This may interfere with prostate cancer screening and the accuracy of a PSA level test.Ī 2010 study found nonsteroidal anti-inflammatory drugs (such as Aleve and Advil), statins (drugs that lower cholesterol) and thiazide diuretics (which treat high blood pressure) had a statistically significant impact on PSA levels when taken long term.įinasteride and dutasteride, medications commonly used to treat male-pattern hair loss and enlarged prostate, also cause reduction in PSA levels. A 2020 study found 34.6 percent of prostate cancer patients experienced UTIs.Ĭertain medications can actually lower PSA as a side effect. They can occur alongside other health issues in the prostate. Most urinary tract infections are caused by bacteria. In general, a higher PSA level indicates a higher chance of prostate cancer. In rare instances, prostate cancer can spread elsewhere in the body. ![]() The gland swells, and isn’t able to function properly. This occurs when malignant cells grow uncontrollably in the prostate’s tissues. Also called prostate enlargement, this condition can cause frequent and strained urination, and increased urination at night, among other symptoms. This refers to inflammation and swelling in the gland and surrounding areas, often due to bacterial infection. If results show you have a raised level of PSA, the GP may suggest further tests.Several health factors and conditions related to the prostate can cause the gland to produce more PSA than normal. If you're aged 50 or over and decide to have your PSA levels tested after talking to a GP, they can arrange for it to be carried out free on the NHS. It aims to give men good information on the pros and cons of a PSA test. Instead of a national screening programme, there is an informed choice programme, called prostate cancer risk management, for healthy men aged 50 or over who ask their GP about PSA testing. overtreatment – people being treated unnecessarily for tumours that would unlikely be harmful.overdiagnosis – people being diagnosed with a cancer that would never cause symptoms or shorten life expectancy.More research is needed to determine whether the possible benefits of a screening programme would outweigh the harms of: Treating prostate cancer in its early stages can be beneficial in some cases, but the side effects of the various treatments are potentially so serious that men may choose to delay treatment until it's absolutely necessary.Īlthough screening has been shown to reduce a man's chance of dying from prostate cancer, it would mean many men receive treatment unnecessarily. Some men may face difficult decisions about treatment, although this is less likely now that most men are offered an MRI scan before further tests and treatment The PSA test can find aggressive prostate cancer that needs treatment, but it can also find slow-growing cancer that may never cause symptoms or shorten life. Most men are now offered an MRI scan before a biopsy to help avoid unnecessary tests, but some men may have invasive, and sometimes painful, biopsies for no reason.įurthermore, around 1 in 7 those with prostate cancer have normal PSA levels (a false-negative result), so many cases may be missed. PSA tests are unreliable and can suggest prostate cancer when no cancer exists (a false-positive result). ![]() Routinely screening all men to check their prostate-specific antigen (PSA) levels is a controversial subject in the international medical community. ![]() This is because it has not been proved that the benefits would outweigh the risks. There's currently no screening programme for prostate cancer in the UK.
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