Treat the underlying cause of the PSA elevation
Repeat the PSA test if advised by a clinician
Avoid ejaculation for 48 hours before testing
Avoid vigorous cycling or perineal pressure before testing
Avoid prostate manipulation before testing
Treat urinary tract infection if present
Treat prostatitis if present
Review recent catheterization or urinary procedures
Review medications that may affect PSA with a clinician
Maintain a healthy weight
Exercise regularly
Limit alcohol intake
Stop smoking
Follow a heart-healthy, plant-forward diet
Reduce high intake of red and processed meats
Increase intake of vegetables, fruits, and whole grains
Discuss 5-alpha reductase inhibitors with a clinician if appropriate
Follow up with a urologist for persistent elevation