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Biopsy vs. watch?

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Greetings to all,

1st post other than a previous test which I still don't see, but

here's the post anyway.

My father died of metastatic PCa in 1990 within few months of

diagnosis.

I therefore decided to start monitoring my PSA. a bit of background:

very healthy (guy of course :) age 45, 6'1 (185cm), 185lb(84kg)

married with a 4 and 7 yr old boys.

My first PSA was on June 10/2006 at 4.59 My internist said my DRE

was completely benign. Even though I had no symptoms of prostatitis,

A urologist friend suggested a recheck after a 4 wk Cipro course. On

July 19/2006 it dropped to 3.3 He suggested we watch in recheck in

few months. At that point I added an incosistent GNC prostate

formula supplement. I just rechecked again 2 days ago and the number

had climbed back up to 4 and a free of 10% (1st time I do the free).

The urologist -being a personal friend- said if I was in his office

he would probably recommend a biopsy, but if I'm not anxious, I can

wait and recheck it in 6 months. I'm tempted to go for the biopsy

and my wife feels stronger that I should. I'm a bit " bummed out " and

overwhelmed specially being only 45 with little children. I don't

feel like sharing this with any of my family or friends but willing

to share it here with people who have gone through similar

experience. I probably have a 50-50% chance of having PCa given the

above scenario. I don't know if it's false reassurance but I'm

taking the quick drop from 4.6 to 3.3 in 5 weeks following Abx

course as a good sign but why the rise back to 4 in 5 month?. It

probably really doesn't matter and I feel a biopsy is now in order.

Any input, personal experience or advice is appreciated in advance.

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