Uploaded July 2026 | Updated September 2026, 3 weeks ago
📩 Contact us: talkingwithdocs@gmail.com
Your PSA came back high... now what? Does an elevated PSA mean you have prostate cancer?
In this episode of Talking With Docs, Dr. Brad Weening and Dr. Paul Zalzal are joined by Dr. Peter Incze, Urologist, to explain what an elevated PSA really means and why a high PSA result should never be interpreted on its own.
They discuss the many reasons PSA levels can rise, why most elevated PSA results are not caused by prostate cancer, and how doctors use trends over time, physical exams, and additional testing to determine the next steps.
Dr. Peter Incze explains why factors like cycling, recent ejaculation, infections, inflammation, and an enlarged prostate can all increase PSA levels, and why repeating the test is often an important part of the evaluation before jumping to conclusions.
You'll learn:
- What PSA (Prostate-Specific Antigen) is
- What an elevated PSA actually means
- Why a high PSA does not automatically mean prostate cancer
- Common non-cancer causes of elevated PSA
- How cycling, ejaculation, and inflammation can affect PSA levels
- Why prostate size naturally affects PSA as you age
- Why PSA should be followed over time instead of relying on a single test
- What doctors look for during a digital rectal exam (DRE)
- When repeating a PSA test is recommended
- What the Free and Total PSA test measures
- How doctors interpret PSA in the "gray zone"
- When additional testing may be needed
- Why PSA results should always be interpreted in the context of your overall health
- When you should speak with your doctor or a urologist about elevated PSA levels
The doctors also explain why today's approach to PSA testing is much more personalized than it was in the past. Rather than reacting to a single number, physicians consider your age, PSA trend, prostate size, symptoms, medical history, and additional tests to determine whether further investigation is necessary.
🎧 Listen on Your Favourite Platforms:
Spotify: open.spotify.com/show/3OFxEjictC41CCS1z2AVKe
Apple Podcast: podcasts.apple.com/ca/podcast/talking-with-docs/id1799242189
YouTube Music: • TWD Podcast
👕 Shop Our MERCH:
spreadshirt.ca/shop/user/talking+with+docs
❤️ Support Oakville Hospital:
donate.oakvillehospitalfoundation.com
📱 Follow Us:
TikTok: tiktok.com/@talkingwithdocs
Instagram: instagram.com/talkingwithdocs/?hl=en
Facebook: facebook.com/profile.php?id=100063617375848
🛑 DISCLAIMER:
This content is for educational purposes only and is not a substitute for professional medical advice. Always speak with your healthcare provider before making medical or screening decisions. Full disclaimer at talkingwithdocs.com.
#PSA #PSATest #ProstateHealth #ProstateCancer #MensHealth #Urology #ProstateScreening #ElevatedPSA #HealthEducation #DoctorsExplain #TalkingWithDocs
📩 Contact us: talkingwithdocs@gmail.com
Your PSA came back high... now what? Does an elevated PSA mean you have prostate cancer?
In this episode of Talking With Docs, Dr. Brad Weening and Dr. Paul Zalzal are joined by Dr. Peter Incze, Urologist, to explain what an elevated PSA really means and why a high PSA result should never be interpreted on its own.
They discuss the many reasons PSA levels can rise, why most elevated PSA results are not caused by prostate cancer, and how doctors use trends over time, physical exams, and additional testing to determine the next steps.
Dr. Peter Incze explains why factors like cycling, recent ejaculation, infections, inflammation, and an enlarged prostate can all increase PSA levels, and why repeating the test is often an important part of the evaluation before jumping to conclusions.
You'll learn:
- What PSA (Prostate-Specific Antigen) is
- What an elevated PSA actually means
- Why a high PSA does not automatically mean prostate cancer
- Common non-cancer causes of elevated PSA
- How cycling, ejaculation, and inflammation can affect PSA levels
- Why prostate size naturally affects PSA as you age
- Why PSA should be followed over time instead of relying on a single test
- What doctors look for during a digital rectal exam (DRE)
- When repeating a PSA test is recommended
- What the Free and Total PSA test measures
- How doctors interpret PSA in the "gray zone"
- When additional testing may be needed
- Why PSA results should always be interpreted in the context of your overall health
- When you should speak with your doctor or a urologist about elevated PSA levels
The doctors also explain why today's approach to PSA testing is much more personalized than it was in the past. Rather than reacting to a single number, physicians consider your age, PSA trend, prostate size, symptoms, medical history, and additional tests to determine whether further investigation is necessary.
🎧 Listen on Your Favourite Platforms:
Spotify: open.spotify.com/show/3OFxEjictC41CCS1z2AVKe
Apple Podcast: podcasts.apple.com/ca/podcast/talking-with-docs/id1799242189
YouTube Music: • TWD Podcast
👕 Shop Our MERCH:
spreadshirt.ca/shop/user/talking+with+docs
❤️ Support Oakville Hospital:
donate.oakvillehospitalfoundation.com
📱 Follow Us:
TikTok: tiktok.com/@talkingwithdocs
Instagram: instagram.com/talkingwithdocs/?hl=en
Facebook: facebook.com/profile.php?id=100063617375848
🛑 DISCLAIMER:
This content is for educational purposes only and is not a substitute for professional medical advice. Always speak with your healthcare provider before making medical or screening decisions. Full disclaimer at talkingwithdocs.com.
#PSA #PSATest #ProstateHealth #ProstateCancer #MensHealth #Urology #ProstateScreening #ElevatedPSA #HealthEducation #DoctorsExplain #TalkingWithDocs
