Doctor insights on:
Does Excessive Masterbation Cause A High Psa
Psa is a protein made in the prostate gland that functions to liquefy sperm. It is a serine protease made by both normal and malignant prostate glands. Commonly used as a screening test for prostate cancer, the psa test is widely used to detect which men would benefit from a prostate biopsy as well as detect cancer recurrence in men who have been ...Read more
It is unlikely:
It is entirely possible that some minor increase in PSA could occur due to masturbation but it is more likely unrelated. So you should consult your urologist if your PSA continues to rise. I would advise you to recheck the PSA level a couple of times, 1 month apart. If it is progressively rising and gets past 5-6 ng/ml,
You should get your prostate checked out to rule out Cancer of the Prostate. ...Read more
Yes?: Dihydrotestosterone (dht) is the bio-active form of testosterone(t). Blocking t to Dht by 5-alpha reductase inhibitors such as Finasteride or Dutasteride will decrease psa by some 50%. So, we can say more Dht may cause psa elevation. But, still remember, to a great extent, a healthy body has all bio-feed-back automation to regulate the balance of substances of metabolism. Then, if any, high dht... ...Read moreSee 2 more doctor answers
Here are some ...: Do you mean positive "leu or lue"? In your clinical context, I assumed you meant leu -leucocyte or wbc. If so, it suggests some forms of inflammatory process inside somewhere of urinary tract. Clinically, yours may be prostate- &/or bladder-related; as well, you're developing prostate-related symptoms which will slowly worsen over time even under taking prostate -relaxing or shrinking drugs. Ask. ...Read more
High PSA test result. GP wants to redo the test and add Free PSA test. Any other blood tests to ask for (E.g. ESR) to explain cause of high PSA?
We need more info: Send us your PSA level values and tell us your age. Then we can guide you further. It is a good idea to have a recheck of PSA in 2 to 3 months in case the first value is on the higher side of normal for your age. Other tests may not be all that helpful(ESR has NO role in this situation) ...Read more
No single level ok: Normal psa levels are age dependent, levels are higher in older people. Up to the age of 60 the upper limit of normal is 4 ng/ml. However, if a person had a psa level of 0.5ng/ml and the following year it has gone up to 3 ng/ml that would be a cause for concern even though the results are within "normal" limits. You need to consult your doctor to see if you should get psa done or not. ...Read moreSee 2 more doctor answers
Common situation: Everyone seems to agree that psa is not a "perfect" cancer screening test. If it was everyone with psa elevation would be found to have cancer upon biopy and that isn't the case. It is still the only way of selecting men for biopsy. Continue to have semi-anual psa tests. A second biopsy may be indicated at some future time if it continues to rise over time. ...Read moreSee 1 more doctor answer
Just wanted to know if psa level of 0.24 is low or high for 38 male history of prostatitis in family also diagnosed with prostatitis thank you?
Normal: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, PSA level of 0.24 is normal. PSA cannot be too low. ...Read more
What is the cutting edge of imaging in a high PSA differential? Pt refuses to have biopsy and PSA has been 10-12 over 7 years, but now has PSA 15.
Can't force him: Patient seems to have been told hat a definite diag.can only be by biopsy. Imaging will not give definite diagnosis. Free & total PSA would help:High free PSA(above 25%) is usually BPH(enlarged benign prostate). Low freeP more favors cancer:below 15%,below 7% is v. likely cancer >If biopsy is negative for cancer but stays low or is lower, repeat Biopsy. PSA velocity is also a factor but space limited. ...Read more
Different causes: Prostate specific antigenpsa) is a protein produced by prostate cells. It can be detected at low levels in men of all ages, but increases when the prostate enlarges or becomes inflamed. Psa test used to screen men for prostate cancer or for recurrence of cancer. Benign prostatic enlargement, inflammation (prostatitis), recent ejaculation, strenuous bicycle riding, and recent rectal exam can be cause. ...Read moreSee 1 more doctor answer
Maybe.: Positive predictive value of psa test between 4 and 10 is about 25%. Above 10 is about 50%. That means 3 out of 4 men with psa between 4 and 10 will not have cancer. If over 75 risk of dying from newly diagnosed cancer identified by psa testing is very low. So, wouldn't be worried. Should have had this conversation before testing... Psa test not recommended without understanding implications. ...Read moreSee 4 more doctor answers
Testing it x 2...?: Why did you get psa tested twice in 2 months? To begin with, such repetition in 2 months carries no proven value for clinical management. In fact, the difference between both values is not clinically significant, yet suggesting a low risk for developing clinical prostate cancer. For a man of 50 with average risks, at most, psa testing once every two years would be more than what he needs. ...Read moreSee 1 more doctor answer
No.: Not all high psa is cancer. Many times it can be in prostatic hyperplasia, and BPH or benign prostatic hypertrophy. However, many times cancer must be ruled out in these cases. That's why other tests like digital rectal exam and biopsy of the prostate are done. Psa levels >10 ng/ml or positive dre should be tested for cancer with transrectal ultrasound-guided biopsy or trus to rule out cancer. ...Read moreSee 2 more doctor answers
Not always: Usually the change in a psa value from one to the next is more concerning than the sole value itself. Rate of change is important too. Psa is a tool that helps us determine who is at highest risk for prostate cancer and therefore who needs a biopsy to diagnose cancer. Normal values slowly increase as one ages. However, psa values over 20ng/ml are very concerning for cancer and need a biopsy. ...Read moreSee 2 more doctor answers
That's high.: If you've had your prostate removed, then the PSA should technically be zero. So any elevation would be concerning. This would need to be investigated right away. Why was it removed in the first place? If it was removed for cancer, then this becomes particularly worrisome. ...Read moreSee 1 more doctor answer
Is it true that recent frequent ejaculation will give you high psa reading. Any scientific basis for that?
Congestion...: Sex arousal-ejaculation exaggerates circulation to the prostate and generate the muscles around/inside the prostate to contract so to "increase" PSA. Similar concern has been raised in PSA after long bite ride or digital rectal exam (DRE) or transurethral instrumentation. But largely, such related increase in PSA is minute, not clearly significant; in practice, do PSA some 12 hours away from such ...Read more
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