Elevated PSA levels could indicate prostate cancer, prostate inflammation (prostatitis) or BPH. At Comprehensive Urology in Beverly Hills, Dr. Kia Michel uses Prostate Specific Antigen tests with in-office exams at his best in class facility to provide an accurate diagnosis. To speak with a doctor or get tested, contact us or book an appointment through our online booking system.
PSA (Prostate Specific Antigen) is a protein produced by the prostate gland. The Prostate-Specific Antigen (PSA) test is a blood test that measures the level of PSA in the blood. The level of PSA in the blood can be elevated in men with prostate cancer, so the PSA test is often used as a screening tool for prostate cancer. The PSA test is typically recommended for men over the age of 50 or for men who have a family history of prostate cancer. Consulting a board-certified urologist, like Dr. Kia Michel at Comprehensive Urology in Beverly Hills, is crucial due to potential PSA elevation causes.
Elevated PSA (Prostate Specific Antigen) is a significant indicator that prostate cancer may be present; however, it is not sufficient, as a stand-alone test, to definitively diagnose prostate cancer.
At Comprehensive Urology, we’ve put a lot of time and effort into the highest technologies possible. If your PSA results are elevated, we have the technology in office to perform a variety of other tests and imaging, so when a patient comes in we’re able to provide a diagnosis on the spot. Many patients come in with urinary incontinence for instance, so we’re able to diagnose if the source of the problem may be from BPH, prostatitis, or another source using in-office diagnostics such as:
When it comes to diagnosis, factors such as ethnicity and age are also important to consider. For example, Black men tend to have slightly higher PSA levels. Additionally, the older men get, the higher their PSA tests tend to be. This is why a board-certified urologist will take into account other determining factors, such as:
A trained urologist will use more than one factor to diagnosis prostate cancer; however, an elevated PSA is usually the warning flare that prompts a full work-up, making it an essential early indicator of issues with the prostate.
The most commonly used system for tracking how far prostate cancer has advanced is the American Joint Committee on Cancer (AJCC) TNM system. The TNM system uses five pieces of information to classify the stage of cancer progression:
Using these five pieces of information, the cancer can be grouped into one of four stages. Each stage is also broken down into substages, so determining the stage you are in can be somewhat complex. Generally, stage one means the cancer is very small and hasn’t spread. As the size of the tumor(s), the amount of spread, and PSA levels rise, the staging moves up to stages two through four.
A 2019 study from the UK found that 95% of men with prostate cancer will live longer than one year past diagnosis, and 80% will live longer than ten years after diagnosis. John’s Hopkins Medicine says that men diagnosed in the earlier stages are typically cancer-free after about five years.
Generally speaking, the earlier the cancer is detected and treated, the better outlook you can expect, which is why regular testing is such an important part of your health maintenance.
Treatment for prostate cancer varies based on how advanced the cancer is. For early-stage cancers of sarcoma (stages one and two), radiation treatments or surgery may be recommended. Depending on the Gleason score, a person’s cancer may grow faster, and radical prostatectomy and radiation therapy are commonly prescribed.
When treated early, prostate cancer is very treatable, which is why early detection is essential. Including a PSA test with your routine blood work for men 40 and above is a great way to ensure that prostate cancer detection happens early.
PSA test ranges take age into consideration since Prostate Specific Antigen (PSA) tend to naturally rise as men get older. Normal levels by age range:
A trained urologist will take several PSA tests over time and compare the trends between the tests to see if there is a significant increase in prostate specific antigen. If you’ve recently taken a PSA test and received a result, please contact Dr. Kia Michel’s team at Comprehensive Urology for an evaluation. Early detection saves lives. Schedule Your Appointment Today.
In general, PSA concentrations under 4 ng/mL are in the normal range. Men of African American and African descent tend to naturally have slightly higher PSA levels, which isn’t necessarily an indication of prostate cancer; however, it is cause to be evaluated by a board certified urologist. PSA levels over 10 ng/mL are linked with a significantly higher risk of prostate cancer, and a full evaluation is recommended.
Historically, PSA levels below 4ng/mL were considered acceptable. Some people with a low PSA level have been diagnosed with cancer, and many have a higher PSA level between 5-8 mg/mL. A number of other factors could also influence the PSA level of an individual, so an elevated PSA level is not an immediate cause for alarm; but it does warrant additional testing to rule out cancer.
The warning signs of prostate cancer can vary, and some men with early prostate cancer may not have any symptoms at all. However, the following warning signs could indicate the presence of prostate cancer:
These symptoms can be caused by conditions other than prostate cancer, as well, and not all men with prostate cancer will have these symptoms. If you are experiencing any of these symptoms, or if you have concerns about your prostate health, it’s important to talk to your healthcare provider for further evaluation and guidance.
Another issue with using PSA tests when evaluating prostate cancer is that several other causes can affect PSA levels. Factors that can affect PSA levels in the blood include:
There is no proven way to naturally reduce PSA levels. However, some lifestyle changes may help improve overall prostate health and may help prevent conditions that can cause elevated PSA levels. Here are some suggestions:
Exercise regularly: Regular physical activity has been associated with a lower risk of prostate cancer and may help improve overall prostate health.
If the results of your first test are abnormal, doctors repeat the PSA test every 2-4 weeks to see if the results remain high. The PSA level should generally fall below the age range limit of 0.5 ng/mL. If you have a high PSA, your doctor may recommend another test, or even a prostate biopsy.
A prostate biopsy is generally considered to be more accurate than a PSA test for diagnosing prostate cancer. While the PSA test can provide an indication of the possibility of prostate cancer, it is not a definitive diagnostic tool. PSA levels can be elevated for reasons other than cancer, such as prostate inflammation or an enlarged prostate gland.
A prostate biopsy involves taking small samples of tissue from the prostate gland and examining them under a microscope to check for the presence of cancer cells. This allows for a more definitive diagnosis of prostate cancer.
In general, the cost of a Prostate Specific Antigen PSA test will be between $25-$50. The cost will likely depend on your insurance coverage, so to ensure an accurate quote, it’s best to contact your insurance provider to ask if it is covered, if there will be a copay, and what providers are in-network.
In addition to your Primary Care Physician, Comprehensive Urology offers affordable prostate cancer screening options, including Prostate Specific Antigen PSA tests, to help you with early detection.
In addition to prostate cancer screening tests, we also offer several therapies in the event that you are diagnosed with prostate cancer.
Schedule your Consultation
The PSA test is a blood test, that can be used to screen for prostate cancer. At Comprehensive Urology, our expert urologists can guide you through the process and offers both PSA test and prostate biopsies for more accuracy. If you would like to schedule a consultation to get tested, contact us by phone or through our online booking system.
Learn more about PSA testing near me today.