Does high PSA require medication?

Patient's question:

In August, a urine test for prostate TPSA was 7.27, FPSA was 1.03, with a ratio of 14.17%. Today, another blood test for prostate TPSA was 7.84, and FPSA was 1.21, with a ratio of 15.43%. What do these numbers mean? Is the situation serious? Is it necessary to have an MRI and a biopsy? What should be noted? Is medication required? Is Liang Jie Kang effective?

Doctor's answer:

Normal PSA levels in the prostate are below 4 ng/L. Your two test results for TPSA are both greater than 7, which requires consideration of the possibility of a tumor. Therefore, it is necessary to undergo a needle biopsy in the urology department of a hospital for a definitive diagnosis. Treatment with oral Prostect is not very effective. If it is confirmed that it is a prostate tumor, medication chemotherapy is required. Prostate conditions are prone to recurrence, requiring long-term oral medication. Additionally, male patients should actively seek medical treatment at professional and reputable hospitals and consider treatment based on thorough examination results. Also, pay attention to a proper diet.

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