I believe that your emotional turmoil is understandable, given the changing PSA levels and incomplete communication. You deserve much better and complete communication from your doctors.

I do recommend continuing to reading this forum, because there are some very experienced PC patients with great information. I also recommend looking at the online information at PCF.org and PCRI. org, along with Dr Patrick Walsh’s book, if only to know what questions to ask of your doctors and recommended next steps.

Given your stated historical PSA of 4-6 (or was it really 0.4-0.6 ng/ml?), anincreased PSA should always be a prompt for further checks. When a PSA value doubles, it should be checked more frequently to understand the doubling time, which is often more informative than the absolute value prior to treatment. Anything that physically agitates the prostate can temporarily increase blood test PSA values. Getting your blood tests performed by different laboratories can also affect the absolute value. Therefore, I believe that you will have better information after the next PSA test performed at the same laboratory.

I hope that your PSA value remains stable and that any future visits for this forum are only to update us on your good life. If your PSA continues to increase, this forum can provide you with detailed recommendation of next steps and questions to ask your doctors.

Best wishes