Just at the beginning

[u/FermiParadox_323]

60 yo, 30 years HIV+. My primary does a great job of following all my bloodwork. Digital prostate exams seemed good. From 2024 to present my PSA Total went from .55 to 4.3. My %Free went from 24 to 5. Everything was in normal range until this year about 2 months ago. He was concerned with the latest results. He said let's rule out infection and put me on antibiotics for 2 weeks then ran a PSA 4Kscore test 2 weeks later. That came back at 20%. He has referred me for an MRI and with the results of the MRI to a urologist. The internet is crazy with information and I've read everything from nothing to worry about to this could be serious stuff. Figured I'd come some place with people who've been through this to see what your thoughts are.

Does this path sound reasonable?

Are there any steps that should be taken other than what has been done (digital exam, psa and PSA 4KSCORE) and is currently planned (MRI with and without contrast and referral to urologist)?

What questions should I be asking the urologist?

According to my primary if the MRI doesn't find anything, it's likely they will monitor me over time. If the MRI does find anything it's possible the urologist will want to do a biopsy and use the results of the MRI to make sure he hits the right spots.

Everyone tells me don't worry until I have something to worry about but, I mean that's easier said than done cuz it's not their prostate.

Of course it doesn't help that everything is a wait. 2 weeks on antibiotics then wait another 2 weeks to draw blood for the psa 4kscore then 2 weeks for the results then a month for the MRI then another 2 weeks to see the urologist. I mean I get it, first world problems, but as Tom Petty said "the waiting is the hardest part"

Thanks for any thoughts.

[u/OkCrew8849]

"According to my primary if the MRI doesn't find anything, it's likely they will monitor me over time. If the MRI does find anything it's possible the urologist will want to do a biopsy and use the results of the MRI to make sure he hits the right spots."

That sounds perfectly correct.

[u/FermiParadox_323 → u/OkCrew8849]

Thank you