PSA Levels: A Crucial Indicator for Prostate Cancer

By: Joshua Aizen, MD

September is Prostate Cancer Awareness Month, dedicated to prostate cancer prevention. At UroPartners, we are committed to providing comprehensive care for men with prostate health concerns.

Understanding PSA and Its Significance

Prostate-specific antigen (PSA) is a protein produced by the prostate gland. The level of PSA circulating in a man’s blood is measured as a screening tool for prostate cancer. While an elevated PSA level can sometimes indicate prostate cancer, it is important to note that an elevation can also be seen in various other conditions such benign prostatic hyperplasia (BPH) or prostatitis.

When to screen for prostate cancer

If you're a man over the age of 55, it is recommended to discuss prostate cancer screening with your healthcare provider. Prostate cancer screening is performed by performing a physical prostate examination (digital rectal examination) and by checking blood PSA levels. Screening often occurs on a yearly basis. Regular PSA screenings can help detect prostate cancer early, when it's most treatable. Here are some signs to watch for:

• A significant rise in PSA levels: If your PSA levels have risen significantly over time, it's important to consult with your doctor.
• Family history of prostate cancer: If you have a family history of prostate cancer, you may be at higher risk. You should discuss earlier prostate cancer screening with your healthcare provider.
• Age: The risk of prostate cancer increases with age. Men over 55 should be especially vigilant. . If you are in a higher risk group (i.e. African descent, family history of prostate cancer), your doctor will start screening at age 40.

What to Do If Your PSA Rises

If your PSA levels increase, your doctor will likely recommend further evaluation. This may include:

• Digital rectal exam (DRE): A physical exam to check the prostate gland for any abnormalities.
• Prostate MRI: an imaging study that provides anatomic detail of the prostate and can often identify suspicious lesions.
• Biopsy: A procedure to remove tissue samples from the prostate for testing.
• Other tests: Depending on the circumstances, your doctor may recommend additional laboratory or imaging studies.

The Importance of Early Detection

Early detection of prostate cancer is crucial for successful treatment. Regular PSA screenings and prompt evaluation of abnormal results can significantly improve outcomes. If you have concerns about your prostate health, please do not hesitate to consult with a urologist at UroPartners. Our experienced team can provide personalized care and guidance.