“Men's PSA count?”
At age 74 when should you become concerned about PSA count?
Male | 74 years old
6 Answers
0 - 4 ng is considered within normal even slightly higher may be normal. Other causes of higher levels of PSA include:
- Prostatitis
- Recent rectal examination
- BPH
- Some antibiotics
A follow-up of PSA level is advisable and, if changes are noted, a urologist should be consulted.
- Prostatitis
- Recent rectal examination
- BPH
- Some antibiotics
A follow-up of PSA level is advisable and, if changes are noted, a urologist should be consulted.
If your PSA is within the normal range at this age, I would not be concerned with your PSA.
Although there is no definitive cut off point for a PSA test, most labs report a value greater than 4.0 as abnormal. Ideally, a patient should have multiple PSAs over the course of several years to establish a baseline and identify concerning trends. It is best to discuss your PSA with an experienced urologist. You can find more information about PSA and prostate cancer on
RadRoboticSurgery.com
RadRoboticSurgery.com
The PSA should be concerning if the trend has been going up more than 0.75 per year in three consecutive blood draws. The average norm for a 75-year-old is a PSA between 4.0 and 6.5.
Dr. Niko Lailas
Dr. Niko Lailas
Patient should have had a prior psa at an earlier age to compare with the current psa at his age of 74. Concern of his current psa would depend on his overall health and whether he has nothing health-wise that would significantly affect his life.
For a man in his 70s, PSA’s should still be under 4.0 - but in some circumstances in gentleman with large prostates, they could be acceptable up to a value of about 6.5. Overall though, a PSA is not acceptable to rise more than 0.75 over one year. Also, it’s been felt more so lately, to talk with patients after age 75 and stop following PSA’s in general.
