Sahlhealth
Sahlhealth

Frequently Asked Questions Before a PSA Test

Can I work out before I take a PSA test? 

While physical activity generally might help maintain a normal prostate, avoid heavy exercise directly before your PSA test. Even bicycling, riding motorcycles or ATVs or riding horses have been shown to elevate PSA slightly for a short period of time.

Can I have sex before I take a PSA test?

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No. You should abstain from sexual activity – anything that includes ejaculation – for at least 48 hours before the test. A recent ejaculation might cause a slight rise in PSA levels.  

What about supplements and medications?

The following supplements or medications may have an effect on your PSA levels and should be discussed with your doctor. They may raise or lower your PSA and might not create a reliable test result: 

  • Chemotherapy drugs
  • Statins
  • NSAIDs (non-steroidal anti-inflammatories) 
  • Urinary health medications

Can alcohol or coffee consumption skew results?

Alcohol and caffeinated drinks are not established risk factors for prostate cancer and will not affect PSA levels. However, it is understood that heavy alcohol drinking could cause a small risk of more aggressive forms of prostate cancer. The bottom line here is that alcohol, caffeine and smoking do not cause false-positive elevations of PSA levels.

I have a urinary infection, is that a problem?

Please consult your doctor if you have a urinary tract infection or if you are taking antibiotics for a urinary tract infection. Please also consult a physician before taking a PSA test if you have recently suffered a pelvic injury or have had prostate or urinary tract surgery. 

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