on the conservative side and says, "no sex or mb for 4 days prior to blood draw, no colonoscopy, flex-sig or Procto for 10 days prior... There is no mention of anal play, Aneros etc. Probably safe to consider a "good" Aneros session about equal to a single pass with a rigid :(proctoscope (silver stallion of bygone years).

    I'd planned my 'Aneros hiatus' to last two weeks but my "self-lust" got out of hand 8 days before my blood draw so I was only 'clean' for a week. That was when I was about the least sophisticated user in the Forum and was roughing-up myself multiple times each week.

    Numbers: 2007 PSA was 1.27, 2008 PSA was 1.67, 2009 PSA was 1.35. (I moved from light foreplay to dedicated heavy use in May, 2009) So, about six weeks of rough play followed by a week of 'abstinence' resulted in a drop of 25-30%. Uro then put me on every-other-year PSA with just a "finger-wave" planned for 2010.
    Based on my experience, 10 days of chastity seems to offer a generous safety buffer.

    I mentioned my "non-medical" use of the Aneros last year and Uro seemed to know what it was all about and noted it in my chart. He's got pretty good notes on my prostate dating back to 1998 so should offer a good assessment of how I've made out with Dame Aneros... stay tuned.
    ==== related topic ====
    Last night, on NBC news, an announcement indicated that there will be some effort to discourage PSA tests starting this year. Test to be considered only after a "conversaton" with your doc. Were I in your shoes, I'd lay it on the line and demand the PSA.
    My understanding is that the HMO's are looking forward to a better test in 2011 (citrate/lactate anion). Drinking buddy in the insurance game has argued that avoiding PSAs in 2010 will save on a bundle of needless biopsies and imaging from false positives. And, a more accurate test in the future is a good substitute for a PSA now.

    However, there are two versions of future test (one is a needle draw of prostatic fluid the other uses a semen sample.) The semen sample is less expensive but isn't acceptable to a lot of patients with religious issues. So we're at loggerheads for getting something approved by the FDA.
    Plse post your results here. Likewise, I'll share my Uro's 2010 physical assessment and comments.

    One other thing to remember. Saw Palmetto has some effect on PSA. X with your doc.

    Wishing you good numbers this year.

    hth... rook
  • B MayfieldB Mayfield
    Posts: 2,077
    Cockadoodle,

    My urologist routinely hands me the prescription for a PSA with the stamp on it... "You MUST allow 48 hours between taking this test and your last ejaculation". It has the same recommendation regarding having had DRE. I've always gone a day or two more for good measure . While 10 days seems a bit much to me, if it works for you and makes one feel better about taking the test, then all the power to you. I would agree with Rook that the time element should be proportional to the intensity of prostate engagement. (I've seen warnings with respect to colonoscopy and sigmoidoscopy also.) I'm not convinced that an Aneros session is consistent with that kind of treatment however. Certainly, an Aneros session is considerable less vigorous than a standard DRE. But again, if it makes you more comfortable to wait for a more extended period before getting this test, go for it.

    Just to be clear, the hiatus should include any kind of prostate stimulation, direct or indirect, this includes "Aneros-less" sessions as well. I grant you it's a bit of pain, but if you want to get an accurate read for this particular test, it's the only way to go. As Rook mentioned there are other tests that are on the horizon that promise to predict ones cancer risk more accurately. Hopefully they won't necessitate this kind of "preparation".



    BF Mayfield
  • darwindarwin
    Posts: 1,195
    Here is my plan:
    - no prostate stimulation for a week.
    - no ejaculation for 2 days
    - during the first 5 days of this period, engage in daily ejaculation. this will keep will my prostate calm, so it won't spontaneously stimulate itself.

    darwin
  • artformartform
    Posts: 1,474
    HI HO Gentlemen! Bend over. Smile for the Doctor please! :D

    All the best to every guy going for the DRE and PSA. I am still trying to get my earlier numbers from three years and back BA, (Before Aneros). The last two years, after at least a few months of Aneros in that first year, mine have been 0.94, as posted previously. This has meant no return visits with the urologist. There are no timing warnings or requests here that I recall, which is curious. I think I was at least two or three days "rested". Thanks for all the detail. I'll be sent for one again in the next few months too, being late for the "annual" this cycle.

    all the best prostate health benefits for established practitioners all

    artform
  • slimjm
    Posts: 497
    Cockadoodle,

    Though I'm not a urologist I am a doc in real life and treat some men's health issues. I've not heard of a hard and fast time restriction before PSA draws but the consensus from urologists I get is that anywhere past 72 hours from the last sexual activity should be fine. I think the longer periods of time referenced apply to prostate procedures such as biopsy or vigorous milking by a urologist to obtain a prostatic fluid sample, or having a prostate infection like acute bacterial prostatitis. The Aneros massage is far gentler than even a standard diagnostic digital prostate exam, and it seems reasonable, as with normal sexual activity, to avoid either for about three days before your PSA. I've been blessed thus far with low PSA's and my last one, taken three days as I recall after my most recent session, was consistent with others and I also told my urologist what I'd been doing. Hoping the best for you! Slimjm
  • CockadoodleCockadoodle
    Posts: 397
    OK...thanks, boys, especially slimjim (for his professional view), for your assistance.

