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Did you have any recent prostate infection? PSA can go up from recent inflammation, sexual activity, or even rectal exam. This value is not that high to warrant a prostate biopsy. You can wait for repeat PSA value. If the PSA value does not go up over 6, you can still wait further. Also free PSA level should be checked as well as that is more accurate than total PSA. Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star on top).Please bookmark my profile for fast, reliable authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/