New here, not an official member, but have some concerns over symptoms and PSA results etc. Will apologize up front for the lengthy post.
For several years, I've had urinary and ED issues, along with back and pelvic pain etc. Although I consider them somewhat mild, they do cause me concern. (even though all the new ED and BPH commercials make one feel that its a normal process for aging etc!!.) I'm 49 years old, in great health and run 25+ miles a week and other than my Coors Light, I maintain a good diet and very active. I had several bouts of symptomatic prostatitis over the years, but never had a PSA during the symptoms, but from 2001-2012, all PSA tests hovered around 1.5-1.6.
I retired after 30 years in the US Military in 2014 (maybe the cause of my back pain and I have several jacked up discs between L3/S1), and thought I had a PSA test on my exit, but cannot find any records. Fast forward to Feb 2017, I had a PSA of 2.24. My PCM recommended waiting 6 months and I went back on 20 Sept 17 and found my PSA had climbed to 8.53, which resulted in immediate referral to the Urologists. The Uro put me on two weeks of Cipro, but wanted to repeat the PSA just in case. One week later (after starting Cipro) I got my results back at 7.79 on 26 Sep. We waited until 23 Oct 17 and did another PSA which was 6.15. A small decline over the course of the month, but my Uro wasn't impressed, so he scheduled a biopsy for 17 Nov 17, but asked me to do yet another PSA, this time including a free and total. So on 7 Nov, we drew blood again and the results were a PSA of 5.9 with a free/total of 9.3%.
So besides from being quite worried about all of this, especially with my high PSA and low free/total %. I'm hoping someone here can help explain this rapid rise and very small decline after antibiotics. I've scoured the internet over the past several months and see a lot of conflicting information. On the one hand. my PSA shot up rapidly and the antibiotics seemed to stop the rise, but on the other, the drop seems insignificant to me.
Baseline PSA over many years of 1.5 (last checked in 2012)
3 Feb 17: PSA 2.24
20 Sept 17: PSA 8.53
26 Sept 17: PSA 7.79 (after starting Cipro)
23 Oct 17: PSA 6.15
7 Nov 17: PSA 5.9
Biopsy scheduled for 17 Nov 17
Thanks to all of you for such an informative website.