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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does PSA Level Of 5.6 Indicate?

Hello. I am a 48 year old male who has been taking prescribed testosterone supplements (Androgel) for about a year. My PSA rose to 4.4 so I was referred to a Urologist to see if I should continue with the supplements. The Urologist prescribed Testosterone injections due to low T. After two months, my PSA is now 5.6. The Urologist said he is now concerned I may have Prostate Cancer and has ordered a biopsy. My question is should the doctor have placed me on Testosterone injections with a PSA already at 4.4. I suspect he did not read my records and see my previous PSA results.
Mon, 22 Feb 2021
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General & Family Physician,  's  Response
Hi,

Replacement of testosterone by oral route causes no rise in PSA level. However, injectable testosterone may cause some minimal rise in PSA. Also, studies have shown no bad effects of testosterone replacement therapy in selected men with history of prostate cancer. Hence, rise of PSA due to prostate cancer in your case should be ruled out by biopsy, as rightly advised by your urologist.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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What Does PSA Level Of 5.6 Indicate?

Hi, Replacement of testosterone by oral route causes no rise in PSA level. However, injectable testosterone may cause some minimal rise in PSA. Also, studies have shown no bad effects of testosterone replacement therapy in selected men with history of prostate cancer. Hence, rise of PSA due to prostate cancer in your case should be ruled out by biopsy, as rightly advised by your urologist. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician