A prostate marker used for prostate cancer screening and monitoring.
Prostate-specific antigen, or PSA, is a protein made by the prostate gland. Total PSA measures all the PSA in your blood, both the part that floats freely and the part bound to other proteins.
Small amounts of PSA leak into the bloodstream normally. The level tends to rise with age and with the size of the prostate, and it can go up for many reasons that have nothing to do with cancer.
Total PSA is used to follow prostate health over time. A raised level can come from prostate cancer, but far more often it reflects benign causes such as an enlarged prostate (BPH), inflammation, a recent infection, or even a bike ride or sex in the days before the test.
PSA is not a standalone cancer test for the general population. A single value means little on its own. Your doctor reads it alongside your age, the trend over time, a physical exam, and sometimes the free-to-total ratio before deciding whether anything further is needed.
Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.
Adult reference values as used by Aniva. Ranges are guidance and can vary by laboratory and method.
| Group | Normal range |
|---|---|
| Men, age 40 to 49 | Below 2.5 µg/L |
| Men, age 50 to 59 | Below 3.5 µg/L |
| Men, age 60 to 69 | Below 4.5 µg/L |
| Men, age 70 to 79 | Below 6.5 µg/L |
Sources: Oesterling 1993 PSA age-specific ranges
Your Aniva report reads your result against these values together with your age, sex and the rest of your panel.
Recent ejaculation, cycling, a prostate exam, catheter use, or urinary infection can raise PSA. Drugs such as finasteride and dutasteride roughly halve the level. PSA falls after some prostate treatments. Results from different assays are not always interchangeable.
Usually read together with free PSA and the free/total PSA ratio, and alongside a clinical exam.
One annual membership, 100+ biomarkers, every result explained in plain language with a personalized action plan and concierge guidance.