Treat the underlying cause of the elevated PSA
See a urologist for evaluation and follow-up
Repeat the PSA test after avoiding ejaculation for 48 hours
Avoid vigorous cycling or perineal pressure before testing
Avoid prostate manipulation before testing
Treat urinary tract infections if present
Treat prostatitis if present
Review medications with a clinician
Ask about 5-alpha reductase inhibitors such as finasteride or dutasteride
Maintain a healthy weight
Exercise regularly
Eat a heart-healthy diet
Reduce intake of high-fat and processed foods
Increase fruits and vegetables
Limit red and processed meats
Avoid smoking
Limit alcohol
Manage stress
Monitor PSA over time with the same lab when possible
Follow recommended prostate screening intervals
Seek prompt medical care for urinary symptoms or blood in urine