Hormones system

PSA Free

Free PSA

The unbound fraction of PSA — used alongside total PSA to refine cancer risk.

What is it

PSA Free — in plain English.

Free PSA is the portion of PSA not bound to other proteins in circulation. It is used alongside total PSA to refine prostate cancer risk assessment.

Why it's measured

What Free PSA can reveal.

The ratio of free to total PSA has been studied as a refinement tool when total PSA is in an intermediate range.

Reference range

Where most laboratories draw the standard line.

Standard laboratory reference

Context-dependent ng/mL

Reference ranges vary by laboratory. Your individual reference range will appear on your test report and should be interpreted by your physician in the context of your overall health profile.

What results may indicate

Higher vs. lower Free PSA — at a high level.

Elevated

Clinical interpretation depends on total PSA and the free/total ratio.

Lower

Clinical interpretation depends on total PSA and the free/total ratio.

These associations are general. They are not a personal diagnosis or prediction. Discuss your individual results with your physician in the context of your full health profile.

When it's measured

When Free PSA is typically run.

Measured when total PSA is elevated to refine risk assessment.

Related markers

Often measured alongside Free PSA.

Common questions

Questions people ask about PSA Free

What is PSA Free?

Free PSA is the portion of PSA not bound to other proteins in circulation. It is used alongside total PSA to refine prostate cancer risk assessment.

Why is PSA Free measured?

It's one of the markers used to build a fuller picture of your health. On its own it tells you very little, so it's most informative when reviewed alongside related markers.

How is PSA Free tested?

It's measured from a standard blood draw at Quest or LabCorp. PSA Free is one of the markers included in the OPTML Apex Panel, where your results are read across systems and reviewed by a U.S.-licensed physician.

What should I do with my PSA Free result?

Reference ranges vary by laboratory, and a single value rarely tells the whole story. Review your result with a physician in the context of your other markers, symptoms, and history.

Not sure which panel is right for you?

PSA Free is one signal among many. Answer a few quick questions and we’ll point you to the panel that fits.

Measured in

Free PSA is one of 160 biomarkers in the Apex Panel.

A complete look at your heart, hormones, metabolism, inflammation, and longevity systems — drawn at Quest or LabCorp, reviewed by a U.S.-licensed physician.

Find the right panel
160 biomarkers13 body systemsPhysician-reviewed
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This information is for general educational purposes only and is not medical advice. Lab results alone are not intended to diagnose, treat, or cure any condition and do not replace the advice of a healthcare provider. OPTML does not offer medical advice, a diagnosis, medical treatment, or any form of medical opinion.

Weight-loss medication disclaimer

OPTML offers compounded semaglutide and tirzepatide, prescribed and overseen by U.S.-licensed physicians. Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. OPTML is not associated with, endorsed by, or affiliated with the manufacturers of FDA-approved branded weight-loss medications, and does not sell or supply those branded products. Anyone interested in an FDA-approved branded medication should consult a licensed healthcare provider or pharmacist. Individual results vary; no specific result is promised, and weight management requires ongoing medical guidance.

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