See a urologist or primary care clinician to identify the cause of the elevated PSA
Repeat the PSA test if your clinician recommends it, since PSA can rise temporarily
Avoid ejaculation for 48 hours before PSA testing
Avoid vigorous cycling or perineal pressure for 48 hours before PSA testing
Postpone PSA testing if you have a urinary tract infection, prostatitis, or recent urinary symptoms until treated
Tell your clinician about recent prostate exams, catheter use, cystoscopy, biopsy, or urinary retention
Review medications with your clinician, especially finasteride or dutasteride
Treat any prostate infection or inflammation if diagnosed
Maintain a healthy weight
Exercise regularly
Eat a heart-healthy diet with more vegetables, fruits, whole grains, and healthy fats
Reduce intake of processed foods and excess saturated fat
Limit alcohol
Do not smoke
Manage diabetes, blood pressure, and cholesterol
Follow your clinician’s advice on monitoring and repeat testing
Do not start supplements or herbal products without medical guidance
Seek prompt medical care if you have blood in urine, bone pain, urinary retention, or worsening urinary symptoms