Prostate Cancer Expert Forum
free psa 40yrs old
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free psa 40yrs old

I am 40 years old, caucasian and I have not any relatives with prostate cancer. My PSA was 4.7 and the free PSA was only 5,77%.  24 days before the blood-test I had a retosigmoidoscopy done. Is this a strong signal of malignancy, inspite the age and the retosigmoidoscopy?
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Thank you for your question. Your PSA value is ambiguous. A retest should be done. A biopsy may be warranted following the second PSA test. Infection, sexual activity, digital rectal examination can all affect PSA values.


Ashutosh (Ash) K. Tewari, MD

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