Is it possible to have a normal healthy life with high PSA?

Marc Greenstein Health Guide
  • If one has a high PSA, but no enlarged prostate or issues with urinary functions or sex, what is the real problem with a high PSA? Is it possible to have a normal healthy life with high PSA?

    This is a great question. First, let's review the normal range for prostate cancer. I commonly use the age-specific PSA which states that:

    • men 40-50 years old should have a PSA less than 2.5 ng/ml
    • men 50-60 should have a PSA less than 3.5 ng/ml
    • men 60-70 should have a PSA less than 4.5 ng/ml
    • men older than 70 should have a PSA less than 6.5 ng/ml

    A man will be referred to a urologist for an elevated PSA. There are 3 main reasons for a PSA to be elevated:

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    If there are any concerns that a man may have prostate cancer then a biopsy of the prostate will be performed. This is an easy, out-patient procedure that takes approximately 15 minutes. Certainly, there are men evaluated for a high PSA who do not have an infection, enlargement or cancer. Living with an elevated PSA poses no health risk. But, that man should be followed closely to make sure a prostatic disease, specifically prostate cancer, is not developing.

    Important: We hope you find this general medical and health information useful, but this Q&A is meant to support not replace the professional medical advice you receive from your doctor.  For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.

Published On: March 26, 2007