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Try to pass on my experience with this. My R/Os advised me to have my PSA tests done at same lab each time I had it done to prevent different lab discrepancies. Said can have it done at any lab but make sure the same one.
Your PSA is not bad at all. And you mentioned you have BPH which would explain even the number you are at. It also suggest you BPH is there as antibiotics addressed your symptoms and you had improvements. BPH is symptoms. It does not always mean your prostate is enlarged as could have infection and irritations causing the BPH symptoms.
I had a MRI with contrast. It will only show suspicious areas it cannot diagnose cancer. I wonder if your urologist has talked to you about waiting to see results of MRI to see if a biopsy is justified. Things usually go with significant PSA rises over time, MRI/Contrast, Biopsy if MRI/contrast shows need to have one, then treatments if you have cancer or just BPH.
Good luck!!
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Agreed on several fronts and thank you, my primary care Doctors want to do more imaging and follow my PSA. My urologist did a follow up urine bio test that was suspicious. On the basis of the urine test coming back Ww are doing the biopsy. My number 1 concern is failing to follow up, having something and it spread before we can kill it. I understand how slow prostate cancer is but a couple of friends have died from it. Many others have survived it. It’s crazy how many people I know have it. I think the odds are it’s nothing. I’m hoping for the best and expecting the worst. I’ve had so many past prostate problems I’ve kind of been waiting for this thing. I’ve had severe prostatitis, BPH with symptoms, and two infections since 52, I’m now 64 and in excellent health.
Thank you again