Is My PSA Level Normal? The absolute value of PSA has been the long-term standard of care to determine whether one’s PSA elevation is significant. Previously, the magic number of “4” was defined as being the upper limit of “normal.” However, this may not be a good rule of thumb since approximately 15% of prostate cancers can occur in men with a “normal” PSA. When interpreting a PSA value, several factors need to be taken into consideration—not just the absolute value of the PSA. Some of these factors include: Age adjustment of the PSA PSA density Percent free PSA PSA velocity Age-Adjusted PSA Recent data has redefined the way that urologists look at PSA, and what is considered a "normal" PSA. Age-adjusted PSA values take into account that a 40-year-old should not have the same PSA as an 80-year-old. Accepted age-adjusted PSA rates are below 2.4 ng/ml for men under...
Dear Dr. Motola,
Can sexual activity just before a PSA blood test make PSA results jump from 2 to 12?
PSA testing immediately after sexual activity remains controversial. The most widely held belief is that patients should wait 3 days after sexual activity prior to obtaining a PSA, however some recent studies suggest that sexual activity will not cause a rise. Repeating the PSA after 3 days of abstinence will be the easiest way to resolve this.
In the 21st century, medicine has seen unrivaled advances, enabling patient care that includes finding cures for previously incurable diseases. Surgical intervention has moved into a minimally invasive platform, with illness being treated in manners that allows for rapid return to work. Patients in the U.S. are constantly benefitting from the technology that is available; as a result, the American people are living longer, healthier and more productive lives than ever.
Recent events that have occurred on Capitol Hill have threatened to change this. Since this is a urology blog, first allow me to address the United States Preventive Task Force (USPSTF) decision regarding PSA testing . Recently this organization has given PSA screening a “D” rating. The panel has advised against PSA-based prostate cancer screening for men of all ages based on the panel’s moderate certainty that the potential harms of testing outweigh the benefits of testing. The...
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