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What Causes Constant Increase In PSA Levels?

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Posted on Mon, 20 Jul 2015
Question: I may have a prostate issue ... I have a PSA of 4.5 and am 56 years old ... I spiked from 2.96 last year ... I am seeing a urologist on Tuesday for further examination and testing ... How concerned should I be?
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Answered by Dr. Shoaib Khan (19 minutes later)
Brief Answer:
PSA 4.5 is still nothing serious in my opinion

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. The rise over the last year is significant, but a value of 4.5 is not really high and could still be due to BPH (benign prostate hyperplasia), which is a harmless condition which entails enlargement of the prostate and has nothing to do with cancer.

I do not see any major cause for concern, and all I would recommend at this juncture if I were your doctor would be medications to control your BPH (e.g. tamsulosin and dutasteride). BPH can take PSA levels up to 10 safely, without any major cause for concern.

I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Causes Constant Increase In PSA Levels?

Brief Answer: PSA 4.5 is still nothing serious in my opinion Detailed Answer: Hello sir and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. The rise over the last year is significant, but a value of 4.5 is not really high and could still be due to BPH (benign prostate hyperplasia), which is a harmless condition which entails enlargement of the prostate and has nothing to do with cancer. I do not see any major cause for concern, and all I would recommend at this juncture if I were your doctor would be medications to control your BPH (e.g. tamsulosin and dutasteride). BPH can take PSA levels up to 10 safely, without any major cause for concern. I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help. Best wishes.