What is the reason for the increase in my PSA levels?

Question

Hello doctor,

My PSA levels went up from 1.4 to 2.38 during my physical, and the digital rectal examination (DRE) did not find any issues. I have another PSA test scheduled for next month, and I am very concerned. Should I consider requesting an MRI or a biopsy before that test? It is important to note that I had BPH years ago, possibly aggravated by cycling with an uncomfortable seat. I continue to ride regularly, and I can not recall if I rode close to the exam date. My current medications include Lorazepam for stress and Amitriptyline in a subclinical dosage for IMS. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

A slight increase in PSA (prostate-specific antigen) levels may be attributed to factors like a digital rectal examination (DRE) or prostatitis, which is typically not a cause for concern. I suggest retesting your PSA levels or undergoing a brief course of antibiotics to observe any changes in your PSA. If the levels remain elevated, you may opt for an mp-MRI (multiparametric magnetic resonance imaging) test, and if indicated, proceed with a biopsy.

I hope this helps.

Revert in case of other queries.

Thank you

Answer 2

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

There is no need to be concerned or anxious. Thanks to advancements in modern technology, there are treatment options available for various conditions. To start, we recommend rechecking your PSA (prostate-specific antigen) levels, and if they remain elevated, we may consider a multiparametric MRI (magnetic resonance imaging). Please rest assured, there are options available to address this.

I hope this helps.

Please revert in case of further queries.

Thank you.