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If the Bactrim does not lower your PSE try another antibiotic.  ONLY one that worked for me was Doxy.  BTW 3 weeks was not even close to getting me back down.  Last 2 PSA test were:

5.3 (2/14/2018)

5.4 (1/17/2018)

I track my own PSA after that jump to 8.1 now and will retest in a month or so.  As noted above you can order your own PSA blood test in most states and the cost is reasonable.  If I ever see a sky rocketing rise I will get a bit more concerned.

Also saw my NEW (OLD guy) Uro, and he was not concerned based on the data he saw and the obligatory DRE