Hello and welcome to HCM,
The normal level of PSA is below 4 ng/mL.
Levels above 4 ng/mL is seen in
prostatitis (inflammation of
prostate), prostatic instrumentation, prostatic
infarction and lastly prostatic cancer.
An increasing PSA level needs to be investigated.
As you have mentioned that you underwent a biopsy.
The procedure of biopsy taking can lead to increase in PSA levels and thus PSA level needs to be repeated after a period of 4 weeks.
In addition, an urine examination and semen examination needs to be done to look for presence of pus cells and thus infection.
Pus cells in semen and urine can be present in case of prostatitis.
Besides deep lower
abdominal pain is also experienced in prostatitis.
If there is no pain, no pus cells in urine or semen, then cancer of prostate is a strong possibility.
I suggest you to consult your
urologist for clinical assessment, relevant investigations and thus management.
Thanks and take care
Dr Shailja Puri