Do you tell others now to get a PSA?

Me and my friends call that an Organ recital 😀

Like you I’m an introvert and not very social. When I told my few close friends they had their PSA tested. I wouldn’t start the conversation with the PSA/prostate conversation but if asked I would suggest a PSA

I have heard that it's not recommended to have a PSA test after age 75, as you will more than likely die from some other issue ( heart, stroke, another cancer) before PCa takes your life, and you would just subject yourself to unnecessary treatment and side effects. If your in your 40's 50's 60's I think it's best to be tested as you have many more years left.

I usually ask people if they have had their psa tested after I have spent a little bit of time with them and get a feel for their openness. I keep it brief and give some quick insight from my experiences. I have not had anybody be angry about that approach. I drop it quickly if they do not have an interest.

Yes, I strongly recommend the PSA to others, but with cautions as we know it is not 100% accurate test. My PSA was never above four and because of that my physicians (not Mayo) misdiagnosed cancer for eight months while it metastasized. Even though I was having increasing symptoms and asked for additional diagnostics they refused, telling me it was BPH it would not do further diagnostics. Finally changed physicians and it was diagnosed within three days.

YES!

That's a personal choice and unless someone is a good friend, it's an awkward discussion. If the topic of preventive healthcare comes up, mentioning that a test during your routine annual Physical Exam helped find your cancer, would be helpful. Although we are focused on Prostate Cancer in this form, there are other equally important health checks during an annual exam.
If this was a colon cancer forum people would be commenting on the importance of screening colonoscopy every decade beginning age 50 (or sooner and/or more frequently depending on other factors).
Hypertension is called the silent killer because most people are unaware they have it unless their blood pressure is checked. Untreated, it can lead to heart attacks, stroke etc
Having blood sugar regularly checked is important to avoid the common and myriad complications of Diabetes.
Vaccinations are important (I know this is controversial with some but I'll go with the science) to avoid or ameliorate numerous infections, especially in the elderly.
Etc, etc. Off the soapbox. All of these issues will be taken care of by finding a good primary care physician and seeing them regularly.

What I do tell my buddies who have had their prostate taken out is to never ever stop getting a PSA test with their annual check up for the rest of their lives. I have been around a few years now in my survivorship and have noticed a lot of old guys in my cancer support group who have a reassurance.

I apologize but what is TRUS?

PSA is much easier than a colonoscopy...no preparation, no sedation, no risk of side effects . I am a strong advocate for both-and for all other recommended screening tests.
Speaking of which-I also strongly recommend the DRE (digital rectal exam) as well as the PSA. Here's why: About 10-20% of men have prostate cancer which doesn't produce elevated PSA. The DRE is another way to detect prostate cancer for those men. It's quick, cheap and non invasive with no after effects, although many men dislike the few minutes it takes and many doctors aren't doing it. My PSA was less than 1. My doctor did a DRE during an annual physical, felt a nodule, and sent me to a Urologist. It turned out to be a Gleason 4+4 cancer. I had a prostatectomy, a recurrence several years later, and radiation plus hormones (Orgovyx). I frequently thank the Internist who did the DRE and discovered the nodule, which may have saved my life. As I said, my case is not that unusual.