{"id":659,"date":"2020-05-21T13:18:10","date_gmt":"2020-05-21T06:18:10","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=659"},"modified":"2026-08-15T00:21:25","modified_gmt":"2026-08-14T17:21:25","slug":"psa-screening-test","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/km\/2020\/05\/21\/psa-screening-test\/","title":{"rendered":"Should I Have a PSA Test? Prostate Cancer Screening Explained"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" 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href=\"https:\/\/drsoaraweeurology.com\/km\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soaravy Weerasopone, \u17af\u1780\u1791\u17c1\u179f\u1794\u17d2\u179a\u1796\u17d0\u1793\u17d2\u1792\u1791\u17b9\u1780\u1793\u17c4\u1798<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"\/km\/\u1780\u1780\u17cb\u1780\u17b6\u179a\u1796\u17b7\u1782\u17d2\u179a\u17c4\u17c7\u1799\u17c4\u1794\u179b\u17cb\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u1787\u17d2\u1788\u1798\u178e\u17d2\u178c\u179b\u1780\u178e\u17d2\u178f\u17b6\u179b\u1793\u17c3\u1798\u1793\u17d2\u1791\u17b8\u179a\u1796\u17c1\u1791\u17d2\u1799\u1794\u17b6\u1784\u1780\u1780\u17d4<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">\u1798\u1793\u17d2\u1791\u17b8\u179a\u1796\u17c1\u1791\u17d2\u1799\u179f\u17b6\u1798\u17b8\u1791\u17b8\u1787\u17c1\u1787 \u179f\u17d2\u179a\u17b8\u179a\u17c9\u17b6\u1785\u17b6 \u2014 \u1795\u17d2\u1793\u17c2\u1780\u1787\u17c6\u1784\u17ba\u1794\u17d2\u179a\u1796\u17d0\u1793\u17d2\u1792\u1791\u17b9\u1780\u1793\u17c4\u1798\u17d6 <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"\/km\/\u1780\u1780\u17cb\u1780\u17b6\u179a\u1796\u17b7\u1782\u17d2\u179a\u17c4\u17c7\u1799\u17c4\u1794\u179b\u17cb\/\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">\u1780\u1780\u17cb\u1780\u17b6\u179a\u1796\u17b7\u1782\u17d2\u179a\u17c4\u17c7\u1799\u17c4\u1794\u179b\u17cb<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center 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   <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"\u1798\u17be\u179b\u1794\u17d2\u179a\u179c\u178f\u17d2\u178f\u17b7\u179a\u17bc\u1794 Google Scholar\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">A large part of my clinic is men who arrived with one number on a health-check report: a PSA above the 4.0 ng\/mL cutoff. They are frequently very frightened by the time they sit down, and much of the consultation is spent explaining what that number does and does not mean. So let me start where I start with them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>An elevated PSA usually does not mean cancer.<\/strong> It means the prostate has leaked more of one particular enzyme into the blood than expected \u2014 and there are several ordinary reasons for that.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What PSA actually is<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PSA stands for <strong>Prostate Specific Antigen<\/strong>, an enzyme made only by the prostate, whose job is to liquefy semen after ejaculation. It sits at high concentration inside prostate tissue and at very low concentration in the bloodstream. Anything that disturbs prostate tissue \u2014 an enlarged prostate, infection, or even minor manipulation of the gland \u2014 lets PSA leak into the blood and pushes the number up. When that happens without cancer being present, we call it a <strong>false positive<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Note what the name does <em>\u1798\u17b7\u1793\u1798\u17c2\u1793<\/em> say: PSA is prostate-specific, not cancer-specific. That single distinction explains most of what follows.