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What does a PSA level of 1.2 ng/mL mean in the elderly?

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

Patient's Query

Hello doctor,

I have a question about the free PSA percentage test. I am 67 years old and just had my annual fasting and urinalysis examination last week. I am not on any medication, and my results were all normal. My total PSA was 1.2 ng/mL, but my free percentage PSA was 17 percent. Kindly explain this.

Thank you.

Hello,

Welcome to icliniq.com.

Your age is 67 years, and your prostate-specific antigen (PSA) is between 0.9 to 1.2 ng/mL, and it is normal. The free total PSA ratio is created to differentiate between chronic prostatitis and prostate cancer for those who have PSA above 4 ng/mL and below 10 ng/mL to avoid unnecessary prostate biopsies. So you should not worry about it. After the age of 50 prostate starts to enlarge, and it can cause symptoms. Any patient with PSA above 1.4 ng/mL should have PSA checked every six months on follow-up, and if it is below 1.4 ng/mL, then they should have PSA done once a year on the follow-up.

If you have any more queries, please let me know.

Thank you.

Patient's Query

Is
Can you be clear

Medically reviewed byiCliniq medical review team

Published At October 8, 2022
Reviewed AtJune 11, 2024

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