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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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Last year psa was .7 now is 4.7. Should I have a biopsy ASAP

Customer Question

Last year psa was .7 now is 4.7. Should I have a biopsy ASAP or OK to wait5 weeks?
JA: Are you keeping a personal medical record while dealing with this?
Customer: Not yet. Urologist game no info except my age of 62 is not good
JA: Anything else in your medical history you think the doctor should know?
Customer: No HS of anything significant. Now feeling exhausted joint and bone pain. Recently re- injured right wrist helping lift 400 lbs.
Submitted: 4 months ago.
Category: Medical
Expert:  Dr Basu replied 4 months ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Did you have any recent prostate infection? PSA can go up from recent inflammation, sexual activity, or even rectal exam.
This value is not that high to warrant a prostate biopsy. You can wait for repeat PSA value. If the PSA value does not go up over 6, you can still wait further. Also free PSA level should be checked as well as that is more accurate than total PSA.
Best wishes,
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