Elevated PSA Levels: Recovery Time from Acute Prostatitis

Q: Elevated PSA Levels: Recovery Time from Acute Prostatitis

Hello： If there is inflammation accompanied by fever, it may take 2-3 months to return to normal, so patience is required. <br>Currently, the focus is on controlling the infection. <br>It's important to maintain hydration, avoid alcohol and spicy foods, and engage in mild exercis

Elevated PSA levels, prostatitis?

Originally, the PSA was around 4.
However, upon diagnosis due to fever and frequent urination, the PSA level was found to be 13.
How long will it take for the elevated PSA caused by acute prostatitis to return to the normal level?

hen kunrao, 50~59 year old female. Ask Date: 2020/07/08

Dr. Du Shixi reply Urology

Hello: If there is inflammation accompanied by fever, it may take 2-3 months to return to normal, so patience is required.
Currently, the focus is on controlling the infection.
It's important to maintain hydration, avoid alcohol and spicy foods, and engage in mild exercises like walking.
Wishing you good health.

Reply Date: 2020/07/08

More Info

Elevated PSA levels can be concerning, especially when they rise significantly due to conditions like acute prostatitis. In your case, you mentioned that your PSA level was around 4, but it spiked to 13 due to acute prostatitis, which is an inflammation of the prostate gland often caused by bacterial infection.
When dealing with acute prostatitis, the treatment typically involves antibiotics to address the infection, along with supportive care such as hydration and pain management. The recovery time for PSA levels to return to baseline after an episode of acute prostatitis can vary significantly among individuals. Generally, it may take anywhere from a few weeks to several months for PSA levels to normalize after the infection is adequately treated.
In most cases, once the infection is controlled, PSA levels will gradually decrease. It is not uncommon for PSA levels to remain elevated for some time even after the symptoms of prostatitis have resolved. The inflammation in the prostate can take time to subside, and this can contribute to the prolonged elevation of PSA levels.
In your situation, it is crucial to follow up with your healthcare provider regularly. They may recommend monitoring your PSA levels over time to assess the trend. If your PSA levels do not return to normal within a few months, further evaluation may be warranted to rule out other potential causes of elevated PSA, such as benign prostatic hyperplasia (BPH) or prostate cancer.

In terms of lifestyle modifications during recovery, it is advisable to avoid irritants such as alcohol, caffeine, and spicy foods, as these can exacerbate urinary symptoms. Staying well-hydrated and engaging in light physical activity, such as walking, can also be beneficial for recovery.

In summary, while it is difficult to predict an exact timeline for PSA normalization after acute prostatitis, with appropriate treatment and monitoring, many individuals see their PSA levels return to baseline within 2 to 3 months. However, ongoing communication with your healthcare provider is essential to ensure that any persistent elevations are appropriately investigated.

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