At your age it’s probably nothing, test is known go inflame but Does not enlarge the prostate according to most recent research. BUT that is zero reason to take this lightly. A prostate resection is a brutal brutal procedure most often leading to an inability to ever have an erection again. So pay attention.
@Poppy is right. How is your urinary stream and flow?
This doc should have done a digital exam.
I agree with coming off all test and checking levels, and I think you should follow this advice. I still believe you should be prepping to pct by now just in case your legal proceedings don’t go the way you hoped.
If you know you have elevated psa levels, from this point forward you should NEVER have labs drawn without a psa level. Ever. The only reason that should happen is if you’re being lazy or foolish.
Some elevation with age is normal. But you said your known to have elevated levels, and you’ve only checked it once before? Come on buddy, that’s not harm reduction. That’s out of sight out mind hope for the best, it probably won’t happen to me mentality.
I would listen to your doc. Come off all hormones for two weeks. Re check.