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"437\" data-attachment-id=\"662\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2020\/05\/21\/psa-screening-test\/diagram-of-prostate-cancer\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?fit=6349%2C3465&amp;ssl=1\" data-orig-size=\"6349,3465\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Diagram of prostate cancer illustration&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Diagram of prostate cancer&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Prostate cancer\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Prostate cancer&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?fit=800%2C437&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?resize=800%2C437&#038;ssl=1\" alt=\"Illustration of the prostate gland, the only source of PSA in the blood\" class=\"wp-image-662\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?w=6349&amp;ssl=1 6349w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?resize=300%2C164&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?resize=1024%2C559&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?resize=768%2C419&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?resize=1536%2C838&amp;ssl=1 1536w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?resize=2048%2C1118&amp;ssl=1 2048w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?resize=1200%2C655&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?resize=1568%2C856&amp;ssl=1 1568w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/05\/14133.jpg?w=2400&amp;ssl=1 2400w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">PSA is specific to the prostate \u2014 but not specific to prostate cancer.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why screening everyone is no longer recommended<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In 2018 a <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29801017\/\">landmark US review<\/a> concluded that universal PSA screening is not right for everyone: a modest benefit in men aged <strong>55\u201369<\/strong>, and no benefit in men aged <strong>70 and above<\/strong>. The reasoning is worth understanding rather than just accepting.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The point of screening is to find <strong>high-risk localised<\/strong> prostate cancer, early enough to treat it successfully.<\/li>\n\n\n\n<li>Much prostate cancer is indolent \u2014 slow enough never to cause trouble. Autopsy studies found that about <strong>33% of men who died of something else<\/strong> had prostate cancer nobody had detected, and it had not harmed them.<\/li>\n\n\n\n<li>Roughly <strong>1 in 1,000 men screened<\/strong> genuinely benefits.