PSA Test Results

Hi I am glad you reached out. I am sending you over an article about PSA levels and more information about the test: https://prostatecancer.net/diagnosis/psa-test. I hope this is helpful for you. We are not medical professionals, so I would definitely recommend you reaching out to your doctor, if you haven't done so already. They can discuss with you any next steps. Please keep us posted. You are not alone in this. Jill, prostatecancer.net team

First, I'm someone recently found to have prostate cancer and I am not a medial professional.


My understanding is that a PSA above 4 ng/mL is an indication that more testing is needed. Your doctor will likely compare your current PSA to your last one, if you have a last one. The Free PSA of 8% is pretty low and might indicate a concern as well. Over 25% is considered normal. A score below this may indicate a concern, but not always. Your score of 8% probably indicates more testing is needed.


At 58 years old, here what I have been told by more than one doctor. The younger you are when you get prostate cancer, the more likely it is that it's aggressive. At 48, you need to take this very seriously and stay after your doctors to move as quick as they can. Hopefully, you will find that it's not cancer. But if it is, you will probably want them to move to treatment as soon as they can. One thing I've found is that much of the prostate cancer medical community moves more slowly because it's primarily older guys getting it. And their kind is often slow growing. Mine had already metastasized before I even knew anything was wrong.


In summary, take this seriously and getting the testing you need as soon as you can. Hopefully, it's not cancer. But at a younger age, it's better to know now for sure now rather than later. And if it is cancer, don't think you have to stay with the doctors that found it. Find the best doctors you can with the best equipment and newest medicines. I did that and I don't regret it.


I'm only four months further into this journey than you are. And my PSA score was much higher than yours. What I've shared with you is all I have learned so far. So take it for what it is worth. And may God bless up. Luckily, we live in a time when we can beat this stuff. And 48-year-old bodies are still pretty tough. So pray for the best, which may well come. But mentally prepare for a long bumpy ride back to normal, if necessary.

As a 4 x survivor let me offer some of personal thoughts - A PSA test is not a test for cancer rather it is just a measure of how much antigen is in your blood at the time of the test. PSA can be high for a number of reasons for example a large prostate can produce larger numbers.


I would seek out a urologist vs a GP who often do not have the level of expertise to discover lumps etc on the back side of the prostate. If an issue is found you will be better served at a cancer center or large regional hospital vs a local hospital or remote connection. My PSA never went above 2.5 and yet I was diagnosed with an aggressive cancer. Prostate cancer does not often show many indications early on when it is most easily treated. My GP was treating me for several years for what he believed was an enlarge prostate. What you want to do is ask your MD for your PSA history and look to see if the numbers have been steady in their increase .


There is not magic number as some GP's believe is the trip point for when you should get checked - being pro-active is candidly scary but at the same time it could save your life. Some prostate cancer are not aggressive some are. If I were you my next meeting would be with a urologist who has done thousands of surgeries vs a few a year. Good luck and do keep us posted. Dennis(ProstateCancer.net TEAM) @

Thank you all for the input!


I went and saw a urologist few days ago. He ordered a new set of PSA tests which I am scheduled to do tomorrow and MRI next. Two weeks prior to my initial PSA tests, I was sick with Covid. I have also been nursing an infected tooth for about a year now.


I am hoping the Covid and the tooth infection might have played a part in the high PSA results.


The urologist also did a DRE, and did not feel any lumps. He motioned that my prostate is very asymmetric but slightly larger than normal.


My high total PSA certainly concerns me. What concerns me even more is the low free PSA %. I do not have any symptoms and am very active and workout on a regular basis.