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What is normal PSA by age?

0-2.5: Normal for a man 40-50 yrs. 2.5-3.5: Normal for a man 50-60 yrs. 3.5-4.5: Normal for a man 60-70 yrs. 4.5-5.5: Normal for a man 70-80 yrs.

texasurologyspecialists.com - PSA Testing | Texas Urology Specialists

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PSA Testing

PSA stands for prostate specific antigen. The prostate is the only place in the male body where this "hormone" is made. Women, therefore, do not have any PSA detectable in the blood. The prostate is a walnut-sized gland that sits below the bladder and surrounds the urethra. It contributes about 50 percent of the ejaculate volume, which helps the sperm survive for reproduction. PSA has a role itself in reproduction and also helps the sperm survive. The PSA is detectable in the blood through a special blood test. The prostate can "leak" PSA into the bloodstream that we can then measure. There are several instances where the PSA may be elevated. As men age, the prostate tends to get bigger and therefore the prostate of an 80-year-old man will usually secrete more PSA than a man in his forties. An infected prostate will tend to "leak" more PSA and may cause the level to be falsely elevated. In this situation the man is usually treated with antibiotics and a PSA is redrawn at a different date. Another situation where the PSA can be elevated is prostate cancer. A rectal examination should also be performed to identify any abnormalities. A prostate biopsy is often necessary to differentiate these three situations and rule out prostate cancer. The normal PSA value is usually stated to be less than 4.0. However, because of the fact that benign enlargement of the prostate gland tends to occur as men get older, an age-adjusted scale has been developed:

0-2.5: Normal for a man 40-50 yrs.

2.5-3.5: Normal for a man 50-60 yrs.

3.5-4.5: Normal for a man 60-70 yrs.

4.5-5.5: Normal for a man 70-80 yrs.

The PSA is not a perfect test but it can aid in detecting prostate cancer. Other factors that may falsely elevate the PSA value include a prostate biopsy, cystoscopy, vigorous rectal examination and ejaculating 48 hours before the sample is drawn. A new PSA test has been developed to better distinguish whether the PSA is elevated from prostate cancer or benign prostate disease and is called a free PSA. This test is based upon the fact that some of the PSA in the blood is bound to proteins, while some freely circulates in the blood. The lower the percentage of free to total PSA (<15 percent), the greater the worry that an individual has prostate cancer. Newer, more sensitive PSA tests are on the horizon and may help us in detecting prostate cancer more efficiently in the future. The American Cancer Society recommends that men over 50 years of age should have an annual rectal examination and PSA. Individuals of African-American descent or those with a family history of prostate cancer should begin screening at age 40.

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Is there a pill for prostate?

Tamsulosin belongs to a group of medicines called alpha-blockers. It's used to treat men with symptoms of an enlarged prostate (benign prostate enlargement). It's also occasionally taken to treat kidney stones. Tamsulosin is available on prescription and you can also buy it from pharmacies.

nhs.uk - Tamsulosin: a medicine used to treat men with symptoms of an ... - NHS

Tamsulosin comes as slow-release tablets and capsules (also called modified release, prolonged release, MR or XL).

This means the medicine is released into your body gradually.

How much will I take?

The usual dose of tamsulosin for enlarged prostate and kidney stone is 400 micrograms, once a day. The word microgram is sometimes written with the Greek symbol μ followed by the letter g (μg). A microgram is 1,000 times smaller than a milligram (mg).

How to take it

Swallow your tamsulosin capsules or tablets whole with a glass of water.

Do not break, chew or crush them.

If you can, take tamsulosin in the morning, after breakfast or the first meal or snack of the day. This is so the highest levels of medicine are in your body during the day and gives you the most benefit when you are most likely trying to pee.

It's best to take it at about the same time each day.

What if I forget to take it?

If you miss a dose of tamsulosin, and you remember within 6 hours, take the missed dose as soon as you remember. If it's more than 6 hours, skip the missed dose and take your next dose at the usual time the next day. Do not take a double dose to make up for a forgotten dose. If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.

What if I take too much?

Taking too much tamsulosin can lead to a decrease in your blood pressure and an increase in your heart rate. You may feel drowsy, faint and lightheaded.

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