My PSA was 2.1 when I was diagnosed accidentally.

in 2010 I had an unexplained DVT, PE and Pneumonia.

My PCP had recently completed continuing medical education where the discussion of the link between cancer and DTV and PEs was discussed. Since we had the discussion about aging, in part how lifestyle was a factor, diet, exercise , managing stress, in part seeing your doctors and having routine physicals and appropriate diagnostic testing and then, the incontrollable factor, genetic crapshoot, she had ordered a colonoscopy. That showed polyps though not cancerous, so, instead of 10 years, I was scheduled to do it again in three years. In December 2013 the gastroenterologist took the time to examine my prostate while I was under anesthesia, (he was the same one in 2010 so guess he did the same then, found nothing to alert him) In the recovery room, he recommended I see my urologist, I did, he did the DRE and said we should follow up with a biopsy. the rest is history.

My reasoning is as my PCP and I discussed, there are two factors you can control in aging, lifestyle and regular visits with your medical team. In my case, the latter is what may have saved my life, finding my PCa early enough. The recommendations of the infamous task force on PSA testing were a result of overtreating. The unintended consequences may be more men being diagnosed with advanced vice localized PCa.

I have no doubt the medical community was over treating in days past. I think today, the pendulum has shifted to more active surveillance based on clinical data, though as evidenced by various folks on this and other forums, there are still those who....

No harm, no foul, my medical team knows when I ask for diagnostic tests, I generally have a reason and as I say, you're not paying for it, so write the script, put the order in...

So, my approach is why not, either confirm or deny using medical diagnostic testing. If it's not, great, if it is, well, knowing is great too,

There are a number of factors which impact PSA testing as we generally all know. I probably should have addressed those in my comments. Your suggestions of another PSA test while accounting for "known" influencers of PSA levels is also a reasonable suggestion.

Kevin