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: infection prostatic enlargement (BPH) prostate cancer 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 o...
Dear Dr. Motola,
Four years ago I had surgery for a left inguinal
hernia, which unfortunately resulted in uncorrected internal post-op bleeding
causing ischemia and subsequent atrophy to the left testicle. Until
recently, I've never had my testosterone level checked against the reference
range. I am 83 years old and in very good health. I am told the normal
reference range is 200 to 900, hence my question ... is 259 good or bad
and is it dependent upon both testes functioning? My PSA level averages
3.5 and DRE tests are always normal. I have BPH . I am sexually active but not
as frequently as in the past.
start to fall after age 40. Symptoms
associated with decreased levels include memory loss, mood changes, depression ,
increased fat mass, loss of muscle mass, and a decrease in sexual function. These
symptoms are also associated with the aging process. Many times patients may
experience some of these symptoms, h...
Dear Dr. Greenstein:
My friend ,who is in his early 50s, just got the results of his annual PSA test - it was between 4-5. The results of his previous 6 annual tests were in the 1-2 range every year, until now. His brother recently had his prostate removed due to cancer.
He now has to see a specialist. We are both very concerned, but should we be that worried?
First, I never tell people to worry before we have all the answers. In this situation, it is crucial to know if this man has any new voiding problems such as burning, slow stream or the sensation he is not emptying his bladder. These symptoms can indicate prostate inflammation, which can falsely elevate the PSA value. In those cases, a course of antibiotics are warranted and the PSA can be repeated after finishing the antibiotics.
If the PSA normalizes then this man can continue to have his prostate examined every 6 - 12 months. The physical exam is also very important. The discovery o...
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