There are a few things to keep track of when talking about a PSA. The absolute number (4.4), and the trend over time i.e. has it risen suddenly? Was it low for many years then rose recently? These are the factors that usually determine biopsy, along with an abnormal rectal examination.
If your husbands PSA's have been in the same range for years, and his exam is normal, a PSA of 4.4 can be a normal value for his age. Many suggest stopping PSA screening at an earlier age as well.
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