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Enlarged prostate with elevated psa
I am a 43 year old white male with no history of prostate cancer in my family.  I have been made of aware and dealing with this enlarged prostate issue for a couple of years now, with little satisfying results. I have been seeing a urologist since 2009 with several digital exams and testosterone & psa tests.  My testosterone level has dropped to very low levels to the point of the doctor putting me on adrogel.  My beginning psa level was at 1.0.  After several months of the androgel, my psa level went up to 2.0.  The doctor was uncomfortable continuing the androgel without a first undergoing a prostate biopsy.  The biopsy report was negative and the doctor said he was actually surprised because he thought I probably had prostate cancer, due to the slight enlargement of my prostate and being asymmetrical.  3 months later, I had a follow up psa and testostorone test.  The testostrone was within normal range on androgel, however the psa level raised to 3.68.  The doctor now wants to take me off of androgel and recheck the psa level in 4 weeks or do another biopsy now.  What would you recommend?
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