What Causes High PSA Counts?

Generally, a high PSA count indicates prostate cancer, but there are other reasons why men may have high levels of Prostate Specific Antigen, a type of protein found in semen. An increased amount in the bloodstream is cause for concern.

Prostate Enlargement

• Benign prostatic hyperplasia (BPH) is the medical term for a noncancerous condition that causes an enlarging of the prostate gland and an elevation in PSA levels. The condition is more common in older men.

Inflammation

• Prostatis is a bacterial infection that causes inflammation of the prostate. Doctors can treat this condition with antibiotics. This infection can also raise PSA counts.

Sensitivity

• Prostate biopsies and digital rectal exams (DREs) are known to increase PSA levels falsely. A DRE is usually performed in conjunction with a PSA evaluation. To avoid skewing the results, doctors usually draw blood for the PSA test before conducting the rectal exam.

Specific Types of Exertion

• Both riding a bike and having sex have been shown to increase PSA counts. Studies at Johns Hopkins University have concluded that it is not essential to refrain from either activity before testing, but you should have an idea of when you last performed them, in case your test results are high.

Age/Race

• As men age, their PSA levels tend to rise naturally. Also, African-Americans tend to have higher levels than other men.