Should I Be Worried About a High PSA Level?

High PSA levels? Don't panic. Dr. Samadi explains what it means, potential causes, and next steps. High PSA doesn't always mean prostate cancer.

What Is Considered a High PSA Level?

PSA levels are measured in nanograms per milliliter (ng/mL) of blood. While there’s no universal cutoff, a PSA level above 4.0 ng/mL is generally considered elevated. However, what's normal can vary by age:

Age Group	Typical PSA Range
40–49 years	0.0 – 2.5 ng/mL
50–59 years	0.0 – 3.5 ng/mL
60–69 years	0.0 – 4.5 ng/mL
70–79 years	0.0 – 6.5 ng/mL

That means a PSA of 5.0 might be concerning in a 50-year-old, but not unusual for someone in their 70s.

Does a High PSA Mean I Have Prostate Cancer?

Not always. While a high PSA can be a warning sign of prostate cancer, there are many non-cancerous causes of elevated PSA, including:

Benign prostatic hyperplasia (BPH) – an enlarged prostate
Prostatitis – inflammation or infection of the prostate
Urinary tract infections
Recent ejaculation
Vigorous exercise (especially cycling)
Recent medical procedures involving the prostate

That’s why one elevated PSA test is not enough to make a diagnosis.

What Should You Do If Your PSA Is High?

If your PSA level is above the normal range for your age, don’t panic—but do follow up. Dr. Samadi typically recommends the following next steps:

1. Repeat the PSA Test

A second test helps rule out temporary changes caused by infection or activity. Testing again in a few weeks may show your PSA returning to normal.

2. Consider PSA Velocity and Density

These measurements look at how quickly your PSA is rising and how it relates to your prostate size. Rapid changes or a high PSA relative to gland size may require further investigation.

3. Get a Digital Rectal Exam (DRE)

This simple in-office exam checks for physical abnormalities in the prostate.

4. Imaging or Biopsy

If PSA remains high or suspicious, Dr. Samadi may order a prostate MRI or recommend a prostate biopsy to determine if cancer is present.

When Should You Be Concerned?

You should seek immediate follow-up if:

Your PSA level is significantly higher than the normal range for your age
Your PSA has risen rapidly over the past year (PSA velocity)
You experience urinary symptoms like frequent urination, difficulty starting/stopping flow, or pelvic discomfort
You have a family history of prostate cancer

How Dr. Samadi Approaches Elevated PSA

With decades of experience in urology and prostate cancer treatment, Dr. Samadi takes a personalized, evidence-based approach. He doesn’t rely on PSA alone—instead, he looks at your full health picture, including age, symptoms, and PSA trends over time.

If a biopsy or further evaluation is needed, he uses the most advanced, minimally invasive techniques for accurate diagnosis and effective treatment.

The Bottom Line: Don’t Ignore It, But Don’t Panic

A high PSA level doesn’t necessarily mean cancer—but it is a signal that something may be happening in your prostate. The earlier you identify the cause, the better your chances of managing it successfully.

Whether your levels are slightly elevated or significantly above average, early action and expert guidance matter.

Concerned About Your PSA? Get Answers Today.

If your PSA is high or rising, Dr. David B. Samadi is here to help. With a reputation built on early detection and world-class outcomes, you're in trusted hands.