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Do you have a family history of prostate cancer in a first degree relative?
Yes, any PSA about 4.0 is considered elevated. At your age, your PSA should be less than 2.0. Your PSA level raise the concern for the possibility of the presence of prostate cancer as the cause of the elevated PSA. Even if the prostate felt normal on exam, you can still have microscopic prostate cancer that cannot be felt. You need to be referred to a urologist to consider doing a prostate biopsy to evaluate for the presence of prostate cancer. Hope this helps and let me know if you have questions.