Psa/Prostate Specific Antigen Total & Free

1,900.00

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The PSA Total & Free Test measures the levels of prostate-specific antigen (PSA) in your blood, including both:
• Total PSA – the overall amount of PSA (both free and bound forms).
• Free PSA – the portion of PSA that circulates freely in the bloodstream, not attached to proteins.
PSA is a protein produced by the prostate gland. Elevated PSA levels may indicate prostate cancer, benign prostate conditions, or inflammation.
Measuring both total and free PSA provides a more accurate assessment of prostate health, especially if your total PSA level is borderline (typically between 4 and 10 ng/mL).

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    Description

    Why It’s Done
    Doctors recommend this test to:
    • Screen for prostate cancer, particularly in men over 50 or those at higher risk.
    • Differentiate between prostate cancer and benign conditions like:
    o Benign Prostatic Hyperplasia (BPH)
    o Prostatitis (inflammation of the prostate)
    • Monitor prostate health in individuals with previously elevated PSA.
    • Help determine the need for a prostate biopsy.
    A lower ratio of free to total PSA may suggest a higher risk of prostate cancer.
    A higher ratio usually points to benign prostate conditions.

    Preparation
    • No fasting is required.
    • Avoid ejaculation for 24–48 hours before the test, as it can temporarily raise PSA levels.
    • Avoid vigorous exercise (especially biking) before the test.
    • No digital rectal exam (DRE) for at least 24 hours prior, unless advised otherwise.
    • Inform your doctor about any medications you’re taking, especially:
    o 5-alpha reductase inhibitors (e.g., finasteride, dutasteride)
    o Hormonal treatments