If you were me; what would you do?

Ideally, you want to see that the PSA has gone down, which means it's very likely it was due to an infection and the cipro cleared it up. But even if it stays high, it's not necessarily PCa...that's just one possibility.

Remember, no sex between now and your PSA test. Ditto for bike riding or anything that can put any pressure in that area and give you a high number. Also, it's important that they draw the blood for the PSA test prior to doing the DRE--it's amazing how often I see that messed up around here.

If the number remains high, I'd consult a uro if I were you. Good luck to you and keep us posted!

I think Andrew has nailed it. My PSA peaked at 5.7, and I'm 69, and went right through the process. In your situation, I would want to know all that I could know, so I could make my decisions in clear conscience. If there is something brewing "down there" wouldn't you rather find out and act while it is still early? That's how I felt about it. My uro said that I might qualify for one of the Active Surveillance programs, but I just said no.

Create a signature with a synopsis of your situation if you would.

I went into the edit my profile and in the signature area put in my history; which is limited at this point. However, here is what it suppose to show.
Age 44
12/27/16-PSA 5.1

No prior PSA to set a baseline and this makes my situation a little more difficult.

I had a similar situation. I have had bouts of prostatitis, and also had a high psa the first time it was checked at age 47. The only reason my VA doc at the time wanted a psa test, is because I wanted to get on testosterone replacement. My psa was about the same level as yours, and I too kept thinking it had to be something else other than cancer causing my high psa. I told the doctor that I wanted to wait and see if it goes down on it's own.

My doctor was replaced (seems like I get a new doctor every few months) and the new one was shocked that I waited instead of getting a biopsy with such a high psa for my age and talked me into seeing a urologist. My second psa was around 7. By the time I finally got the biopsy a full year had passed since my first test. I was diagnosed with prostate cancer. What the uro described as a moderately aggressive tumor that filled half my prostate gland, and included perineural invasion.

I learned that many times when a younger man gets prostate cancer, it's often more aggressive.

I wish I had done the biopsy immediately after finding out my psa was high, so my advice is go ahead and get the biopsy as soon as you can. If they find nothing, then blame it on something else.

Just my 2 cents-

New to the forum and monitoring this thread. Haven't started the process yet but will soon!