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What number is considered high for PSA
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marv3 posted:
Five years ago my PSA was 1.6 and now it's 6.5. My family doctor is not concerned and I'm not sure if I should be. Just wondering if I sholuld see a specialist or not. Advise would be greatly appreciated and thanks for any responses.
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BillH99 responded:
You did not give your age. The "normal" varies by age because of BPH

Age PSA Level (ng/ml) 40-49 2.5 50-59 3.5 60-69 4.5 70-79 6.5

Also is this a jump from last year or has it been slowly increasing?

Did he do a DRE?

Any stress on the prostate can cause a temporary rise in PSA. This includes things like having sex within a day or 2 of the test, exercise (specially something like bike riding), and an inflamed prostrate. And if the blood was drawn after the DRE that can raise the PSA.


It is logical to get retested in a month, specially if you suspect that there might be a cause for the increased PSA. Then if it is still high see a urologist.
 
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marv3 replied to BillH99's response:
Thanks for your information, sorry about the age thing, but I'm in that 50-59. The doc had not done a DRE although I do have another appointment in a months time.
 
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Fairwind replied to marv3's response:
PSA 6.5 is too high for your age. You need to find out WHY it's that high..It can be several things. Don't just ignore it, find out why....
 
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ttwood52 responded:
First if you are concerned, you need to be your own advocate and express this to your Dr. Write down all your questions/concerns and take them to the next visit, write down the answers - we tend to forget things when hearing them in an anxious state.

Make sure you haven't had any stimulation to prostate prior to taking PSA test, personally I abstain for 72hrs to make sure.

I'm in a similar situation, 59, 3/10 PSA 3.6, 5/11 5.6 Free 15%, dx BPH, 7/11 16 core biopsy - negative, followup 10/11 PSA 11.9, 2 wk course Cipro 250mg/2x/day. Retest 11/11 5.8 Free 14%. Waiting to talk both to PC/urologist. Something seems to be going on but not sure what.

Found interesting info on another site 'prostate.net' about studies re: biopsies & subsequent infections, also Cipro & infections.


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