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Hockey your primary doctor's advice is very sensible and a urological consultation would be in your best interests. Hopefully prostatistis will be the culprit, but the dramatic PSA rise need's to investigated.
Fred's comments re HRT and PCa does reflect a changing medical view on causative factors re PCa. But having said that, we all know that androgen deprivation is very effective in treating diagnosed high grade gleason adenocarcinomas of the prostate. I can also recall several yana members from many years ago who chose to use testosterone after receiving treatment for PCa. One had a low grade tumour and the other high. Sadly both experienced aggressive recurrence.
I find your jump in PSA too alarming to waste time messing with antibiotics. I think you need to get another PSA, and if it confirms the rise, get a biopsy ASAP.