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You can discuss the result of your PSA test with your doctor before you decide what happens next.
Although the term ‘normal PSA level’ is often used, there isn’t a single number for a normal PSA level. There are a few reasons for this:
It’s best to check with your specialist what they think the normal level should be for you. The numbers given here are only a guide and are based on age:
As a guide, here’s what may happen depending on your PSA test result.
You’re unlikely to have cancer. If your prostate feels normal during a digital rectal examination (see below), then no further action is needed.
There are no rules about what to do if your PSA level is high - even healthcare professionals don’t always agree on the best course of action. If the test shows that the level of PSA in your blood is raised, what happens next depends on:
In this case you probably don’t have cancer. You might need to have another PSA test in a few weeks. Some men may have a series of PSA blood tests. This is to see whether the level is changing over time and if so, how quickly.
If the PSA level remains abnormal or increases, you may be advised to have a sample of tissue taken from your prostate (a biopsy).
Your doctor or nurse practitioner may also ask you if you were sexually active in the 48 hours before your PSA test, or if you’ve had a recent urine infection. This is because these can raise your PSA level.
If the levels are a lot higher than normal you probably need to have a prostate biopsy to find out if cancer cells are present.
If the biopsy shows that you have prostate cancer, there are a number of different options for managing it, depending on your particular situation. Your medical team will be able to give you more information about the best options for you.
We have a section on further tests for prostate cancer| and more detailed information about prostate cancer| and treatments.
If you’re finding it difficult to cope with the emotions caused by your test results, you can visit our online community|. There, you can get support from people who’ve been through similar experiences to you.
Content last reviewed: 1 January 2013
Next planned review: 2015
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© Macmillan Cancer Support 2013
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