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?



Welcome to

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?



Welcome back to

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

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Kindly advise methods to manage urinary urge and incontinence.

.. gone through your query. It is usual to have some degree of urgency in BPH (benign prostatic hyperplasia), but if it continues to persist even after your urinary stream improves, then one should make sure that there is no UTI or chronic prostate i...   Read full

There is a black mass on my penile shaft seen when the foreskin is pulled down. Please help.

I can notice it only when my foreskin is pulled down ...   Read full

I am worried about my prostate enlargement. Please help.

Hi doctor, The sudden increase in the size of my prostate from 75 g to 100 g in a year worries me ... I think you have undergone extensive prostate biopsy under general anesthesia, and the PSA level (prostate-specific antigen) is not very different ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.