Is there any way to lower PSA?

This article was translated from the original Portuguese. Português

Yes. According to Dr. Bruno Benigno (CRM SP 126265), a urologist at Hospital Alemão Oswaldo Cruz and director of Clínica Uro Onco, there are the following ways:

• With medication. There are drugs that reduce the size of the prostate, such as dutasteride or finasteride, and as the prostate shrinks, PSA follows and decreases as well.

Many people wonder whether there is a home remedy or natural treatment that has an effect on the prostate and on PSA.

The specialist states that, as of 2021, science knows of no home remedy capable of lowering PSA values.

However, we know that regular physical activity — that is, avoiding a sedentary lifestyle — and avoiding obesity are measures that can be beneficial and tend to slow prostate growth; therefore, they may also indirectly affect PSA levels.

• Conditions such as urinary tract infections need to be treated, since PSA naturally rises in these cases.

In other words, if the urinary tract infection is treated, PSA tends to follow.

Another way to lower PSA is to check whether you have chronic or acute prostatitis, which are also known causes of elevated PSA. In these cases, each condition must be treated appropriately.

In practical terms, there is no scientific evidence that home remedies work. Many people report using teas or homemade preparations and seeing their PSA levels fall, but Dr. Bruno points out that one of the main problems is that these preparations and doses cannot be reproduced from one person to another, because their components are often not produced in a standardized way.

For this reason, physicians do not recommend or encourage these home and homemade remedies, simply because they have not been tested in scientific studies.

We receive many questions and even testimonials from people who had good results and managed to lower their PSA with remedies. However, it is medications such as dutasteride or finasteride that actually have the most significant and proven effect on PSA.

It is important to emphasize that prostate cancer screening should begin at age 50, and Black men or men with a father or brother who had prostate cancer should start a little earlier, at age 45.

It is very important to have a PSA test and also a digital rectal exam, repeating these tests once a year.

Whenever the PSA value goes above 4, a yellow light comes on and a prostate biopsy may be necessary.

The text above is based on a video by Dr. Bruno Benigno himself; you can find this and other information about PSA and prostate cancer on his channel.

Watch it and tell us what you think, or share any experience with homemade remedies you would like to tell us about — we will be happy to discuss the subject:

Written by: Sofia Carnavalli | Press Office

by Dr. Bruno Benigno (125265).

Dr. Bruno Benigno
Urologist and uro-oncologic surgeon (CRM-SP 126.265 · RQE 60022). More than 1,500 robotic surgeries. Member of the AUA, EAU and SBU. Meet Dr. Bruno · In the Media

This content is educational and does not replace a medical consultation. Each case must be assessed individually, based on AUA, EAU and NCCN guidelines.