Urologist Questions Urologist

Is a PSA of 6.5 Bad?

I have a PSA level of 6.5. Is it bad? What should I do?

2 Answers


Elevated PSA levels can indicate the appearance of cancer; however, non-cancerous conditions can cause elevation of PSA such as (benign prostatic hypertrophy BPH), and infections. For men in their 40 – 50 with PSA score greater than 2.5 ng/dL; normal range 0.6 and 0.7ng/d; men in their 60s with PSA score greater than 4.0 ng/dL normal range 1.0 and 1.5ng/dL Abnormal PSA is considered abnormal is you PSA rises more than 0.35ng/dL in a year. There are many tests. Digital examination test (DRE) is one of the tests that continue to be reliable in term of findings. This means that your Dr. must examine you physically through the rectum to check the prostate gland. During the exam he is looking for nodularity of the gland, if it is soft or hard, painful etc. The most accurate is a prostate biopsy. Prostatic screening episwitch (PSE) blood test is 94% accurate and better than the Prostatic Specific Antigen PSA) test. Magnetic resonance imaging in recommended in some situation to get a better and more detain picture. Thank you.
You need to be examined by a urologist to see if you need a biopsy.

RB Thomas, MD