High levels of two hormones in the blood raise prostate cancer risk

So is a PSA of 1.8 ok for a 43 yo?

What I was 43 my PSA was 2.1.

23 years later at 65 it was 2.4. Not much change at all considering I had also been on TRT for 5 of those 23 years.

(Lately, the last 18 months, PSA has jumped around quite a bit, up to 4.2, down to 3.4, back up to 4.8 and then back down to 3.8.)
 
Could it be just inflammation or something? 2 years ago it was 0.93 then I started trt. 3 months into TRT it dropped to 0.77 with a free PSA % total of 35% and 45% which is good. But now randomly 10 months after that it's 1.8. it does feel slightly irritated due to constipation and huge bowel movements and straining which I think irritates the prostate as it's right there.
I used to be around 1.4 after trt went to 1.69, then back down to 1.46 after three month. I stopped trt after that and it went down again to 1.4.
Doing clomid now to see if it can help otherwise trying different protocol trt after this.
 

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