If you think you have prostate cancer to the point you're changing your lifestyle (regarding sex), then I think if it was me I'd push for an MRI fusion biopsy so you can know they actually biopsy those 3 lesions. Then you'll have a much better idea what you're dealing with. Plus you'll have more treatment options catching it early rather than later. But I'm not a medical professional and this is just my layman's opinion. I do believe there's a NCI recognized CCOE in Tucson and another in Phoenix. Best wishes.