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There is a certain amount of "experimental noise" with the Ultra-Sensitive PSA test, so the small variations in your test results may not be significant. In most cases, the bottom limit of accuracy for the Ultra-Sensitive PSA test is around 0.02 ng/ml.
For more detailed information, please see: http://yananow.org/UltraPSA.shtml
It is good to get a series of PSA tests over time to see if there are any significant long-term trends. Based on those trends, you can make a more informed decision about whether you need any additional treatment methods.