Is this only a bounce

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hello, good people. HAPPY NEW YEAR!!

yesterday, i had my PSA blood draw and it went up quite a bit. my PSA yesterday was 1.31, up from .76 in late september 2022. i'm not feeling too good about those results. here's a list of my PSA

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the morning of my PSA, i had a slight wet dream and the week before i had a hard bowel movement, which i know can put pressure on the prostate. maybe i'm in denial or maybe i'm worried over nothing. my nurse practitioner said she has seen results like this quite a lot and is not concrned, she told me i could can back in 6 weeks and do another PSA. i do understand that my lowest PSA + 2 is considered radiation failure. she told me it would be too early to order any type of scan.

what do you think...i'm concerned about a recurrence. should i be concerned or not?

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