<\/li>\n\n\n\n<li>False positives lead to biopsies that were not needed \u2014 with pain, blood in the urine or semen, and infection \u2014 and sometimes to treatment of a harmless cancer, which carries its own risks of erectile dysfunction and urinary incontinence.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Put plainly: screening can save a life, and it can also cause harm to a man who was never going to be harmed by his cancer. That is the trade-off, and it is why the recommendation is a conversation rather than a rule.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1221\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2020\/05\/21\/psa-screening-test\/nurse-is-pricking-needle-syringe-in-the-arm-of-a-patient-in-hospital-womans-hands-in-blue-sterile-gloves-taking-blood-sample-for-blood-test-in-a-research-laboratory-close-up\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Blood-sampling.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;ILCE-7M3&quot;,&quot;caption&quot;:&quot;Nurse is pricking needle syringe in the arm of a patient in hospital. Woman&#039;s hands in blue sterile gloves taking blood sample for blood test in a research laboratory. Close-up.&quot;,&quot;created_timestamp&quot;:&quot;1517590224&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Nurse is pricking needle syringe in the arm of a patient in hospital. Woman&#039;s hands in blue sterile gloves taking blood sample for blood test in a research laboratory. Close-up.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Blood sampling will be done for PSA\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Blood sampling will be done for PSA&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Blood-sampling.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Blood-sampling.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A blood sample being taken for a PSA test\" class=\"wp-image-1221\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Blood-sampling.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Blood-sampling.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Blood-sampling.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Blood-sampling.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">PSA needs nothing more than a blood sample \u2014 the difficulty lies in interpreting it.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Who should start the conversation earlier<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The 55\u201369 window applies to men at average risk. Some men are not at average risk and should raise it sooner, at around <strong>40\u201345<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A father or brother who has had prostate cancer<\/li>\n\n\n\n<li>Men of African descent, in whom prostate cancer occurs earlier and more aggressively<\/li>\n\n\n\n<li>A known family history of certain inherited cancer syndromes, which is worth mentioning to your doctor<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">One thing that has changed since 2018<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Much of the harm in the list above comes from the assumption that a raised PSA leads more or less automatically to a needle biopsy. That is no longer the case. <a