What Is a Normal PSA for a Man Without Prostate Cancer? | Ask a Prostate Expert, Mark Scholz, MD

Published 2020-08-25
PCRI's Alex, asks medical oncologist, Mark Scholz, MD, about the benefits and limitations of PSA testing and what men need to know to get the most out of this powerful albeit flawed method of screening for prostate cancer.

0:05 What are the origins of PSA?

2:07 Why is PSA testing controversial?

3:15 What should a normal PSA be for a man without prostate cancer?

4:00 What if your PSA is less than 1?

5:02 What is the significance of "PSA density," or the ratio of the PSA to the size of the prostate gland.

6:08 What steps should a patient take if he has a high PSA and a large prostate?

Don’t know your stage? Take the quiz: Visit www.prostatecancerstaging.org/

To learn more about prostate cancer visit www.pcri.org/

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The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.

#ProstateCancer #Prostate #MarkScholzMD

All Comments (21)
  • Man o man, this is all my uro needed to tell me. In 5 mins of this clip, i learned more about my psa and prostate than i did in 4 yrs with my doctors.
  • @yiotisdemetriou
    If you have enlarged prostate DO not ejaculate before psa test for at least 5 days, six days even better. Do not measure psa if you have constipation. My psa was day 1 after ejaculation 7.4, 3 days after 6.7, 4 days after 6.4, 5 days after 6.1, 6 days after 5.7. Prostate size 52cc age 58. Take lycopene supplement 25mg every day, it will also drop psa. Hope that helps. 🙏
  • @presleyrules
    My VA doctor had been checking my prostate for years. He once said "I know it's uncomfortable but a time may come when I find something wrong". That time came in Feb. 2013 when he felt 2 small bumps. In Mar. 2013, I was sent to Urology where the pathologist said "Something is wrong". A biopsy was done in late-April and the results came back in early-May; positive for stage T2C adenocarcinoma (which means it was in both lobes of the prostate). In Jun. 2013, an oncologist told me it had reached stage T3A (it was outside the prostate). He told me that, at the rate it was moving, I would have maybe 5-6 years to live without treatment. I opted for radiation treatment; had that done in Sept.-Nov. 2013. Since that time, my PSA has been at 0.1 or lower; I'm checked every year by the VA. For the previous 6 years prior to my doctor finding those bumps, my PSA had been between 1.01 and 1.67. The day he found those bumps in 2013, my PSA was 2.07; which is still very low. I was 59 at the time I went thru this. Today, I'm 68 and thank God every day I'm still here!
  • @TC-eo5eb
    I am 63 years old and had a PSA blood draw performed and it was 5.5. Neither my primary provider or my Urologist told me that ejaculating 24 hours prior to a PSA blood test would cause my PSA to be falsely elevated. I discovered this fact while doing my own research. I did ejaculate the day before my blood draw. I waited 3 months and had my PSA rechecked and made sure I did not ejaculate for a week before my blood draw. My recheck was 5.1. I believe providers need to do better job educating patients on this.
  • @bodymind195
    Excellent sir...when a common non medical man can't get informed even after visiting drs.. urologist.. your evidence based information is great great help to people all over the world...thx to whole team for their constant effort to upinform the people...
  • Great practitioner. Great video. Thank you for your knowledge in this field. It has helped so many men with this cancer.
  • That young lady is a wonderful interviewer! I’ve just been referred to a Urologist as my PSA doubled from last year so I’m doing my initial research. These interviews and presentaions are very helpful in alleviating my anxiety.
  • @gavinfoster9118
    Dr Scholz is really reassuring and informative. Also the young lady who does the interviewing does an excellent job as well
  • @DM-hd4xm
    Very informative, thank you both.
  • It has helped shade more light on some of the questions I had about the PSA test and prostate cancer. Thanks alot
  • Awesome and relevant video. I am over 50 years old and my PSA peaked from 4 to 6 then lowered to 4.5. I have no symptoms and everything else, blood pressure, blood sugar, weight, etc are measured as normal. I am consulting with an urology surgeon, oncologist, research scientist and local cancer patients to explore my options. The oncologist described my condition as an intermediate cancer risk compared to individuals that are low risk and high risk. Thankfully, the body scan and bone scan did not detect any evidence of cancer. However, the biopsy detected a small malignant tissue in one of my prostates. My urologist has recommended aggressive surveillance to continually monitor the situation. As I stated earlier, I am exploring my options.
  • @ell745
    Wow, thank you for such an informative video! The interviewer asked all the right questions and the doctor gave all the right information in a way we can understand it. Really appreciate it!
  • @RaxOldies
    So glad I found these folks and this channel!! Have learned so much in such a short while!
  • @stultuses
    The interviewer knows how to let the interviewer talk the topic out without interruption, excellent Her skin complexion is lovely too
  • @Kismainspires
    These conversations are so reassuring for me as the wife of a prostate cancer survivor
  • This guy really knows what he is talking about. Objective, knowledgeable and well balanced information, congratulations!
  • This doctor's explanation gives easy understanding of prostate issues and also gives hope for patients. Excellent! Thank you sir.