I have an elevated PSA and an enlarged prostate. Can Proscar help?

Question

Hello doctor,

I am a 66-year-old male. My only medical history is hypertension (controlled) with Norvasc. I went for my routine prostate test a couple of months ago, and the result stated:

1. PSA - 9.8 ng/mL.

2. Free PSA - 1.9 ng/mL.

3. Percentage free PSA - 19.4 %.

I went back to another doctor a few weeks ago, and he repeated the PSA and did a digital exam, and the results were as follows: PSA - above 10 ng/mL. Prostate slightly enlarged, preserved median groove, not nodular, feels rubbery. He prescribed Proscar 4 mg daily for a month. I have absolutely no urinary symptoms.

What do you suggest that I do?

Please suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

After analysis of the history provided, I would like to give you a brief idea of the same.

Firstly, PSA (prostate-specific antigen) varies with age. As the age advances, it keeps increasing.
Secondly, in spite of that, the PSA level mentioned in your report is in a higher range and more than the normal upper limit.
You have also mentioned that a digital examination was done. The report suggests features of hyperplasia of the prostate gland, which is basically an enlargement of the prostate gland due to hormonal effects that are normally associated with the aging process. You need not worry about that.

As of now, the Proscar (Finasteride) prescribed by your doctor is a very good medicine. So please continue using it. For further confirmation, you can also go for an ultrasound examination. Having no urinary symptoms suggests that you do not have to worry about anything, and it is good to go.

Do not forget to follow up regularly with your doctor. Stay healthy and be positive.

I hope this helps.

Thank you.