href=\"https:\/\/drsoaraweeurology.com\/km\/2021\/02\/05\/mri-prostate-%e1%9e%98%e1%9e%a0%e1%9e%b6%e1%9e%9a%e1%9e%b8%e1%9e%80-%e1%9e%a2%e1%9e%8f%e1%9f%92%e1%9e%90%e1%9e%94%e1%9f%92%e1%9e%9a%e1%9e%99%e1%9f%84%e1%9e%87%e1%9e%93%e1%9f%8d\/\">MRI of the prostate before biopsy<\/a> can distinguish suspicious areas from an innocent gland, and spares a substantial proportion of men a biopsy they did not need. Where a biopsy is still required, the <a href=\"https:\/\/drsoaraweeurology.com\/km\/2024\/01\/12\/mri-%e1%9e%80%e1%9e%b6%e1%9e%9a%e1%9e%92%e1%9f%92%e1%9e%9c%e1%9e%be%e1%9e%80%e1%9f%84%e1%9e%9f%e1%9e%9b%e1%9f%92%e1%9e%99%e1%9e%9c%e1%9e%b7%e1%9e%85%e1%9f%90%e1%9e%99%e1%9e%93%e1%9f%83%e1%9e%80\/\">MRI-fusion transperineal technique<\/a> targets the suspicious area rather than sampling blindly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This matters for your decision: the balance of benefit and harm in a 2018 review reflected the pathway as it was then, and the harm side of that equation is smaller now than it was.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">So what should you do?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If you are a man aged 55\u201369, discuss PSA screening with your doctor and reach a decision together, in the light of your own risk and your own view of the trade-off. <strong>It is genuinely your choice<\/strong> \u2014 there is no single right answer that applies to every man, which is exactly why the guidance stops short of telling you what to do.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And if you have already had a high result, do not panic before you have the full picture: <a href=\"https:\/\/drsoaraweeurology.com\/km\/2021\/05\/07\/%e1%9e%a2%e1%9f%92%e1%9e%9c%e1%9e%b8%e1%9e%8a%e1%9f%82%e1%9e%9b%e1%9e%a2%e1%9f%92%e1%9e%93%e1%9e%80%e1%9e%82%e1%9e%bd%e1%9e%9a%e1%9e%92%e1%9f%92%e1%9e%9c%e1%9e%be-%e1%9e%94%e1%9f%92%e1%9e%9a\/\">here is what a high PSA actually means and what happens next<\/a>. Screening is also only worth doing if effective treatment follows a positive result \u2014 you can read what that treatment involves on the <a href=\"https:\/\/drsoaraweeurology.com\/km\/%e1%9e%9f%e1%9f%81%e1%9e%9c%e1%9e%b6%e1%9e%80%e1%9e%98%e1%9f%92%e1%9e%98\/%e1%9e%80%e1%9e%b6%e1%9e%9a%e1%9e%9c%e1%9f%87%e1%9e%80%e1%9e%b6%e1%9e%8f%e1%9f%8b%e1%9e%80%e1%9f%92%e1%9e%9a%e1%9e%96%e1%9f%81%e1%9e%89%e1%9e%94%e1%9f%92%e1%9e%9a%e1%9e%bc%e1%9e%9f%e1%9f%92%e1%9e%8f\/\">prostate cancer surgery service<\/a> page.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1794\u17d2\u179a\u179f\u17b7\u1793\u1794\u17be\u17a2\u17d2\u1793\u1780\u1798\u17b6\u1793\u179f\u17c6\u178e\u17bd\u179a\u17a2\u17c6\u1796\u17b8\u1780\u17b6\u179a\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 PSA \u17ac\u1794\u17b6\u1793\u1791\u1791\u17bd\u179b\u179b\u1791\u17d2\u1792\u1795\u179b PSA \u1781\u17d2\u1796\u179f\u17cb \u179b\u17c4\u1780\u179c\u17c1\u1787\u17d2\u1787\u1794\u178e\u17d2\u178c\u17b7\u178f Soarawee Weerasopone \u1795\u17d2\u178f\u179b\u17cb\u1787\u17bc\u1793\u1780\u17b6\u179a\u1796\u17b7\u1782\u17d2\u179a\u17c4\u17c7\u1799\u17c4\u1794\u179b\u17cb\u1787\u17c6\u1793\u17b6\u1789\u1793\u17c5\u1791\u17b8\u179f\u17d2\u1793\u17b6\u1780\u17cb\u1780\u17b6\u179a\u1780\u178e\u17d2\u178f\u17b6\u179b\u1798\u1793\u17d2\u1791\u17b8\u179a\u1796\u17c1\u1791\u17d2\u1799\u1794\u17b6\u1784\u1780\u1780\u17d4. <a