Prostate health
PSA test explained: what your prostate blood test means
The PSA test is the most common blood test for prostate health, yet many men are unsure what it measures. Here is the PSA test explained in plain language.
In short: PSA (prostate-specific antigen) is a protein made by the prostate. A blood test measures its level. Raised PSA can be a sign of prostate cancer, but it is also raised by an enlarged prostate, prostatitis, urinary infection, recent ejaculation or vigorous cycling. A PSA test is a starting point, not a diagnosis, and it makes sense to decide on testing together with a medical professional.
What is PSA?
Prostate-specific antigen is a protein produced by the prostate gland. Small amounts enter the blood.
What can raise PSA?
- Prostate cancer
- Enlarged prostate (BPH). See enlarged prostate natural remedies.
- Prostatitis or urinary infection. See prostatitis natural remedies.
- Recent ejaculation (within 48 hours)
- Vigorous exercise, especially cycling
- A recent prostate examination or catheter
- Age (PSA rises naturally)
Pros and cons of PSA testing
Pros: it can detect prostate cancer early, before symptoms.
Cons: it can be raised without cancer (false alarms), can miss some cancers, and may lead to further tests and treatment of slow-growing cancers that might never cause harm.
Who should consider testing?
Guidelines vary, but men often discuss testing from around age 50, or from 40 to 45 if they have a family history of prostate cancer or are of African descent, as risk is higher. CANSA provides information for South African men.
Before your test
- Avoid ejaculation for 48 hours.
- Avoid vigorous cycling or exercise for 48 hours.
- Tell the tester about any urinary infection or recent procedures.
What happens after a raised PSA?
Usually a repeat test, examination, and possibly an MRI scan or biopsy. A single raised result is not a diagnosis.
Warning signs not to ignore
Blood in urine or semen, difficulty urinating, bone pain or unexplained weight loss need prompt assessment. See blood in semen.
How we can help
We do not run blood tests, but our naturopaths can discuss prostate health, support you naturally and refer you to an appropriately registered medical professional for PSA testing. See prostate health symptoms men shouldn’t ignore.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Do you have pain, swelling, redness or itching in the genital area?
- Have you noticed discharge, sores, a lump or blood in your urine or semen?
- Do you have a fever or feel generally unwell?
- Has this lasted more than a few days, or keep coming back?
- Is it affecting your sex life, sleep or confidence?
A yes to questions two or three, or sudden severe pain, means you should see an appropriately registered medical professional promptly. For recurring or lifestyle-related concerns, a naturopath can help with natural support alongside medical care.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our mens clinic prices for details.
Frequently asked questions
What does a high PSA mean?
It can mean prostate cancer, but also an enlarged prostate, prostatitis, infection or recent ejaculation.
At what age should men get a PSA test?
Men often discuss testing from about 50, or 40 to 45 with a family history or African descent.
What should I avoid before a PSA test?
Avoid ejaculation and vigorous cycling for 48 hours.
Is a PSA test a cancer diagnosis?
No. It is a screening tool. Further tests are needed to diagnose cancer.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.
References and further reading
- NHS: Prostate cancer
- CANSA: Cancer Association of South Africa
- Mayo Clinic: Benign prostatic hyperplasia (BPH)
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
