PSA monitoring understood over time

One at-home test every three months or six months, with every result reviewed and clearly explained by a specialist

from £7.50 /month billed up front

One test every three or six months  · specialist review

CQC-regulated
Registered Pharmacy
UKAS-accredited laboratory
Plain, unbranded packaging
CQC-regulated
Registered Pharmacy
UKAS-accredited laboratory
Plain, unbranded packaging
CQC-regulated
Registered Pharmacy
UKAS-accredited laboratory
Plain, unbranded packaging
CQC-regulated
Registered Pharmacy
UKAS-accredited laboratory
Plain, unbranded packaging
CQC-regulated
Registered Pharmacy
UKAS-accredited laboratory
Plain, unbranded packaging
CQC-regulated
Registered Pharmacy
UKAS-accredited laboratory
Plain, unbranded packaging
CQC-regulated
Registered Pharmacy
UKAS-accredited laboratory
Plain, unbranded packaging

Put your PSA
in perspective

A single result gives you a starting point. Regular testing builds your own record, making it easier to see what has changed and understand your result.

Know your baseline

Total PSA, free PSA and PSA ratio are read together.

See what changes

Each new result is added to your record and compared over time.

Stay in control

Your options are explained clearly, and you decide what happens next.

A few things worth knowing first

What can a PSA test tell me?

PSA can help identify changes in your prostate health. It cannot diagnose cancer by itself, so your result is reviewed alongside your age, health history and previous results.

What can affect my PSA test?

PSA can rise for reasons other than cancer, including an enlarged prostate, infection, ejaculation and vigorous exercise. We ask a few questions first so your result can be interpreted properly.

How should I prepare for my test?

Avoid ejaculation, anal sex, cycling and vigorous exercise for 48 hours beforehand.

If you have recently had a urine infection or prostate procedure, tell us before testing.

What can happen if my result is raised?

A raised result does not necessarily mean cancer. A clinician will review it and may suggest repeating the test, speaking to your GP or arranging further investigation privately.

Wherever you're starting from

Your first test, a family history or a previous result can all become a useful baseline.

Find My Baseline

Here's three reasons to find your baseline

Risk isn’t the same for everyone. Knowing yours can help you decide when to start.

Your monitoring
taken care of

Your kit arrives every three or six months, depending on your monitoring schedule. After a stable first year, testing moves to once a year.

1

Answer a few questions

Tell us about your health, history and any previous PSA results.

2

Your kit arrives

Your finger-prick test is delivered when it is due.

3

Test and return

Take your sample at home and post it back.

4

Reviewed by a doctor

Your result is explained and compared with your previous tests.

5

Your schedule adapts

Stable results move to annual testing. If something changes, further investigation is available.

Your result comes with a route forward

Most at-home tests give you a number. Yours is reviewed in context and followed by a clear next step.
STABLE

Stay on schedule

Your result is reviewed and added to your trend. If it remains stable, you may test less often over time.
CHANGING

Check the pattern

A clinician considers your history and previous results. The next step may be an earlier repeat test.
RAISED

Choose next step

If repeat testing confirms a concern, we can support a GP handover or help arrange a private prostate MRI through Scan.com.
A PATTERN YOU CAN FEEL

The night can start to feel interrupted.

A change in pattern can be useful information—not something to dismiss.

URINARY CHANGES

When you can feel a change

Urinary changes can be worrying, but they are often caused by something other than prostate cancer. Your PSA check includes a short questionnaire that gives you an IPSS score—and, if needed, a route to speak with a urologist.

Frequency
Going more often or getting up in the night
Flow
A weaker stream or struggling to get started
Emptying
Not feeling completely empty

THE CLINICAL NAME

Lower urinary tract symptoms, or LUTS.

WHAT LUTS FEELS LIKE

Going more often. Waking at night. A weaker stream, sudden urgency or feeling you have not fully emptied your bladder.

WHAT YOU CAN DO ABOUT IT

These symptoms are common and often treatable. A dedicated consultation can explore the cause and arrange treatment or further tests if needed.

Know when not to wait

If you cannot pass urine at all, or have urinary symptoms together with a high or very low temperature, shaking or chills, or pain in your lower abdomen or back, contact your GP urgently or call 111 now.

Do not wait for your quiz result before seeking help.

Go to A&E or call 999 if you:

  • suddenly become confused, very drowsy or have difficulty speaking;

  • have severe difficulty breathing;

  • develop new numbness around your genitals or bottom;

  • develop severe or worsening weakness or numbness in both legs; or

  • develop new loss of bladder or bowel control.

These symptoms need urgent assessment. This quiz cannot diagnose the cause.

