I think your PSA is a little high for your age but still no need to panic. The general trend is for PSA to start low, then as we age, the prostate gets larger and so generates more PSA. If PCa enters somewhere along that path, that will generate even more PSA. But of course there are wide variations in individuals, and you may just have a larger than normal prostate.
Things that can stir up the prostate and cause it to produce a little more PSA are cycling, a DRE (Digital Rectal Exam by your doctor) and of course sex. I suggest abstain from all of those for two days before your next PSA -- though that last might be hard with a nympho wife
In its early stages, PCa has no symptoms, so it's highly unlikely that your testicular pain is caused by PCa. The usual first symptom of PCa, where there are symptoms, is difficult urination.
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.PSAs:
6-week : <0.05
13-month: 0.07 (start of a trend?)
19-month: 0.09 (maybe)ED:
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. Have "graduated" to just the pump.