A high PSA (Prostate-Specific Antigen) level itself typically does not directly cause symptoms. Instead, a high PSA level is a sign that something may be wrong with the prostate, potentially leading to the symptoms listed below. These symptoms are often associated with conditions like benign prostatic hyperplasia (BPH), prostatitis, or prostate cancer, which can cause an elevated PSA.
Potential Symptoms Associated with Conditions That Cause High PSA:
Because a high PSA level is typically found in conjunction with other prostate conditions, the symptoms often relate to urinary issues. These symptoms can vary in severity.
-
Frequent urge to urinate: Feeling the need to urinate often.
-
Frequent nighttime urination (Nocturia): Waking up multiple times during the night to urinate.
-
Urgency but Difficulty Urinating: Feeling an urgent need to urinate, but experiencing difficulty starting the urine stream, being unable to urinate, or only urinating a small amount.
-
Dribbling urine: Leaking urine after urination.
-
Leaking urine (Incontinence): Unintentional loss of urine.
-
Weak urine stream: A urine stream that is weaker than normal.
-
Unusual color or odor to urine: Changes in the appearance or smell of urine.
-
Blood in urine or semen: This is a less common symptom, but it can occur.
It's important to remember that these symptoms are not specific to high PSA levels themselves, but rather to the underlying prostate conditions that may be causing the elevation.
Important Note: Many men with elevated PSA levels have no symptoms at all. This is why regular PSA testing and prostate exams are recommended for men in certain age groups, based on risk factors and doctor recommendations. If you experience any of these symptoms, consult your doctor to determine the underlying cause and appropriate treatment.