PSA tests measure prostate-specific antigen (PSA) in blood. Options range from total PSA alone to free PSA and percent free PSA, while an ultrasensitive assay is intended for post-prostatectomy monitoring. People compare them when deciding whether they need a straightforward screening measurement, added information for interpreting a total PSA result, or follow-up after prostate surgery. A PSA test supports screening or monitoring; it does not diagnose prostate cancer by itself. Start with the clinical question: total PSA screening, free and total PSA comparison, or ultrasensitive PSA after prostatectomy. Discuss concerning results or symptoms with a qualified healthcare professional.
What PSA measurements tell you
Prostate-specific antigen, or PSA, is measured in blood and is used to support prostate cancer screening discussions and to monitor PSA over time. The Prostate-Specific Antigen (PSA) (MALES ONLY) test measures PSA, Total. The Prostate-Specific Antigen (PSA), Free and Total (MALES ONLY) test measures PSA, Total, PSA, Free, and PSA, % Free. Free PSA is the portion measured separately from total PSA, and percent free PSA expresses that relationship. These results add detail to a total PSA result, but no PSA measurement confirms or rules out cancer on its own. A clinician considers the result, prior values, symptoms, examination findings, and other relevant factors.
Screening, repeat testing, and post-prostatectomy follow-up
The purpose of testing shapes the most useful measurement. Total PSA is a direct choice when the question is a current PSA value for screening discussion or comparison with a prior total PSA result. Free and total PSA adds PSA, Free and PSA, % Free when more than a total value is requested. After prostatectomy, the Prostate-Specific Antigen (PSA), Ultrasensitive, Post Prostatectomy (MALES ONLY) test measures PSA by an ultrasensitive method for follow-up. Comparing results over time is most meaningful when a healthcare professional reviews the testing history and the reason for monitoring. New urinary symptoms, pelvic pain, or other concerning symptoms deserve prompt medical evaluation rather than relying on PSA alone.