Men's health takes more than one type of specialist

Prof. Tet Yap
Consultant Andrological Surgeon · Co-Founder
Prof. Suks Minhas
Consultant Urologist & Andrologist Co-Founder, Chief Medical Officer
Mr Peter Grice
Clinical Lead, Consultant Andrologist & Urologist, Imperial
Dr. Ian Gallen, CBE
 Consultant Endocrinologist · Medical Advisor, London 2012 Olympics
Dr. Vinit K. Shah
Consultant in Endocrinology, Diabetes & Internal Medicine
Dr. Richie Kirwan, PhD RNutr
Senior Lecturer in Nutrition & Exercise Physiology
Paula Allchorne
Urological Nurse & Psychosexual Therapist

PSA monitoring explained

What is a PSA test?

PSA is a protein produced by the prostate. A blood test measures how much is present, giving your doctor information to interpret alongside your age, symptoms, history and previous results.

Source: NHS: PSA test.
How fast will I receive my results?

Your results will be ready to view in your dashboard once they've been processed by the laboratory and had clinician review. This normally takes 2-5 days.

Does a raised PSA mean prostate cancer?

No. PSA can also rise because of an enlarged prostate, inflammation, infection, recent ejaculation or vigorous exercise. A raised result is a reason to look more closely—not a cancer diagnosis.

Source: NHS: PSA test.
Why monitor PSA over time?

One result provides a starting point. Repeating the test consistently builds a personal record, helping your doctor see whether your PSA is stable or whether a change deserves further review.

Source: EAU Prostate Cancer Diagnostic Guideline.
Can I pause or cancel?

You can pause or cancel after your first testing cadence, whether that is three or six months.

Is PSA monitoring right for every man?

Not necessarily. Its value depends on your age, symptoms, family history, genetic risk and previous results. You begin with a short health questionnaire so the service can be considered in the right context.

Source: EAU Prostate Cancer Diagnostic Guideline.
How often will I be tested?

Your kit is initially delivered every three or six months, depending on your monitoring schedule. If your results remain stable through the first year, testing moves to once a year.

How does the at-home PSA test work?

Your finger-prick kit arrives when your next test is due. Take the sample at home, return it in the supplied packaging and the laboratory analyses it. A doctor then reviews and explains the result.

Is a finger-prick PSA test the same as a venous test?

The Heracles test uses a capillary blood sample analysed by UKAS-accredited Viva Health Laboratories. If a result needs confirmation, your doctor may recommend another finger-prick test or a venous sample before further decisions are made.

How should I prepare for a PSA test?

For 48 hours beforehand, avoid ejaculation, anal sex, vigorous exercise and cycling. Tell us if you have urinary symptoms, a recent urine infection, a recent prostate procedure or take medication that may affect PSA. If you have had a urine infection, testing may need to wait four to six weeks after it has cleared.

Source: NHS: PSA test.
What happens when my results are stable?

Your result is explained, added to your record and kept on the appropriate schedule. After a stable first year, monitoring ordinarily moves to once a year.

What happens if my PSA changes?

Your doctor considers the result alongside your previous tests, age, symptoms and history. The next step may be to repeat the test sooner, discuss it with your GP, seek a urologist’s opinion or consider imaging.

Source: EAU Prostate Cancer Diagnostic Guideline.
Can Heracles arrange private prostate imaging?

Yes. If imaging is clinically appropriate and you prefer to proceed privately, we can help arrange a prostate MRI through Scan.com. Scan.com offers bi-parametric and multiparametric prostate MRI at locations across the UK. Imaging is a separate service and its cost is explained before anything is arranged.

Source: Scan.com: Prostate MRI.
Can I go through my GP instead?

Yes. We can provide your results and a clear clinical summary to support a conversation with your GP. Your GP can then arrange an NHS referral or further investigation where appropriate.

Does an MRI diagnose prostate cancer?

Not by itself. An MRI produces detailed images and can identify areas that may need closer assessment. Depending on the findings, a specialist may recommend continued monitoring or further investigation such as a biopsy.

Source: EAU Prostate Cancer Diagnostic Guideline.
What if I have urinary symptoms?

Going more often, getting up at night, a weaker stream or difficulty emptying your bladder are known as lower urinary tract symptoms. They are commonly caused by conditions other than cancer, and PSA cannot explain them on its own.

Do not wait for your next scheduled test if symptoms are new, persistent or worsening. A dedicated consultation and any additional investigations are available separately.

Source: NICE: Lower urinary tract symptoms in men.
What is included in the monitoring plan?

Your plan includes:

- Scheduled finger-prick kits
- Laboratory analysis
- Doctor review
- Your developing PSA record
- An explanation of every result
- Guidance on the appropriate next step

Private imaging, specialist consultations and additional investigations are charged separately and only arranged with your agreement.

Can I share my results with another doctor?

Yes. Your results remain available in your record and can be shared with your GP or another clinician whenever you choose.

Is PSA monitoring a substitute for medical care?

No. It provides an organised way to monitor PSA with clinical review. It does not replace an examination, urgent medical advice or any further investigation recommended by your doctor.

Source: NHS: PSA test.