What is PSA ?
Before jumping to PSA levels, let’s understand what PSA is, what exactly does PSA stands for? Why is this test administered so frequently? PSA is made up of two parts. PSA is an abbreviation for prostate-specific antigen. It is a protein molecule produced specifically by the prostate and then by any prostate disease. It could be an enlargement. Not only that, but it could be cancer. It’s possible that you have an infection. If something is bothering the prostate, these antigen levels in the patient’s blood tend to rise. This antigen is even detected through a test in which a blood sample is taken from the patient, and the blood levels are then used to determine whether something is wrong with the prostate.
PSA test types
Now, the PSA is usually utilized in three ways. It could be screened. Screening means that you, as a patient, do not have any symptoms. This approach is flawed, and this approach has a lot of controversy going on in some professional bodies around the world. They say that PSA screening is helpful, while some say that PSA screening gives rise to undue anxiety and unnecessary treatment in patients.
So, a few groups say that you should get screened annually or biannually. Some groups say there’s no role for screening as of now, but the majority opinion says that at least a baseline PSA at the age of 50 years is helpful for two reasons. This baseline PSA or that one level of PSA can be utilized by the urologist later to judge what the PSA movement is like, plus it can help detect prostate cancer early, but is this detection helping in reducing prostate cancer-related deaths? It is still the answer is still to come.
So that is screening. The second is that you have symptoms. You have had some urinary symptoms like frequency or nocturia, and you decide to go to a urologist who then does a digital examination for you.
The third is something called therapeutic PSA testing, in which you are undergoing some form of treatment, either in the form of a test ride or in the form of radiation therapy or in the form of oncological therapy for your benign or malignant prostate conditions, and your PSA levels are being monitored by a urologist to see whether the therapy is effective or not.
In all of these three sub scenarios, the PSA reports have different meanings. So there is no PSA, just a range. Range means that there is no one fixed value for PSA. It is not like saying that this man is 50 kg or that man is 80 kg. A man may weigh anything between 70 and 90 kg in a normal weight range. Similarly, the PSA has a range. If the PSA is below 4 nanograms per ml, then that is considered to be the normal range for the PSA. If the PSA goes above 4, and it’s between 4 and 10, then that PSA is elevated. And also If the PSA is above 10, that PSA is a cause for concern, but at the same time, every PSA that is above 4 is not a sign of cancer.
Reading PSA level
There are a lot of sub-tests like ultrasounds and MRIs. Free PSA levels PSA pepo PSA, which can help the urologist figure out whether the PSA levels are actually normal. So, for example, a patient with a 78 or a hundred-gram prostate who is 65 years old may actually have a PSA of 8, but their PSA levels may be normal. So it is very important that your PSA levels are interpreted by a qualified urologist to let me know whether you require further intervention or testing. Usually, if your PSA is below, the urologist is not going to order any more tests.
If your PSA is between four and ten, further testing in the form of an MRI or a PET CT or a digital key examination or a biopsy or a free PSA or even PSA observation may be utilized for you. If your PSA is above ten, then the doctor will usually take you in for an MRI or a biopsy to confirm whether you are not harboring any prostate cancer that requires treatment.
So if your PSA is elevated, do not worry. Every limited PSA is not cancer. In fact, it is extremely rare that your PSA will be elevated. And you actually end up with a diagnosis of cancer, but at the same time, proper observation until your PSA is taken back to its normal range along with care is required for every elevated PSA report out there. So if you wish to know more about PSA, please like this.