I would recommend quickly getting in to see a urologist. My husband had a PSA of 2.3 at age 44. Routine physical, no symptoms. Had heard the drill about normal being under 4, but my brother is a urologist and immediately told my husband that 2.3 was too high for a guy his age. My husband had a rectal exam which showed a slightly enlarged prostate. They ran another PSA and it was 2.6. They scheduled him for a biopsy and it came back positive for PCa with a gleason of 6. He was scheduled for a radical prostectetomy and had it removed. Time from first PSA (June) to Radical Prostectetomy (October) was 4 months. Post-surgery path report raised gleason to 7. PSA dropped to 0.06 after surgery. Rose to 0.11 3 months after surgery, then to 0.22 3 months after that. Husband had salvage radiation Sept/Oct of 2010 (less than 1 year after surgery). PSA dropped to 0.11 at 3 months after radiation (this past December). Just took his PSA yesterday (9 months post radiation) and it is 0.1 (undetectible). Now we just need it to stay down!
He is in otherwise great health, had no symptoms, had not even had a physical in many years prior to this diagnosis The psa was the only indicator of a problem, and had we waited we would be an a very different situation. We still are not out of the woods, but at a minimum we have prolonged his life and quality of life. He is only 46 right now. We have 4 young children. We are so glad we have been doing all that we can!
Please get checked!