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Prostate-Specific Antigen (PSA) by Serum Immunoassay (Confirmatory)

Published: August 9, 2026Updated: August 16, 2026

This test measures the level of prostate-specific antigen (PSA) in your blood, a protein produced by both healthy and cancerous prostate cells. It helps doctors assess prostate health, monitor treatment, or detect prostate issues like cancer.

Quick summary

["PSA levels can guide discussions about prostate health, but they’re not definitive on their own."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
107424-4
Short code
XR Penis Views
Synonyms
XR Penis Views
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
xr
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may recommend this test if you have symptoms like urinary changes, pain in the pelvic area, or if you’re at higher risk for prostate cancer (e.g., age 50+ for men at average risk, or earlier for those with family history). It may also be used during routine check-ups or after prostate procedures.

What to Expect Before the Test

No special preparation is needed, but avoid ejaculation for 2–4 days before testing if instructed by your doctor. Drink plenty of water to help your blood flow smoothly. Wear comfortable clothing and plan to stay near a bathroom for a short blood draw.

What Happens During the Test

A healthcare provider will insert a small needle into a vein in your arm. You may feel a slight pinch, but it’s over quickly. Blood is collected in a tube, and the sample is sent to a lab for analysis. The test usually takes less than 10 minutes.

What the Results Mean

Results are reported in nanograms per milliliter (ng/mL). While PSA levels can vary widely, they’re not the only factor doctors consider. Higher levels may signal prostate issues, but they can also be influenced by age, race, recent ejaculation, or other health conditions. Your doctor will interpret results in the context of your overall health and medical history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

PSA Confirm

Frequently asked questions

How often will I need this test?
The frequency depends on your health status. Men with no symptoms or risk factors may have PSA tests every 1–2 years starting at age 50. Those with risk factors or symptoms may be tested more often, sometimes annually. Your doctor will tailor this to your needs.
Can PSA levels change with age?
Yes, PSA levels naturally rise with age due to the prostate’s gradual enlargement. However, this doesn’t always mean you have cancer. Doctors use PSA levels alongside other tests and symptoms to assess risk.
What if my PSA level is high?
A high PSA level doesn’t always mean prostate cancer. It could be caused by benign conditions like benign prostatic hyperplasia (BPH), inflammation, or recent ejaculation. Your doctor may recommend further tests, like a digital rectal exam or additional imaging, to investigate further.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy