If levels were above 4.0, doctors would consider that to be a red flag for cancer and order a biopsy . In recent years, however, doctors have come to understand that there is no real "normal" PSA value. In fact, men with a low PSA can have prostate cancer, while those with PSAs well above 4.0 could be entirely cancer-free. 3 PSA level increases in a row (consecutive increases) You should ask your cancer specialist if you aren't sure about this. Your treatment options may be: surgery to remove your prostate gland (prostatectomy) if you haven't had it. hormone therapy. a type of internal radiotherapy called temporary brachytherapy. Measuring prostate specific antigen (PSA) levels in the blood to screen for prostate cancer is recommended, as well as performing the DRE. PSA testing alone cannot determine if symptoms are due to BPH or prostate cancer, because both conditions can elevate PSA levels. The fall in PSA levels, and any adverse effects on sexual function If your PSA test result is in the borderline range (between 4 and 10), the percent-free PSA might be used to help decide if you should have a prostate biopsy. A lower percent-free PSA means that your chance of having prostate cancer is higher and you should probably have a biopsy. Prostate-specific antigen (PSA) The 4Kscore combines total, free and intact PSA together with human kallikrein 2. It is used to try to determine the risk of a Gleason score greater than 6. it is the relative change in PSA levels over time that provides insight, but not definitive proof of a cancerous condition necessitating therapy." High PSA levels can be a sign of prostate cancer. One study suggests that people who consume or have consumed alcohol have lower PSA levels, but more research is necessary to confirm these findings. tw2pE.

psa and free psa levels