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Q. How to decrease a rise in prostate-specific antigen (PSA) levels?

Answered by
Dr. Samer Sameer Juma Ali Altawil
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 08, 2022

Hello doctor,

I am a 65-year-old male healthy and have had a rise in prostate-specific antigen (PSA). My prostate-specific antigen (PSA) is 5.0 ng/ml. One year ago, I had an increase in PSA and took an antibiotic, which lowered it to 3.5 ng/ml. Does it look like that is what I should do again? I also rode a bike sickle the day before the testing, which caused my left leg to be tingly sore. I think that could have irritated the prostate also. What is your opinion, doctor?

#

Hi,

Welcome to icliniq.com.

I can understand your concern. Prostate-specific antigen (PSA) is an enzyme protein secreted from the prostate gland and can rise in different situations like infections, inflammation, prostate manipulation, or cancer. If PSA is raised, I would suggest antibiotics for two weeks and ask you not to cycle, as riding a bicycle will cause an increase in PSA. I would advise you to take a tablet of Ciprofloxacin antibiotic 500 mg twice daily for two weeks; then, we will repeat the test. Consult your specialist doctor, discuss with them and take medicines with their consent. If it is still high, I suggest you have an MRI (magnetic resonance imaging) scan of the pelvis with PI-RADS (prostate imaging–reporting and data system) scoring. Please continue your follow-up with us, and if you have any more questions, please let me know.

Thank you.

Hello doctor,

Thank you fot the response. Will you be able to prescribe the antibiotic?

#

Hi,

Welcome back to icliniq.com.

I am sorry, as I am not practicing in your country, my prescription will not be valid there.


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