ASK YOUR DOCTOR ABOUT PSA TESTING
A PSA blood test led to my prostate cancer diagnosis at age 35.
Larry Lipshultz, MD, was my urologist when I was diagnosed. In this excerpt, I ask him what he wants men to know about the importance of PSA testing.
PSA stands for prostate-specific antigen. It is measured through a simple blood test and can provide important information about the prostate. A PSA result alone cannot diagnose cancer because noncancerous conditions can also raise it. A baseline measurement and changes over time can help a doctor assess risk and determine whether follow-up is appropriate.
Dr. Lipshultz shares the approach used in his clinical practice, including beginning PSA testing at about age 40.
Current AUA/SUO guidance emphasizes shared decision-making. Clinicians may offer a baseline PSA test between ages 45 and 50. Screening should be offered between ages 40 and 45 for people at increased risk because of Black ancestry, certain inherited genetic mutations or a strong family history of prostate cancer.
Do not wait for symptoms to start the conversation. Ask your primary care doctor or urologist: What is my individual risk? When should I have a baseline PSA? How should my results be followed over time?
Dr. Larry Lipshultz is a board-certified urologist, Professor of Urology, and Chief of the Division of Male Reproductive Medicine and Surgery in the Scott Department of Urology at Baylor College of Medicine.
Learn more:
larrylipshultz.com/
Interview recorded August 29, 2024.
Educational only. This is not medical advice.