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Cancer: Prostate Message Board


Cancer: Prostate Board Index


Re: Psa
Oct 11, 2009
[QUOTE=scapone;4097152]My psa is 1.81 how can i lower it? i'm a 51 yr old male.[/QUOTE]

If this is a pre-treated result, then most guys on this board are envious of such a low value.

The American Urological Association publishes (in the 2009 Update of their PSA Best Practice Statement) an age-adjusted reference range for PSA, which I have reproduced below. I believe that this is published with hesitation because use of age adjusted PSA increases the risk of missing high grade cancers in older men, and may overdetect smaller volume/lower grade tumors in younger men. Nonetheless, there is a recognition that PSA tends to increase with age, so a age-sliding scale improves specificity for PSA testing.

Here's the published ranges, which are broken into segments based on ethnic heritage:

Age Range.....Asian-Amer.....African-Amer.....Whites
..40-49............0-2.0.............0-2.0............0-2.5ng/mL
..50-59............0-3.0.............0-4.0............0-3.5
..60-69............0-4.0.............0-4.5............0-4.5
..70-79............0-5.0.............0-5.5............0-6.5

As an additional reference, age-specific, median PSA values are 0.7 ng/mL for men in their 40s, 0.9ng/mL for men in their 50s, 1.2 for men in their 60s, and 1.5 for men in their 70s

So, at age 51 and PSA of 1.8, even though you are a little above the age median, you are well in the reference range.

If you are willing to undertake lifestyle changing steps to maintain a healthy prostate, there have been excellent tips posted on this site which you can use the search tool to find. Try different key words like "lifestyle changes", for starters.

best wishes...





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