@rcroane56
We on MCC should provide you with our personal experience with the topic and not tell what to do or not do.

My experience with this is similiar to yours. My PSA was still normal 3.75 but had been rising steadily every 3 months of PSA testing (started that around 75 diangosed when 76). My PCP did not like the steadily rising over the years and referred me to urologist (Mayo Jacksonville is my care givers).

The urologist did a DRE and medical exam finding nothing but ordered a MRI with contrast. That MRI showed susupicious areas. So a Transpernial MRI/Fusion biopsies was done revealing 3+4=7 and 4+3+7 and my diagnoses was intermediate risk with radiation and hormome as treatments.

My R/Os (was not a member of MCC then and had no idea what these test were) suggested doing a Decipher tests, PSMA, and bone scan. The PSMA and bone scans were negative. The Decipher test (a more precise genitic test of your prostate cancer biopsies) revealed low risk not intermediate which changed my treatment to radation only no hormone.

So you can see from my experience my journey with this. What you choose to do is your personal decision working with your doctors. If you trust your doctors and they are experienced with prostate cancer asked questions after questions. If you are in doubt get a second opinion.

From your post it seems you have a caring and experienced doctor. Is this a urologist? If prostate cancer is in your family that is something that needs discussion with your doctors. For me I chose to get the MRI and glad I did as I was told caught the disease very early with excellent prognosis of successful treatment.