What is a prostate specific antigen (PSA) test?

The primary way to measure prostate health (along with the digital rectal exam) is through a prostate-specific antigen (PSA) blood test. This test measures inflammation in the prostate. Contrary to popular belief, a high score doesn't automatically mean you have cancer; it simply means that your prostate is enlarged for some reason, be it cancer or something else.

More important than learning the actual number is monitoring your change from year to year or every six months if the number is high, so you can see whether growth and inflammation are gradual or shoot up like a hot stock. A normal increase is less than 30 percent per year. A PSA test is not a substitute for a rectal exam; at least 20 percent of cancers don't involve elevated PSAs, so you need both the exam and the PSA to make the best starting-point diagnosis.

You and your doc should agree on a course of action you will follow if you have an abnormal reading before you get the PSA test.

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