For U.S. Residents Only

PSA Level Tracker

Your PSA (prostate-specific androgen) level is an important way to keep track of your prostate health. When you have your PSA level tested, ask your doctor for the number and record it below.

Your Name____________________________________________

Your Doctor___________________________________________

Your Doctor's Phone Number_____________________________


Date PSA Level (ng/mL)
   
   
   
   
   
   
   
   
   
   
   
   

Questions to Ask Your Doctor
  • What foods should I eat?
  • Are there foods that I should not eat?
  • Should I talk to a dietician?
  • How much water should I drink?
  • What other fluids should I drink or avoid?
  • How about caffeine and alcohol?
  • Can you suggest an exercise plan for me?
  • Can I do as much exercise as before treatment?
  • Should I avoid any activities?
  • When should I stop exercising?
  • Can you suggest any ways to manage stress?
  • Are there medications or alternative therapies I should
    avoid?
Quick Poll
Which best describes your hormonal therapy?
under the skin (subcutaneous)
directly into the muscle (intramuscular)
surgically implanted annually
not applicable
under the skin (subcutaneous)
 
  0%
directly into the muscle (intramuscular)
 
  0%
surgically implanted annually
 
  0%
not applicable
 
  0%
Poll Image