    I'm constantly amazed by the support of this forum. THANK YOU. I was prepared for a two week hiatus, and now I'm happy to say, I won't have to do that drastic of schedule.

    I'll give it a four day buffer, which is really too bad, because that week I'll be traveling and will have to give up my "me" time in my hotel rooms that week. :-(

    You guys are a blessing to me.

    Cockadoodle
  • Badger
    Posts: 647
    I'll be right ahead of you, Cockadoodle. My annual is on the 15th. I'm supposed to provide a semen sample annually to make sure my vas is still working, but they haven't provided me with a specimen vial in the several years since the proceedure. Maybe this year, they'll leave the wife and me in a room to 'provide a sample.'
  • rookrook
    Posts: 1,603
    Yesterday morning I had a nice but not great session from about 3:30 a.m. until after 6:00 a.m. A 'journey' session with Helix as a warm-up/'git lusty' preliminary to a 'go fer it' Eupho session later in the morning. Couple of mini-Os, no heavy rambunctious massage but several major involuntaries and a couple of intense suck-ins. On the third pass at another orgasm, I overshot and dudded-out, landing in the Migraine ditch (aka briarpatch). Dame Helix was probably mumbling, "See, your greed got us nowhere!" So, I dropped the plans for my pre-lunch date iwth Dame Eupho.

    Mid-morning my GP doc's office called with the news that my doc is going back to Haiti sooner than expected and would like to move my annual checkup to next week.... please present you bod to the lab tomorrow morning... fast from midnight on, etc.

    No problemo! So this morning at 7 a.m. I got spitshined and made it to the vampire office. peed in the bottle, donated three tubes of blood and asked, "What all was ordered?" Answer, "Complete Blood Count, Cholesterol, Triglycereides, extended Lipid Panel, blah, blah..... and,

    PSA"

    I mumbled something about, "I'm over 72 and thought I was on every-other-year for PSA"

    Answer: "Your HMO had too many complaints from older men so they are back to doing it annually."

    So, girls and boys... in a few days we're gonna have a number indicating how my prostate behaves in response to a middle-of-the road Aneros session. I think it was 1.35 last year. Stay tuned.

    While my Uro should get a big chuckle out of this, I've not shared my affinity for Dame Eupho with my female GP as yet.

    Anyone got a 'ready-made' script for a doctor's visit like this? 8)

    Late edit: OK, got it. Simple honesty always works, "Sorry Dr. xxx I wasn't aware that there would be a PSA and had some prostate activity the day before. I'll try to do better next year."

    Anyway, the numbers will be interesting.
  • rookrook
    Posts: 1,603
    Off the hook with a 1.38 PSA !!! @slimjim, Dr. you had got it figured right on.

    Recent history:
    2008 - 1.67 (not an Aneros user and not active with anal play)
    2009 - 1.35 (stopped Aneros use about a week before blood draw)
    2010 - 1.38 (26 hours from 2.5hr session to vampire)

    A tip of the hat to Slippery Stuff (blue) and a well worn Helix. Aneros does gud work!

    think I'll advertise this to both the GP and the Uro.

    OTOH, this old guy might not have enough muscle to get himself into big trouble -- so, YMMV.

    One small note though -- I'm taking a couple of Saw Palmetto caps a week. One on Monday and another on Friday (in addition to my daily Hytrin cap. Hadn't taken Saw for several years.

    ...rook
  • B MayfieldB Mayfield
    Posts: 2,077
    Nice!

    BF Mayfield
  • darwindarwin
    Posts: 1,195
    Rook-

    If i can correctly decode your message, I see the main point to be that a 2.5 hour aneros session 24 hours before the blood draw did not seem to artificially elevate the count.

    That is a very good data point on the open question of how the aneros affects PSA.

    You also mentioned that you don't think you have super strong PC muscles. Should we conclude from this that you were using only mild contractions?

    darwin
  • rookrook
    Posts: 1,603
    [QUOTE=darwin;87583]Rook-

    If i can correctly decode your message, I see the main point to be that a 2.5 hour aneros session 24 hours before the blood draw did not seem to artificially elevate the count.

    That is a very good data point on the open question of how the aneros affects PSA.

    You also mentioned that you don't think you have super strong PC muscles. Should we conclude from this that you were using only mild contractions?

    darwin

    Yup, slimjim and B.F. had it well figured. A 'normal' Helix session isn't going to beat up one's prostate. Assuming that my miniscule dose of Saw Palmetto drops the PSA a tad, I may have elevated it somewhat but no matter how you slice it, 1.38 seems OK for a mid-70s prostate with bph. The boogey-man mentality had me mentally geared to see a 2.5 or more on the lab report. (Posing the question, "what do we do next?")

    Re muscle: nah, strictly a cheap attempt at gallows humor, discounting the abilities of those of us in the 'over the hill set.' Younger guys, working with Progasm and good Kegels no doubt develop more force and velocity. However, I can still 'bruise a tonsil' when I go the limits with the Helix.

