fPSA of Zero

Everyone seems so brave and I kind of feel like I am following apart. Any thoughts are appreciated, but I am still in the early stages of things.

My most recent 4 PSA tests:

PSA 4.6 fPSA 0 (This Week) I haven't heard of a zero fPSA before?
PSA 3.6
PSA 3.9
PSA 4.2 (12 Months Ago)

It seems like from everything I have read, that a fPSA below 10% is bad news and I am really worried.

From what I have read in this forum, it seems like the views of fPSA are mixed.

My main doctor is not too worried as my numbers have always been around 3.9 and tend to fluctuate.

I am 49 years old (and white) and just trying to keep it together for my kid.

I have had an enlarged prostate on several exams since my late 20's. But no other abnormalities noticed.

The period my PSA numbers dropped to 3.6 I was on Advil to deal with a pulled hamstring. My doctor wanted me off as it was impacting my kidneys so for the last 3 months I have been Advil free after using it off and on for 20 years for one injury or another.

I am going in to see a urologist in a week in Denver at Urology Associates.

Any thoughts would be appreciated. Just trying to put on a good face for my daughter.

Thanks,

Shawn

At age 45, the first time it was ever checked, I had a PSA of 5 and fPSA 7%. It freaked me out back then too. Over the next 18 months or so, I had multiple follow up PSA tests and 3 separate biopsies. The PSA hovered between 4 and 5, and the free PSA stayed in single digits. The biopsies never found anything more than some inflamed tissue. So, whatever caused that, maybe some low-grade persistent infection or something yielded those worrisome numbers. It was emotionally wrenching at the time, but all of that angst was unwarranted.

I started taking a daily aspirin for the inflammation, after verifying with my dr it was ok. My PSA dropped over time, until 3 years later it was less than 2 and stayed there for the following 3 years. I quit checking it entirely for a few years. Don't do that. Keep checking it annually. My actual case of PCa didn't develop until 10 years later.

Have you tried a course of antibiotics? Prostate infections can be quite difficult to eliminate, and can give numbers that are of concern. I think that's what I had going on back in my mid-40s.

Otherwise, bite the bullet and get a biopsy. They're not that bad.

Anyway, take a deep breath. Don't go to the dark places in your mind. Odds are very good that you're just fine.