When is PSA test recommended for raised PSA?

PSA is a protein made by the prostate. A raised result can occur with benign prostate enlargement, inflammation, infection, recent ejaculation, or recent procedures, as well as with prostate cancer. One result does not establish the cause. A clinician considers your age, symptoms, prostate examination, medicines, previous PSA results, and the timing of possible temporary influences. The next step might be a repeat test, urine assessment, examination, imaging, or referral, depending on the whole picture.

Arrange a review with the clinician who requested the test and ask when a repeat sample is appropriate. Tell them about urinary symptoms, fever, pelvic discomfort, recent cycling or ejaculation, catheter use, prostate procedures, and medicines such as those that affect PSA. Follow the preparation instructions and keep a record of earlier results. Do not stop prescribed medicine without medical advice.

Seek prompt medical help for inability to pass urine, fever with painful urination, blood in the urine, severe pelvic or back pain, or rapidly worsening symptoms. These features can need assessment independently of the PSA result. Contact the clinic if you cannot arrange follow-up or if you are unsure how to prepare for the next sample.

What could have influenced my result? When should it be repeated? Do I need an examination or urine test first? Which medicines or activities should I mention? At what point would imaging or specialist review be considered? What symptoms should prompt an earlier appointment?