British Association for Counseling and Psychotherapy
Decoding a PSA Test For men in their 40s and 50s: A PSA score greater than 2.5 ng/ml is considered abnormal . The median PSA for this age range is 0.6 to 0.7 ng/ml. For men in their 60s: A PSA score greater than 4.0 ng/ml is considered abnormal . The normal range is between 1.0 and 1.5 ng/ml.
The median serum PSA level (5th to 95th percentile) for the entire cohort was 1.9 ng/mL (0.3–8.9 ng/mL). The median PSA levels (5th to 95th percentile) rose from 1.6 ng/mL (0.4–7.5 ng/mL) in men aged 70–74 years up to 2.8 ng/mL (0.1–18.0 ng/mL) in men aged 90 years and over (Box 2).
4.0 to 10.0 ng/mL is suspicious and might suggest the possibility of prostate cancer . It is associated with a 25% chance of having prostate cancer . 10.0 ng/mL and above is dangerous and should be discussed with your doctor immediately. It is associated with a 50% chance of having prostate cancer .
What is the PSA test ? Prostate-specific antigen, or PSA , is a protein produced by normal, as well as malignant, cells of the prostate gland. The PSA test measures the level of PSA in a man’s blood . For this test , a blood sample is sent to a laboratory for analysis .
PSA levels under 4 ng/ml are generally considered normal, while levels over 4 ng/ml are considered abnormal. PSA levels between 4 and 10 ng/ml indicate a risk of prostate cancer higher than normal. When the PSA level is above 10 ng/ml, risk of prostate cancer is much higher.
Tips for Naturally Lowering PSA Levels Eat more tomatoes. Tomatoes have an ingredient called lycopene that’s known to have health benefits. Choose healthy protein sources. In general, going for lean proteins, like chicken, fish, and soy or other plant-based protein, is better for overall health. Take vitamin D. Drink green tea. Exercise. Reduce stress.
In general, the risk of prostate cancer is directly related to the PSA level . Our analysis demonstrated that a serum PSA level higher than 100 ng/ml was 100.0% accurate in predicting the presence of prostate cancer on tissue biopsy.
PSA level between 4 and 10 ng/mL: This indicates that prostate cancer might be present. At this level, there is about a 25% chance that you have prostate cancer. PSA level 10 ng/mL or above: There is a 50 percent chance that prostate cancer is present.
Before having a PSA test , men should not have ejaculated during the previous 48 hours. Semen released during sexual activity can cause PSA levels to rise temporarily, which may affect the test results. For the same reason, before having a PSA test men should not have: exercised vigorously in the previous 48 hours.
Your cancer may be high risk if: your PSA level is higher than 20 ng/ml, or. your Gleason score is 8, 9 or 10 (grade group 4 or 5), or. the stage of your cancer is T2c, T3 or T4.
Stage 2B. By stage 2B, the tumor may have spread to the opposite side of the prostate gland, but it also may still be contained on one side. If the tumor is still restricted to one half of the prostate, a Gleason score of 8 or higher or a PSA level of 20 or greater categorizes the cancer as stage 2B.
Men with a PSA level between 4 and 10 (often called the “borderline range”) have about a 1 in 4 chance of having prostate cancer . If the PSA is more than 10 , the chance of having prostate cancer is over 50%.
If the PSA level is 3 ng / mL or higher, men should talk with their doctor about having a biopsy of the prostate. If the PSA level is between 1 and 3 ng / mL, men should see their doctor for another PSA test every two to four years. If the PSA level is less than 1 ng / mL, no further screening is recommended.
When measured in the afternoon , 66.6% and 50% patients with a morning PSA level over 3 or 4 ng/mL had a PSA drop below these levels, respectively. Conclusions: PSA has a diurnal variation and the timing of measurement may alter the decision of the clinician for transrectal ultrasound prostate biopsy.
Besides cancer, other conditions that can raise PSA levels include an enlarged prostate (benign prostatic hyperplasia, or BPH) and an inflamed or infected prostate (prostatitis). Also, PSA levels normally increase with age.