HomeAnswersUrologyfree prostate-specific antigens (PSA)

My free PSA % is 19.4. What does it mean?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had a total free PSA test done and these were the results. PSA 7.7, PSA free - 1.49, and % free PSA - 19.4. What does this mean?

Answered by Dr. Ankush Jairath

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

PSA (prostate-specific antigen) is only a screening test that can be raised in any prostate abnormality. Coming back to your query, as your total PSA levels fall in the grey zone of 4-10, free PSA is done. If free PSA is more than 25% chances of you having CA prostate decreases to less than 9 percent. If your free PSA would have been less than 10 percent biopsy would have been recommended. So when your free PSA is 19.4 so chances of you having CA prostate is relatively less and you can be kept on three months PSA and free PSA follow up.

I hope this helps.

Patient's Query

Thank you doctor,

I was worried that I had prostate cancer because I do have BPH.

Answered by Dr. Ankush Jairath

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Get your three monthly follow up PSA and free PSA on a regular basis. Also, clinical examination (per rectal examination) is also very important. I will recommend you to get it done by some urologist nearby if available and possible.

Medically reviewed by Dr. Vinodhini J.
Published At June 5, 2020
Reviewed At February 2, 2026

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

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