I agree about fighting hard and early. The thing is, you have no detectable metastases at this point (if I read the thread correctly), so your cancer is likely localised and very early stage.

The slightly-elevated PSA shows that something's going on, but it would surprise me at this point if they were to approve more-extreme treatments like chemotherapy (Docetaxel); they don't even typically use that even for stage 4b oligometastatic, at least not until the cancer becomes castrate-resistant and/or polymetastatic.

As others have suggested, unless they find anything new on imaging, ADT to slow/stop any progression, then (after you've had time to heal from the surgery) salvage radiation to the area around where the prostate used to be seems most likely. If your cancer is still non-metastatic castrate-sensitive (nmCSPC), I'm not sure if any ARSIs are approved for you yet: I *think* the cancer needs to be either metastatic or castrate-resistant before you can use Abireraterone or one of the -lutamides.

Best of luck with your next treatment steps!

7 weeks is a short time for an initial PSA test following prostatectomy. There still may be remnants of PSA still in your bloodstream - which is why they usually wait until around 3 months.

Certainly can understand your apprehension about waiting. But, you also don’t want to have unnecessary treatment.

Perhaps consider having PSA tests every couple of weeks to see if the PSA is continuing a downward trend? That would help decide what to do next.