Doctor insights on:
Psa Total With Reflex To Psa Free
PSA: "prostate specific antigen" is a blood test to evaluate for prostate cancer. Psa comes essentially only from the prostate. It tends to increase with age, size of prostate and in prostate cancer. Free psa is only tested with total psa is between 4 and 10 ng/dl. A free psa that is low (<10) is concerning for cancer, when high (>25) is reassuring, and is not very helpful when between 10-25%. ...Read moreSee 2 more doctor answers
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
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
My total psa 1.07 free psa 0.O89 % free/total psa 8.31% with this report advice me shall i take biopsy?
48 year old male, recently had psa tested. Results were psa total 1.40, psa free 0.1, psa %free 7.1%. Any reason for concern given low psa %free?
Concern?: I see nothing of concern here.Get a more detailed answer ›
PSA 2014=0.6; PSA 2016=7.4; repeat 1 week later = 4.8 and free psa =4%; indicative of CaP ? or could there be other causes? next steps versus biopsy?
Biopsy is right...: Your clinical scenario as described urges urologists' mind to proceed with prostate ultrasound + biopsy unless being in extremely poor health. To learn and clear conflicting information on PSA and prostate cancer, please peruse articles as listed in http://formefirst.com/FreeInfoProstate.html; thereby you know to make right decision. More? Contact www.HealthTap.com/dr-Lin with RQPWJC to login... ...Read more
I am 49, psa=0.7 free psa=0.4 in altra sound it says heperechoic mass 11 mmvolume 18 cc hetrogen, is it dangrouse?
Md said not to worry about low (7.5) free psa. Is this true or should I see a urologist? 60yrs. Normal psa for age.
I am 43 y.o, 3 years ago my PSA was 4.8 and now it is 6.7, with a free PSA ratio of 4, How concerned should I be of Prostrate Cancer?
Needs evaluation: For a man of 43, the PSA level is very elevated. Have you had a digital rectal exam? Any family history of prostate cancer? Sometimes inflammatory issues involving the prostate (prostatitis) or urinary tract infections may cause an elevation in the PSA. However, you need to get evaluated by a urologist to ensure that the cause is not cancerous in origin. A set of biopsies may be needed. ...Read moreSee 1 more doctor answer
For 6 I've had prostate issues even had biopsy at 39 PSA was 3.9 test was neg. The last two years PSA .7 with free PSA 26%. Still symptomatic some days worse than others. Worried Drs missed cancer.
Falling PSA is good: Previously elevated PSA was likely due to inflammation, infection or manipulation. Your PSA is now within normal limits and biopsy was negative. All is OK & suggest you stop worrying. There is plenty of real stuff going on round the world to worry about, but, fortunately not your prostate. ...Read moreSee 1 more doctor answer
I had a blood test that showed a psa of 10. After a 30 day regimen of antibiotics I have a psa of 8.1 and a free psa of 10.9. I am 54 years old and present with other symptoms such as urinary problems. What is the next step for me?
One month before my psa 7 I am having urinary infection now i taken blood psa:2.29ng/ml, free psa:0.14ng/ml, % free psa 6.1% advice me?
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
52 male w/rapidly elevated psa, poor free psa test, dre that shows thickening upper right quadrant with nodule. Will docs sedate for biopsy if rqstd?
Three month before I have urinary infection my psa 7.Now i taken free/total psa 1.O7 free psa o.089 % free/total psa 8.31% advice me as i req biopsy?
Numbers are confusin: If you had an UTI and psa was 7 , first why did they get a psa second is it 3 mo after the infection and what is the psa how does the prostate feel. ...Read more
Cause in 53yo male of: psa 4.7, psa:free psa ratio 8.9%, mri shows bullish mass on prostate. Urologist says all is ok. Should I get a second opinion?
Here are some...: F/T PSA at 8.9% is low - significant, suggesting a high likelihood to have prostate cancer but requiring prostate ultrasound and biopsy to confirm. Total PSA is at or above high end. So, combine the considerations of age, finding rectal exam, family Hx, PSA change over time, and the above so to decide if US + Bx are needed. More? View articles in http://formefirst.com/FreeInfoProstate.html. ...Read moreSee 1 more doctor answer
My total testostorone is normal, shbg high (depakote) & free t low. A recent test: dihydrotestosterone-very high why? (psa, prostate, other tests ok)
Okay...?: An isolated high value of a test within the described scenario may not be clinically relevant. In fact, high Dht indicates your bio-active form of testosterone is good, so it's logical not to assert much concern on your daily life. Bottom line is still your energy and ability on how to effectively take on personal and occupational life. If still in doubt, ask doc timely with optional Dht retest. ...Read moreSee 1 more doctor answer
I had PSA test . Prostate cancer test. Total PSA is 0.506 ng/mL and PSA free is 0.152. I think psa free is very low. Can you tell me results fine or??
Firstly: Reason for PSA testing in a24 year old is unclear. Pre test probability is very low making the positive predictive value of the test extremly low hence not neccessary to do. the numbers give are WNL and reflective of a small sized prostate gland which is consistent with your age ...Read more
Test name PSA screen 0.18. Next blank spot has =1=.... Free tv 1.18.. TSH 1.863.. Comments =1=the PSA is a direct chemiluminometric immunoassay mean?
See below: 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, your lab results are normal. ...Read more
Spec.chemistry TEST NAME PSA SCREEN 0.18 then space is blank=1= FREE T4 1.18. TSH 1.863 COMM. =1=the PSA assay is a direct chemiluminometric immunoasy?
See below: All laboratory tests 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, the results you provided are all normal. ...Read more