PSA results - worried

Your PSA as well within the standard range for somebody your age. If you’re really panicked about this, get a PSE test. It will tell whether there is any cancer found in your system and is 94% accurate.

Sex and Prostatitis or just getting on a bicycle and riding it before your PSA test can cause a Rise in PSA.

Might make sense to get a PSA test in three months and see if it’s going up, it May go down.

Thank you. My understandin is that PCP is concerned with PSA Velocity...i.e. rapid rise

That is correct, doctors are very concerned about how quickly the PSA rises. The thing is, You need more tests to see whether or not your PSA is actually rising or has it just bumped up and will bump back down. Your original PSA of .9 was quite low. A year later, 2.2 is much closer to normal. Yes, in a year it went up 144%, but that was starting with an unusually low .9.

See what your next test shows. Your PSA at .9 was quite low, A range of 1.11 - 1.28 is more normal for your age.

Here's a breakdown by age group:
40-49 years: ≤2.5 ng/mL
50-59 years: ≤3.5 ng/mL
60-69 years: ≤4.5 ng/mL
70-79 years: ≤6.5 ng/mL
These values represent the upper limit of the "normal" range for each age group,

As you can see, you were way below the upper limit of normal.

They'll probably watch the next two tests to see if they show a rising trend, or this one is just a fluke.

For those of us receiving prostate cancer treatment, a PSA of 2.2 can start to be concerning, but since you haven't had your prostate removed or radiated, and you're not on testosterone blockers (which we call "ADT" here), some PSA is natural.

Just wanted to add that COVID infection effects PSA levels directly and for extended period of time. Virus can case mild prostate inflammation since it has an affinity to attach itself to prostate tissue.

@duration123
If I read your post correctly you are seeing a PCP not a urologist. If you PCP is experienced and you trust him/her discuss seeing a urologist because of your concerns.

My experience with this was when I was to have a PSA test I was asked not to ride a bike or have vigorus sex. You had the latter which my doctors and R/O said can affect PSA number. Also infections in prostate can cause PSA rise. Prostatis, inflamation in prostate, infections in prostate can also affect your PSA numbers. You have posted you have had prostatis in past, blood in urine in past, and now more blood in urine and your doctor diagnoses was prostatis.

Below 4 is normal PSA level. But PCPs, urologist. R/Os have told me it is more concerning the steady rise of PSA numbers. You are at 2 but have posted you have symptoms of protatis, sex prior to PSA test, blood in urine, and your doctor diagnosis of prostatist.

Discuss with your doctor all of this and asked what he recommends. Asked about increasing the recurring PSA tests. Discuss with your doctor about seeing a urologist. When I had rising PSA numbers my PCP put me on every 3 month PSA tests. And then asked me to follow no bike, no sex, report any infections, BPH, signs of prostatis, prior to PSA test.

I see surftohealth88 mentioning COVID (which you mentioned you could have had) and inflamation it can cause. Again if me asked your doctor about this also. Just try to get as much information you can and don't be shy about asking questions.

Actually, my PCP referred me to urologist, and I am scheduled to see urologist PA August 12 (the doctor is n/a until end of September).

@duration123
That is how I got to my Mayo Urologist it was my PCP who referred me.

Seeing a PA is good as they worked under a M.D. and will be cooridnating with them.

PCP in many cases are excellent and yours maybe one of them. My Mayo PCP is excellent and I trust him completely. But he knows when to refer me. If I asked him to look at a skin concern he will refer me to dermatoloigist.
Good luck

Urology PA's are specialists in their own right if that is their full time job. Personally I would feel comfortable with one for the initial visit. I would think they would do the appropriate blood work and a DRE. I prefer DRE's by professionals that do 10-15 a day over primary's that do a few a week. Actually had that experience and the primary missed my nodule. Based on the results I would think they would escalate your case to the primary Urologist if anything pointed to cancer after ordering additional blood work. I had the best care I ever had when I had liver disease many years ago from my PA. The doc showed for both of my biopsies that the Fellows did and when they prescribed the $1000 a day pill for my cure.

I agree with referral to urologist. There’s no reason to panic. PA will determine need for further testing. My PSA jumped from 2.8 to 4.4, and that’s when I should have seen a urologist, but my PCP wouldn’t agree until PSA rose above 5 the next year. Digital exam never found anything, nor was an MRI conclusive. A biopsy and then PSMA PET scan confirmed cancer. You will likely have one or two PSAs done over a few months before any other action. PSA isn’t always the final answer. A friend with a large prostate had PSA 50+ with no cancer, but some are diagnosed with very low scores. All the best!