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A PSA (prostate-specific antigen) level of 5.5 ng/mL can be considered moderately elevated, and it may warrant further evaluation to determine the cause. While an elevated PSA level can be an indication of prostate cancer, it is not a definitive diagnosis on its own. Many factors, including age, prostate size, and other medical conditions, can affect PSA levels.

If you are 64 and your PSA level is elevated, it might be a good idea to consult with a urologist. A urologist is a specialist who can conduct further tests and examinations to assess your prostate health accurately. They may recommend additional tests, such as a digital rectal exam (DRE), prostate ultrasound, or a prostate biopsy, to gather more information.

Considering your age and the potential risk of prostate cancer, it's essential to have a discussion with a medical professional to make an informed decision about further evaluation and potential treatment options if necessary.

If the cost of the urologist consultation is a concern for you, you may want to explore other options such as seeking a second opinion, checking if your insurance covers part of the cost, or looking for urology clinics that offer more affordable rates.

Ultimately, I strongly recommend discussing your concerns and test results with a healthcare professional, as they can provide personalized advice based on your medical history and specific circumstances. They will be in the best position to guide you on whether further investigation is necessary and to address any worries you may have regarding prostate health and potential prostate cancer.

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