HomeAnswersUrologyprostate-specific antigen (PSA) level

How to decrease a rise in prostate-specific antigen (PSA) levels?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 65-year-old male healthy and have had a rise in prostate-specific antigen (PSA). My prostate-specific antigen (PSA) is 5.0 ng/ml. One year ago, I had an increase in PSA and took an antibiotic, which lowered it to 3.5 ng/ml. Does it look like that is what I should do again? I also rode a bike sickle the day before the testing, which caused my left leg to be tingly sore. I think that could have irritated the prostate also. What is your opinion, doctor?
Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome to icliniq.com.

I can understand your concern. Prostate-specific antigen (PSA) is an enzyme protein secreted from the prostate gland and can rise in different situations like infections, inflammation, prostate manipulation, or cancer. If PSA is raised, I would suggest antibiotics for two weeks and ask you not to cycle, as riding a bicycle will cause an increase in PSA. I would advise you to take a tablet of Ciprofloxacin antibiotic 500 mg twice daily for two weeks; then, we will repeat the test. Consult your specialist doctor, discuss with them and take medicines with their consent. If it is still high, I suggest you have an MRI (magnetic resonance imaging) scan of the pelvis with PI-RADS (prostate imaging–reporting and data system) scoring. Please continue your follow-up with us, and if you have any more questions, please let me know.

Thank you.

Patient's Query

Hello doctor,

Thank you fot the response. Will you be able to prescribe the antibiotic?

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I am sorry, as I am not practicing in your country, my prescription will not be valid there.

Medically reviewed by iCliniq medical review team
Published At August 8, 2022
Reviewed At August 24, 2023

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

Consult this doctor

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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