I'm 64yo, prost size=56ml since 2 and half years ago with PSA=2.254, free 0.532 , ratio 23.60; Now 4 months ago PSA tot=4.049, free=0.846, ratio=20.89; now today =PSA 7.205, free 3.122 , ratio=43.33. thanks, I'm very worried?
Answer:
Your Prostate size increase with the time and your PSA f/t ratio increases as well, all these signs likely to be benign enlargement like prostatitis.
To be more likely a prostate cancer, F/T PSA ratio must decrease below 16% and Prostate gland enlarged more. Therefore total PSA increase means the incensement is due to increased Free PSA, the benign type of prostate specific antigen.
WHAT SHOULD YOU DO?
Just don’t worry too much. Just get therapy plan and follow-up with blood tests and MRI to ensure there’s a risk of prostate cancer.
