SPA

I have had bouts of prostatitis in the past ant my symptoms are similar to what I have had in the past: pain in the buttocks, urge to urinate constantly, etc... but my question is in regards to the PSA readings. I am 55 years old and my PSA has geon from 2.4 in 2002, to 1.9 in 2003 and last week to 2.6. My doctor wants to repeat it and has got me worried. I thought that a reading below 4 is o.k. or is that a problem? He also stated that younger people should keep their PSA under 2.5. Do you feel that I should be worried, at this time, or are the numbers shown still considered normal at my age? What do you recommend I should do.

Thank you.

[Kevin Pho, MD]

Prostatitis can certainly transiently increased PSA readings.  If the PSA was borderline high, your doctor can request a "free PSA".  The ratio of free to total PSA can help determine whether cancer is more or less likely.  

Typically normal PSA does rise as one ages.  If there is concern about any enlargement of the prostate, one should consider a biopsy to evaluate for the possibility of cancer.  

In any case, obtaining a free PSA ratio would be the next test I would consider - this can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.