What happens next if the PSA levels are high?
According to the same site, if you are between 45 and 75 years old and your PSA level is less than one nanogram (1 ng / mL) and the DRE does not show any red flags, you can retest every 2 to 4. years. . Between 1 and 3 ng / mL with a normal DRE means you should do the test annually or semi-annually. If it’s above 3 ng / mL, or if the DRE shows red flags, your doctor may want to look further earlier, he adds.
For those in the over 75 age group, you should continue to get tested every 1 to 4 years if your reading was below 3 ng / mL and the DRE was normal. For results greater than that or if the DRE « is very suspicious, » you may need to perform more testing, he adds.
What can you expect during a PSA test?
The Prostate Cancer Foundation says the test itself is relatively straightforward, noting that a « small amount » of blood is taken from the arm to be analyzed in a lab. PSA levels will then be determined, but the source notes that a high reading is not necessarily positive for prostate cancer. In fact, in some cases, men with lower than normal readings can get cancer, he adds.
He explains that the PSA test is just the start to establish whether further screening is warranted. This could include the DRE if it was not given at the same time as the PSA test, the source said. There could also be an MRI to examine the prostate itself, as well as to determine the density and speed of PSA (rate of increase) before deciding on a biopsy, he adds.