href=\"\/km\/\u1780\u1780\u17cb\u1780\u17b6\u179a\u1796\u17b7\u1782\u17d2\u179a\u17c4\u17c7\u1799\u17c4\u1794\u179b\u17cb\/\">\u1780\u1780\u17cb\u1780\u17b6\u179a\u1796\u17b7\u1782\u17d2\u179a\u17c4\u17c7\u1799\u17c4\u1794\u179b\u17cb<\/a>. \u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u1793\u17c5\u1798\u1793\u17d2\u1791\u17b8\u179a\u1796\u17c1\u1791\u17d2\u1799 Samitivej Sriracha \u17a2\u17b6\u1785\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u179a\u17c0\u1794\u1785\u17c6\u178a\u17c4\u1799\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791\u1791\u17c5\u1795\u17d2\u1793\u17c2\u1780\u1787\u17c6\u1784\u17ba\u1794\u17d2\u179a\u1796\u17d0\u1793\u17d2\u1792\u1791\u17b9\u1780\u1793\u17c4\u1798\u178f\u17b6\u1798\u179a\u1799\u17c8\u179b\u17c1\u1781 <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u179f\u17c6\u178e\u17bd\u179a\u178a\u17c2\u179b\u179f\u17bd\u179a\u1787\u17b6\u1789\u17b9\u1780\u1789\u17b6\u1794\u17cb\u17a2\u17c6\u1796\u17b8\u1780\u17b6\u179a\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 PSA<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">\u178f\u17be\u1780\u17b6\u179a\u1792\u17d2\u179c\u17be\u178f\u17c1\u179f\u17d2\u178f PSA \u1787\u17b6\u17a2\u17d2\u179c\u17b8 \u17a0\u17be\u1799\u179c\u17b6\u179a\u1780\u1783\u17be\u1789\u17a2\u17d2\u179c\u17b8\u1781\u17d2\u179b\u17c7?<\/strong> <p class=\"schema-faq-answer\">PSA (Prostate Specific Antigen) is a blood test that measures the level of an enzyme produced by the prostate gland. Elevated PSA may indicate prostate cancer, but it can also be raised by benign conditions such as BPH, prostatitis, or even minor prostatic manipulation. PSA is prostate-specific, not cancer-specific. It is used as a screening tool for prostate cancer, particularly in men aged 55&#8211;69, but must be interpreted carefully in context with other clinical information.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">\u178f\u17be\u1798\u1793\u17bb\u179f\u17d2\u179f\u1782\u17d2\u179a\u1794\u17cb\u1782\u17d2\u1793\u17b6\u178f\u17d2\u179a\u17bc\u179c\u1780\u17b6\u179a\u1780\u17b6\u179a\u178f\u17d2\u179a\u17bd\u178f\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 PSA \u178a\u17c2\u179a\u17ac\u1791\u17c1?<\/strong> <p class=\"schema-faq-answer\">\u1791\u17c1\u17d4 \u1797\u179f\u17d2\u178f\u17bb\u178f\u17b6\u1784\u1794\u1785\u17d2\u1785\u17bb\u1794\u17d2\u1794\u1793\u17d2\u1793\u1798\u17b7\u1793\u1782\u17b6\u17c6\u1791\u17d2\u179a\u1780\u17b6\u179a\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 PSA \u1787\u17b6\u179f\u1780\u179b\u1791\u17c1\u17d4 \u1780\u17b6\u179a\u179f\u17b7\u1780\u17d2\u179f\u17b6\u178a\u17cf\u179f\u17c6\u1781\u17b6\u1793\u17cb\u1798\u17bd\u1799\u179a\u1794\u179f\u17cb\u179f\u17a0\u179a\u178a\u17d2\u178b\u17a2\u17b6\u1798\u17c1\u179a\u17b7\u1780\u1780\u17d2\u1793\u17bb\u1784\u1786\u17d2\u1793\u17b6\u17c6 \u17e2\u17e0\u17e1\u17e8 \u1794\u17b6\u1793\u179a\u1780\u1783\u17be\u1789\u1790\u17b6\u17a2\u178f\u17d2\u1790\u1794\u17d2\u179a\u1799\u17c4\u1787\u1793\u17cd\u178f\u17b7\u1785\u178f\u17bd\u1785\u1798\u17b6\u1793\u178f\u17c2\u1785\u17c6\u1796\u17c4\u17c7\u1794\u17bb\u179a\u179f\u178a\u17c2\u179b\u1798\u17b6\u1793\u17a2\u17b6\u1799\u17bb\u1796\u17b8 \u17e5\u17e5-\u17e6\u17e9 \u1786\u17d2\u1793\u17b6\u17c6\u1794\u17c9\u17bb\u178e\u17d2\u178e\u17c4\u17c7 \u17a0\u17be\u1799\u1782\u17d2\u1798\u17b6\u1793\u17a2\u178f\u17d2\u1790\u1794\u17d2\u179a\u1799\u17c4\u1787\u1793\u17cd\u1785\u17c6\u1796\u17c4\u17c7\u1794\u17bb\u179a\u179f\u178a\u17c2\u179b\u1798\u17b6\u1793\u17a2\u17b6\u1799\u17bb \u17e7\u17e0 \u1786\u17d2\u1793\u17b6\u17c6\u17a1\u17be\u1784\u1791\u17c5\u1791\u17c1\u17d4 \u1780\u17b6\u179a\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u1787\u17b6\u1794\u17d2\u179a\u1785\u17b6\u17c6\u17a2\u17b6\u1785\u1793\u17b6\u17c6\u17b1\u17d2\u1799\u1798\u17b6\u1793\u179b\u1791\u17d2\u1792\u1795\u179b\u179c\u17b7\u1787\u17d2\u1787\u1798\u17b6\u1793\u1798\u17b7\u1793\u1796\u17b7\u178f \u178a\u17c2\u179b\u1794\u178e\u17d2\u178f\u17b6\u179b\u17b1\u17d2\u1799\u1798\u17b6\u1793\u1780\u17b6\u179a\u1790\u1794\u17cb\u1794\u17b6\u179a\u1798\u17d2\u1797\u178a\u17c2\u179b\u1798\u17b7\u1793\u1785\u17b6\u17c6\u1794\u17b6\u1785\u17cb \u1793\u17b7\u1784\u1780\u17b6\u179a\u1792\u17d2\u179c\u17be\u1780\u17c4\u179f\u179b\u17d2\u1799\u179c\u17b7\u1785\u17d0\u1799\u1780\u17d2\u179a\u1796\u17c1\u1789\u1794\u17d2\u179a\u17bc\u179f\u17d2\u178f\u17b6\u178f\u17d4 \u1780\u17b6\u179a\u179f\u1798\u17d2\u179a\u17c1\u1785\u1785\u17b7\u178f\u17d2\u178f\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u1782\u17bd\u179a\u178f\u17c2\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1780\u17c6\u178e\u178f\u17cb\u1787\u17b6\u179b\u1780\u17d2\u1781\u178e\u17c8\u1794\u17bb\u1782\u17d2\u1782\u179b\u178f\u17b6\u1798\u179a\u1799\u17c8\u1780\u17b6\u179a\u179f\u1798\u17d2\u179a\u17c1\u1785\u1785\u17b7\u178f\u17d2\u178f\u179a\u17bd\u1798\u1782\u17d2\u1793\u17b6\u179a\u179c\u17b6\u1784\u17a2\u17d2\u1793\u1780\u1787\u17c6\u1784\u17ba \u1793\u17b7\u1784\u1782\u17d2\u179a\u17bc\u1796\u17c1\u1791\u17d2\u1799\u179a\u1794\u179f\u17cb\u1796\u17bd\u1780\u1782\u17c1\u17d4.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">\u178f\u17be PSA \u1781\u17d2\u1796\u179f\u17cb\u1798\u17b6\u1793\u1793\u17d0\u1799\u178a\u17bc\u1785\u1798\u17d2\u178f\u17c1\u1785?<\/strong> <p class=\"schema-faq-answer\">PSA \u1781\u17d2\u1796\u179f\u17cb\u1798\u17b7\u1793\u1798\u17b6\u1793\u1793\u17d0\u1799\u1790\u17b6\u1787\u17b6\u1787\u17c6\u1784\u17ba\u1798\u17a0\u17b6\u179a\u17b8\u1780\u1780\u17d2\u179a\u1796\u17c1\u1789\u1794\u17d2\u179a\u17bc\u179f\u17d2\u178f\u17b6\u178f\u178a\u17c4\u1799\u179f\u17d2\u179c\u17d0\u1799\u1794\u17d2\u179a\u179c\u178f\u17d2\u178f\u17b7\u1793\u17c4\u17c7\u1791\u17c1\u17d4 \u1798\u17bc\u179b\u17a0\u17c1\u178f\u17bb\u1791\u17bc\u1791\u17c5\u178a\u17c2\u179b\u1798\u17b7\u1793\u1798\u17c2\u1793\u1787\u17b6\u1787\u17c6\u1784\u17ba\u1798\u17a0\u17b6\u179a\u17b8\u1780\u1793\u17c3 PSA \u1781\u17d2\u1796\u179f\u17cb\u179a\u17bd\u1798\u1798\u17b6\u1793 \u1780\u17b6\u179a\u179a\u17b8\u1780\u1792\u17c6\u1793\u17c3\u1780\u17d2\u179a\u1796\u17c1\u1789\u1794\u17d2\u179a\u17bc\u179f\u17d2\u178f\u17b6\u178f\u179f\u17d2\u179b\u17bc\u178f (BPH) \u179a\u179b\u17b6\u1780\u1780\u17d2\u179a\u1796\u17c1\u1789\u1794\u17d2\u179a\u17bc\u179f\u17d2\u178f\u17b6\u178f\u179f\u17d2\u179a\u17bd\u1785\u179f\u17d2\u179a\u17b6\u179c \u1780\u17b6\u179a\u1786\u17d2\u179b\u1784\u1798\u17c1\u179a\u17c4\u1782\u1795\u17d2\u179b\u17bc\u179c\u1791\u17b9\u1780\u1793\u17c4\u1798 \u1793\u17b7\u1784\u1780\u17b6\u179a\u179c\u17c7\u1780\u17b6\u178f\u17cb\u1780\u17d2\u179a\u1796\u17c1\u1789\u1794\u17d2\u179a\u17bc\u179f\u17d2\u178f\u17b6\u178f\u1790\u17d2\u1798\u17b8\u17d7\u1793\u17c1\u17c7\u17d4 \u1782\u17d2\u179a\u17bc\u1796\u17c1\u1791\u17d2\u1799\u17af\u1780\u1791\u17c1\u179f\u1781\u17b6\u1784\u1794\u17d2\u179a\u1796\u17d0\u1793\u17d2\u1792\u1791\u17b9\u1780\u1793\u17c4\u1798\u1793\u17b9\u1784\u179c\u17b6\u1799\u178f\u1798\u17d2\u179b\u17c3\u1780\u1798\u17d2\u179a\u17b7\u178f PSA \u1791\u17c5\u178f\u17b6\u1798\u17a2\u17b6\u1799\u17bb \u1794\u179a\u17b7\u1798\u17b6\u178e\u1780\u17d2\u179a\u1796\u17c1\u1789\u1794\u17d2\u179a\u17bc\u179f\u17d2\u178f\u17b6\u178f \u1793\u17b7\u1793\u17d2\u1793\u17b6\u1780\u17b6\u179a PSA \u178f\u17b6\u1798\u1796\u17c1\u179b\u179c\u17c1\u179b\u17b6 \u1793\u17b7\u1784\u1780\u17b6\u179a\u179a\u1780\u1783\u17be\u1789\u1782\u17d2\u179b\u17b8\u1793\u17b7\u1780 \u1798\u17bb\u1793\u1796\u17c1\u179b\u178e\u17c2\u1793\u17b6\u17c6\u17b2\u17d2\u1799\u1792\u17d2\u179c\u17be\u1780\u17c4\u179f\u179b\u17d2\u1799\u179c\u17b7\u1785\u17d0\u1799\u1780\u17d2\u179a\u1796\u17c1\u1789\u1794\u17d2\u179a\u17bc\u179f\u17d2\u178f\u17b6\u178f\u17d4 \u1794\u17bb\u179a\u179f\u1787\u17b6\u1785\u17d2\u179a\u17be\u1793\u178a\u17c2\u179b\u1798\u17b6\u1793 PSA \u1781\u17d2\u1796\u179f\u17cb\u1798\u17b7\u1793\u1798\u17b6\u1793\u1787\u17c6\u1784\u17ba\u1798\u17a0\u17b6\u179a\u17b8\u1780\u1791\u17c1\u17d4.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">\u178f\u17be\u17a2\u17d2\u179c\u17b8\u1791\u17c5\u1787\u17b6\u17a0\u17b6\u1793\u17b7\u1797\u17d0\u1799\u1793\u17c3\u1780\u17b6\u179a\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 PSA?<\/strong> <p class=\"schema-faq-answer\">The main risks of PSA screening stem from false positive results. A falsely elevated PSA may lead to a prostate biopsy, which carries risks including pain, hematuria (blood in urine), hematospermia (blood in semen), and infection. If biopsy leads to unnecessary treatment for indolent (non-harmful) cancer, additional risks include erectile dysfunction and urinary incontinence from surgery or radiation. Pre-biopsy MRI now spares many men a biopsy they would previously have undergone, which reduces this harm.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">\u178f\u17be\u1781\u17d2\u1789\u17bb\u17c6\u1782\u17bd\u179a\u1785\u17b6\u1794\u17cb\u1795\u17d2\u178f\u17be\u1798\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 PSA \u1793\u17c5\u17a2\u17b6\u1799\u17bb\u1794\u17c9\u17bb\u1793\u17d2\u1798\u17b6\u1793?<\/strong> <p class=\"schema-faq-answer\">Current evidence supports considering PSA screening in men aged 55&#8211;69 after an informed discussion with a doctor about the potential benefits and harms. Men with higher risk &#8211; such as those with a first-degree relative with prostate cancer or men of African descent &#8211; may benefit from starting discussions earlier, around age 40&#8211;45. Men aged 70 and above generally do not benefit from PSA screening according to current guidelines.