High PSA: Noncancerous causes and considerations
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Overview The PSA test is a blood test used primarily to screen for prostate cancer.
The test measures the amount of prostate-specific antigen PSA in your blood. PSA is a protein produced by both cancerous and noncancerous tissue in the prostate, a small gland that sits below a man's bladder. PSA is mostly found in semen, which also is produced in the prostate. Small amounts of PSA ordinarily circulate in the blood.
Problems with the PSA
However, many other conditions, such as an enlarged or inflamed prostate, can also increase PSA levels. Therefore, determining what a high PSA score means can be complicated. There is a lot of conflicting advice about PSA testing. To decide whether to have a PSA test, discuss the issue with your doctor, considering your risk factors and weighing your personal preferences.
Why it's done Prostate cancer is common, and a frequent cause of cancer death. Among men in the United States, prostate cancer is the leading non-skin cancer and second only to lung cancer as the leading cause of cancer death. Early detection may be an important tool in getting appropriate and timely treatment. Men with prostate cancer may have elevated levels of PSA. However, many noncancerous conditions also can increase a man's PSA level.
The PSA test can detect high levels of PSA in the blood but doesn't provide precise diagnostic information about the condition of the prostate.
The PSA test is only one tool used to screen for early signs of prostate cancer. Another common screening test, usually done in addition to a PSA test, is a digital rectal exam.
What Causes PSA To Rise?
In this test, your doctor inserts a lubricated, gloved finger into your rectum to reach the prostate. By feeling or pressing on the prostate, the doctor may be able to judge whether it has abnormal lumps or hard areas. Neither the PSA test nor the digital rectal exam provides enough information for your doctor to diagnose prostate cancer. Abnormal results in these tests may lead your doctor to recommend a prostate biopsy.
During this procedure, samples of tissue are removed for laboratory examination. A diagnosis of cancer is based on the biopsy results. Judge the effectiveness of a treatment Check for recurring cancer Request an Appointment at Mayo Clinic Risks Professional organizations vary in their recommendations about who should — and who shouldn't — get a PSA screening test.
BPH Diagnosis - BPH/Enlarged Prostate - nickchinlund.info
Discussing with your doctor the benefits, limitations and potential risks of the PSA test can help you make an informed decision. Benefits of the test A PSA test may help detect prostate cancer at an early stage.
Cancer is easier to treat and is more likely to be cured if it's diagnosed in its early stages. But to judge the benefit of the test, it's important to know if early detection and early treatment will improve treatment outcomes and decrease the number of deaths from prostate cancer.
A key issue is the typical course of prostate cancer. Prostate cancer usually progresses slowly over many years. Therefore, a man may have prostate cancer that never causes symptoms or becomes a medical problem during his lifetime. Limitations of the test The limitations of PSA testing include: Doctors typically wait several weeks after a prostate biopsy to allow PSA levels to return to baseline so that the reading can be more accurate.
Imagine what having spikes injected in to your prostate must do to PSA levels! Having been recently catheterized because of a surgical procedure or other situation can increase PSA levels. It irritates the prostate. Recent ejaculation and having too much sex, both of which can cause a mild, temporary rise in PSA. So make sure you abstain from any form of sex which includes ejaculation at least 24 hours before having a PSA test.
Cycling may cause a mild, temporary increase in PSA. Avoid bike riding and other similar activities like riding on a tractor or horse. Sports injuries to the pelvic region can raise PSA. Use of sports supplements taken by body builders can affect PSA.
Pelvic injury or trauma to the prostate. Prostate cancer and the symptoms associated with it can elevate PSA.
If your PSA is slightly above normal think of the lifestyle aspects that may have caused this increase. Also, what is important is the base PSA and the fluctuations over time. If you have a constant PSA of 3 for five years for example there generally may be no reason for concern as you may have a constant ongoing infection or inflammation like prostatitis or BPH.