Treat any underlying cause of elevated PSA with a clinician
Repeat the PSA test after avoiding ejaculation for 48 hours
Avoid vigorous cycling or perineal pressure for 48 hours before testing
Avoid prostate manipulation before testing
Treat urinary tract infection if present
Treat prostatitis if diagnosed
Review medications with a clinician, including 5-alpha reductase inhibitors
Maintain a healthy weight
Exercise regularly
Follow a heart-healthy diet
Reduce red meat and high-fat dairy intake
Increase fruits, vegetables, and fiber
Limit alcohol
Do not smoke
Manage urinary symptoms and prostate enlargement with medical guidance
Follow recommended PSA screening intervals
Consult a urologist if PSA remains elevated or rises over time