PSA test results

[paul13104]

I'm 62 years old, soon to be 63 in three months. I had my annual physical and my PSA was 5. It has always been 1 in the past tests over 5 years or so. I asked for a retest because I gave my fasting blood sample only 2 hours after I had intercourse. The retest came at 4.1. My doctor recommends I should see a urologist since there is a sudden jump in PSA level from last year. I went online and found that PSA normal levels for men in 60-70 year group is 0 to 4.5 range, although not all doctors agree. My doctor says normal range is 0 to 4.0 and that I should be concerned even though the rectal exam revealed no increase in the size of prostate. Should I be concerned? I want to see a urologist but I don't want to do anything further such as biopsies. Is this the right way to go with this problem? I don't want to deal with this whole thing for another 2 years.

[crazywillie]

Best not to make something out of nothing, if your doctor says you are OK leave it at that, I am 65 this year my PSA was 4.1,  after a rectal examination a Urologist told me last year I had only a 5% chance of ever getting Prostate Cancer and my Prostate was in good health.

[kazzy101]

I don't know what your health circumstances are, but if you are healthy and your doctor thinks so to, and there is no other reason for you to have a biopsy other than the psa result you could wait a while or see if you have an infection. My husband is 51 and back in January had a PSA reading of 7.29. His others have always been below 1
His doctor put him on antibiotics for a month, and said if it didn't go down he should see a urologist. We worried like crazy but prayed for the best result. Just a few days ago after completing the antibiotics he had another test and it went down to 0.5
You could talk to your doctor about this approach maybe.
Take care