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u1780\u17b6\u179a\u1794\u178a\u17b7\u179f\u17c1\u1792\u17d6<\/strong> \u1781\u17d2\u179b\u17b9\u1798\u179f\u17b6\u179a\u1793\u17c1\u17c7\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u179f\u179a\u179f\u17c1\u179a \u1793\u17b7\u1784\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u178a\u17c4\u1799\u179b\u17c4\u1780\u179c\u17c1\u1787\u17d2\u1787\u1794\u178e\u17d2\u178c\u17b7\u178f Soarawee Weerasopone \u178a\u17c2\u179b\u1787\u17b6\u1782\u17d2\u179a\u17bc\u1796\u17c1\u1791\u17d2\u1799\u17af\u1780\u1791\u17c1\u179f\u1781\u17b6\u1784\u1794\u17d2\u179a\u1796\u17d0\u1793\u17d2\u1792\u1791\u17b9\u1780\u1793\u17c4\u1798\u178a\u17c2\u179b\u1798\u17b6\u1793\u179c\u17b7\u1789\u17d2\u1789\u17b6\u1794\u1793\u1794\u178f\u17d2\u179a\u1793\u17c5\u1791\u17b8\u179f\u17d2\u1793\u17b6\u1780\u17cb\u1780\u17b6\u179a\u1780\u178e\u17d2\u178f\u17b6\u179b\u1798\u1793\u17d2\u1791\u17b8\u179a\u1796\u17c1\u1791\u17d2\u1799\u1794\u17b6\u1784\u1780\u1780\u17d4 \u179c\u17b6\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1794\u1798\u17d2\u179a\u17bb\u1784\u1791\u17bb\u1780\u179f\u1798\u17d2\u179a\u17b6\u1794\u17cb\u1782\u17c4\u179b\u1794\u17c6\u178e\u1784\u17a2\u1794\u17cb\u179a\u17c6\u178f\u17c2\u1794\u17c9\u17bb\u178e\u17d2\u178e\u17c4\u17c7 \u17a0\u17be\u1799\u1798\u17b7\u1793\u1798\u17c2\u1793\u1787\u17b6\u178a\u17c6\u1794\u17bc\u1793\u17d2\u1798\u17b6\u1793\u1795\u17d2\u1793\u17c2\u1780\u179c\u17c1\u1787\u17d2\u1787\u179f\u17b6\u179f\u17d2\u178f\u17d2\u179a\u1791\u17c1\u17d4 \u1798\u17b7\u1793\u1798\u17b6\u1793\u178a\u17c6\u1794\u17bc\u1793\u17d2\u1798\u17b6\u1793\u1795\u17d2\u1793\u17c2\u1780\u179c\u17c1\u1787\u17d2\u1787\u179f\u17b6\u179f\u17d2\u178f\u17d2\u179a \u1780\u17b6\u179a\u1792\u17d2\u179c\u17be\u179a\u17c4\u1782\u179c\u17b7\u1793\u17b7\u1785\u17d2\u1786\u17d0\u1799 \u17ac\u179c\u17c1\u1787\u17d2\u1787\u1794\u1789\u17d2\u1787\u17b6\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1795\u17d2\u178f\u179b\u17cb\u1787\u17bc\u1793\u178f\u17b6\u1798\u179a\u1799\u17c8\u1794\u178e\u17d2\u178f\u17b6\u1789\u1795\u17d2\u1789\u17be\u179f\u17b6\u179a\u1795\u17d2\u1791\u17b6\u179b\u17cb\u1781\u17d2\u179b\u17bd\u1793\u1791\u17c1\u17d4 \u178f\u17c2\u1784\u178f\u17c2\u1796\u17b7\u1782\u17d2\u179a\u17c4\u17c7\u1787\u17b6\u1798\u17bd\u1799\u17a2\u17d2\u1793\u1780\u1787\u17c6\u1793\u17b6\u1789\u1790\u17c2\u1791\u17b6\u17c6\u179f\u17bb\u1781\u1797\u17b6\u1796\u178a\u17c2\u179b\u1798\u17b6\u1793\u179f\u1798\u178f\u17d2\u1790\u1797\u17b6\u1796 \u1798\u17bb\u1793\u1796\u17c1\u179b\u1785\u17b6\u1794\u17cb\u1795\u17d2\u178f\u17be\u1798\u1780\u17b6\u179a\u1796\u17d2\u1799\u17b6\u1794\u17b6\u179b\u178e\u17b6\u1798\u17bd\u1799\u17a1\u17be\u1799\u17d4.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Should I Have a PSA Test? 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Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains what PSA actually measures, who benefits from screening, and why the decision belongs to you.<\/p>","protected":false},"author":185281453,"featured_media":10086,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Should you have a PSA test? What PSA measures, why an elevated result usually is not cancer, who benefits from screening at 55\u201369, who should start earlier, and how MRI has changed the risks. By Dr. Soarawee Weerasopone.","jetpack_seo_html_title":"Should I Have a PSA Test? 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