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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is PSA Level Of 14 A Cause For Concern?

Hello. I am 64. My PSA level 3 years ago was 3.5, it s 14 now. I don t have the usual symptoms (frequent nocturnal urination, etc.) I do have a spermatocele, I wonder what the relationship is between that and an elevated PSA? My DRE of last year showed a normal-sized prostate.
Thu, 8 Dec 2016
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
There is no specific normal or abnormal level of PSA. However, a normal PSA level is considered to be less than 4.0 nanograms per milliliter (ng/mL). For men below 50 years of age, PSA level should be below 2.5 ng/mL. Older men often have slightly higher PSA levels than younger men.
It is a tumour marker and hence is useful in assessing the risk of prostate cancer in people with borderline or moderately increased total PSA (between 4.0-10.0 ng/mL).
Since your levels are indicating to be 14, you need to undergo other modalities of investigations like ultrasound scan, CT scan or biopsy of prostate to know the status of prostate. Based on these means, appropriate treatment can be instituted, if necessary.
Kindly get the necessary investigations done and consult Urologist with the report for appropriate management.
Hope the information provided would be helpful.
All the best.
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Is PSA Level Of 14 A Cause For Concern?

Hi, Thanks for posting in HCM. I understand your concern. There is no specific normal or abnormal level of PSA. However, a normal PSA level is considered to be less than 4.0 nanograms per milliliter (ng/mL). For men below 50 years of age, PSA level should be below 2.5 ng/mL. Older men often have slightly higher PSA levels than younger men. It is a tumour marker and hence is useful in assessing the risk of prostate cancer in people with borderline or moderately increased total PSA (between 4.0-10.0 ng/mL). Since your levels are indicating to be 14, you need to undergo other modalities of investigations like ultrasound scan, CT scan or biopsy of prostate to know the status of prostate. Based on these means, appropriate treatment can be instituted, if necessary. Kindly get the necessary investigations done and consult Urologist with the report for appropriate management. Hope the information provided would be helpful. All the best.