Hi spooled...man I hate that...when doctors leave a person dangling out there leaving them will all sorts of worries and anxiety.
The PSA count is probably higher than normal for your age...but not that high...and there are so many things that can elevate the PSA, including sex, riding a bike or even performing a DRE before the blood test was taken. The symptoms you demonstrated would fall more in line with being some form of an infection. The antibotics normally will help with the acute infection, but the chronic infection is much more difficult to clear up. Your doctor is giving you good advice at this point with the longer term of antibotics, but man that waiting is something hard to do...waiting for that next PSA test. If it is still elevated after this course, there are several other tests he can do to help narrow down the problem. By the way, some men just produce more PSA in the blood than others and you may just be one of those men.
Take care and keep us informed.
You are beating back cancer, so hold your head up with dignity
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base) - Gleason (3+3) 6 Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (4+3) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm
PSA 5 week Oct 2008 <.05
3 month Jan 2009 .06