Are you on ADT?. .97 is pretty high and makes me think you aren’t on anything because ADT would reduce your PSA much more than that, it could take a couple of weeks.

After my first recurrence 3.5 years after RP I had salvage radiation I was not put on Lupron because that was over 10 years ago and they didn’t have that requirement yet. When my PSA started rising, 2.5 years after radiation, I was put on Lupron. When my PSA start rising again, 4 years later, I was put on Zytiga.

What have you been on?

You are at the point where you should have a PSMA PET test immediately to see if you have any metastasis. Your PSA is high enough that you should start getting treatment. At this point, your cancer is growing without any control and that shouldn’t be happening. You need to ask your doctor why you aren’t on something like Lupron yet. You need to be proactive when you have cancer, medical oncologist do not treat people correctly all the time.

After a PSMA PET test you should know if you got metastasis in different places and you can plan for zapping them with SBRT if possible. Once the PET test is done your oncologist should be putting you on the first level ADT. That will bring your PSA down to undetectable almost right away and stop your cancer from growing.

Don’t just wait for them to do something, tell them what you want, it should be no problem with your insurance paying for the pet test