To identify the effect of orgasm on serum prostate-specific antigen (P
SA) levels, a prospective trial before and after orgasm was performed
in 14 healthy colleagues aged 32-62 years (mean, 44.4 years) with no e
vidence of prostatic disease. PSA determinations were performed on ser
um samples obtained before and after orgasm. Significant changes in PS
A levels after orgasm were found (P = 0.002, analysis of variance). We
conclude that the impact of orgasm on PSA levels should be taken into
account when the latter are used for the detection of prostatic disea
se.