HomeAnswersUrologyfree psaWhat is the use of free PSA test?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At June 5, 2020
Reviewed AtDecember 19, 2023

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

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

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.

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

Dr. Ankush Jairath
Dr. Ankush Jairath

Urology

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