Total Prostate-Specific Antigen (Total PSA)

A prostate marker used for prostate cancer screening and monitoring.

Last reviewedJune 16, 2026
Serum
sample type
~5 mL
blood needed
~7 days
results in app
Any time of day
best timing
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0.55 € a day
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German PKV insurance usually reimburses.
On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
In short

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.

Cancer Markers (Screening)
Reviewed against DGKL reference practice.

Why test this?

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.

What is a normal result?

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.

GroupNormal range
Men, age 40 to 49Below 2.5 µg/L
Men, age 50 to 59Below 3.5 µg/L
Men, age 60 to 69Below 4.5 µg/L
Men, age 70 to 79Below 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.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.

What insights will this test give you?

  • A baseline PSA level you can track over the years.
  • An early flag that, with your doctor, may prompt a closer look at the prostate.
  • Context your concierge can pair with the free PSA ratio and your symptoms for a personalized action plan.

What can affect this result?

What can skew the result

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.

Best interpreted with

Usually read together with free PSA and the free/total PSA ratio, and alongside a clinical exam.

How is this tested?

Sample
Serum
Blood needed
~5 mL
Method
Immunoassay
Best timing
Any time of day

Common questions

✦ Privately insured? German PKV usually reimburses.

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