Looking for some advice from those who have been there before me.

Hey there,

I am a younger guy (27) last year I went in for routine lab work we also decided to pull a PSA test as well. My dad was diagnosed and treated for prostate cancer back in 2012 so the doctor thought it be a good idea. Anyway, was tested last year result came back of a 14.1.
My PCP refered me to a urologist, we redrew and also did a digital. No abnormalities on the digital, PSA results came back at a 1.8. I just had blood drawn again recently, results come back... I again have ab elevated PSA. This time it reads 13.9. First inclination is obvious panic - hearing the same thing only a year later. I made a prompt appointment with my urologist again today. The nurse seemed like it wasn't even necessary to draw again because of my age. I want to understand and know more, and not be shrugged off because of my age. From the experience collectively here I'm hoping I will get some good insight, maybe even suggestions.

Are there factors that could cause my PSA to be high? Riding bikes, ********** things of that nature I am aware of. Are there any correlations between straight men vs. Gay men having prostate issues? Elevated psa?

If you've read this far, thank you. If you reply, I am ever greatful.

Your PSA pattern is typical of prostatitis. It relapses and remits - comes and goes. When it comes, your PSA shoots up. When it goes, your PSA goes down. There's nothing to be done about it if it doesn't bother you (antibiotics usually don't work).

Avoid sex of any kind for 48 hours before your next PSA test. I'd guess that any kind of sex involving the mechanical stimulation of the prostate would send your PSA especially high.

I think 27 would be a new world record young age for prostate cancer, even 37 would be.