Free PSA

You should get a free PSA test if your total PSA is mildly raised (usually 4–10 ng/mL) or borderline, to help decide whether a prostate biopsy is needed. It is also recommended for men with urinary symptoms, an enlarged prostate, or a family history of prostate cancer, as advised by a doctor.

No fasting is required for a free PSA test. Avoid ejaculation and vigorous exercise, especially cycling, for 48 hours beforehand. Give your sample before a digital rectal exam or prostate procedure. Inform your doctor about any urinary infection, recent prostate biopsy, or medicines like finasteride or dutasteride, as these can affect results.

No, fasting is not required for a free PSA test. You can eat and drink normally before giving your sample. However, avoid ejaculation and vigorous exercise, especially cycling, for 48 hours beforehand, as these can temporarily raise PSA levels. Give your sample before any prostate examination or procedure.