    In a serious vein, that session was close to optimum. At the outset I relaxed and 'de-stressed' to the point where the helix was very loose and drifting about in any body position and I kept it that way for a good 20 minutes. Then, was able to play a gentle arousal game which yielded a well modulated 'hug' of the Helix. Was able to move it to and, maintain it in, most any position. (Gud finesse!) So the overall amount of muscle effort was minimal and prostate contact was pretty well controlled until I got greedy. On the build to a third orgasm I rushed and over-stimmed, shooting past orgasm and into the migraine briar patch.

    Super learning experience! Unfortunately, the migraine didn't leave me with the lusty, butt-buzz I would have liked to mount another session.
  • Badger
    Posts: 647
    I had talked with my uroligist's office the other day, and this year's PSA stayed at 0.16, even with overnighter Peridise sessions nearly every night for the last couple of weeks up to a couple of days before my test. WOO HOO!

    Rook, I've been taking Saw Palmetto Formula by GNC at the rate of 2 in the morning, 2 in the evening for a few years now, and they even used that new-fangled ultrasonic device to check my bladder to make sure that it's emptying (which it is, by the way). If it's been several years since you used saw palmetto, you'll notice a very nice side-effect: more intense O's.
  • rookrook
    Posts: 1,603
    [QUOTE=Badger;87588]I had talked with my uroligist's office the other day, and this year's PSA stayed at 0.16, even with overnighter Peridise sessions nearly every night for the last couple of weeks up to a couple of days before my test. WOO HOO!

    Rook, I've been taking Saw Palmetto Formula by GNC at the rate of 2 in the morning, 2 in the evening for a few years now, and they even used that new-fangled ultrasonic device to check my bladder to make sure that it's emptying (which it is, by the way). If it's been several years since you used saw palmetto, you'll notice a very nice side-effect: more intense O's.
    Hmmm, remembering back, I had just started Saw the week before I first super-Oed.

    I'm careful with Saw. From about age 59 to 67 it worked great then I began experiencing Premature Ejac. Switched to Hytrin and the PE went away. The small dose I'm taking now really smooths out the daily spikes from Hytrin.

    I've definitely been more sensitive during sessions but thot it just 'normal progress.' I can start and vary p-waves with far less stim than two months ago. However, I still go over the top occasionally and loose it. I'd not say I'm rewired since I can't predict with certainty where a session will go.

    Does your GNC have Pumpkin seed extract in it? Reason I ask is that one if my wife's friends is a homeopathic doc and suggested that Saw should be taken with Pumpkin Seed Extract. I'd not seen it in a store; but, hadn't done a search. tia...rook
  • Badger
    Posts: 647
    Let's see.... Two tabs contain 500mg Saw Palmetto Berry Powder, 80mg Pumpkin Seed Meal Powder, 50mg Pygeum Bark Powder, and 1mg Lycopene. I've never had a problem since starting Saw Palmetto with PE. But using Hytrin to control blood pressure, BPH and ED was not effective at any, but caused achey legs when I walked or was on my feet much at all. Glad it works for you.
  • rookrook
    Posts: 1,603
    In mid-2009 I shared my beginning Aneros use with my Uro and asked for an estimate of my prostate volume. He estimated it at 45 grams. Being told the weight of my prostate triggered the ugly mental image of a prostate lying in the basket of the pathologist's or coroner's scale.

    Note for young guys (20s and 30s) -- your prostate is probably half the weight of mine and about 2/3 the physical size. Size does matter though and bigger is not the greatest deal going -- particularly if you wish be a regular in the Progasm User's society. {{:-[

    This year, my pri-care doc ran a PSA and the results were pretty much unchanged from 2009 even though I'd had an aggressive Aneros session the day before the blood draw. (see post #11 in this thread)

    As usual, I'd put off the Uro visit until my prescriptions for GU related meds had expired and the pill bottles were near empty. So, last week I finally bit the bullet and put my bod on the line.

    I reminded the good doctor that I'd been using an Aneros for about 18 months and wanted his evaluation of how things were and whether I was gtg for another year. Specifically, I wanted to know if there was any physical evidence of cancerous lesions or anything else that would counterindicate Aneros massage.

    "Ask and ye shall receive." My first "THOROUGH DRE" was about 15 years ago. Last week's DRE was equally memorable both in it's geographic scope and the 'acrobatics' my prostate underwent.

    Uro's comments:
    The hemmorhoid noted last year ago was not detectable. (confirming my lack of hemmorhoidal bleeding for the last six months.) Hats off to Aneros and Shea Butter lube!

    Prostate was very pliable and demonstrated no suspicious lesions.

    Volume, somewhere between 40 and 50 grams.

    OK to go, "see me in one year."

    Had intended to ask how many of his patients were Aneros users. Was so overjoyed with his report I forgot to ask.
  • rumelrumel
    Posts: 2,254
    rook,

    I'm glad to hear that all is well with your nether regions. Hemorrhoids in remission and prostate enlargement arrested! Sounds like another satisfied Aneros customer to me. (I'll bet your peeing easily now as well)
    :)