PSA Screening Guidelines

Prostate-specific antigen (PSA) is a protein used to test for prostate cancer in men age 50 and older. It is made by cells in the prostate gland. The PSA level is measured with a simple blood test.

Reason for Testing

• The occurrence of benign prostate conditions or prostate cancer increases as men age. When a man reaches the age of 50, his health care provider may order a PSA test.

Meaning of the Test

• The PSA test is a simple blood test. The PSA result does not necessarily mean there is cancer or an abnormal prostate condition. The initial test serves to set a baseline, or starting point. Subsequent tests determine changes in the PSA level, which could suggest cancer. Your health care provider may then decide to decide to perform further tests.

At What Age to Test

• The American Cancer Society recommends that you should discuss a PSA screening with your health care provider when you turn 50. These men are at average risk and can expect to live 10 or more years. Talk to your health care provider at age 45 if you are an African American male or if your father, brother or son was diagnosed with prostate cancer before age 65. Men age 40 with several family members such as father, brother and son who were found to have prostate cancer at an early age are very high risk. Early screening would be recommended. The National Institute of health recommends you discuss the various benefits and risks with your health care provider.