PSA

Posted by Bill Cline on July 16, 1999 at 09:53:08
     I'm a 69 year old white male. I have an enlarged prostate. I have had three negative biopsy's. The last PSA Number was 5.2 which is down a little. My diagnos is Benign Prostatic Hypertrophy.  I'm currently on no medication for this condition. Is there any medicine's or vitimans which will help lower my PSA level or help shrink my prostate? Is just keeping a close watch on this my only option?
                                                                                                Thank You
                                                                                                 Bill

Posted by HFHS M.D.-JS on July 19, 1999 at 10:33:41

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Dear Bill Cline,
As men get older the prostate enlarges, often at a slow rate.  This in and of itself is not a medical problem.  When it interferes with voiding or develops into a malignancy is when a physician should be involved.  All men over fifty need to be screened with an annual physical exam and serum PSA.  Black men and men with a family history are screened beginning at an early age(40).  As the prostate enlarges the  cells produce a  greater total amount of PSA( an enzyme which is specific for the prostate which has a role is breaking down protein in the ejaculate)  To help diagnosis malignant change in the prostatic cells the value of serum PSA has been identified to be

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