@drcopp
The seat you are using helps. But my R/O, Mayo PCP, asked me not to ride a bike for a week prior to PSA test to ensure irritation did not occur to prostate from bike riding. I have a special seat on my hybrid bike that does not have a tonque and is wide with springs below it. I ride on those bones at each side.

However I follow my doctors advise which was lets make sure even with your bike seat you are not irritating your prostate as I ride for 20 miles.

I am a little confuses with you doctors discussion on PSA levels. The present PSA level deemed normal at Mayo is below 4. My PSA at 76 was 3.75 but had been rising every 3 months for over 2 years. That rise not necessarily the number at was something my PCP did not like and referred me to a Mayo uorlogist who did MRI/Contrast, MRI/Fusion biopsies, and got my Gleason Score of 3+4 and 4+3 (totals are 7) and intermediate risk.

I had good Mayo R/O and good UFHPTI R/O and combined they ordered, bone scan, Decipher, and PSMA. Bone and PSMA were negative. Decipher came back low risk not intermediate risk that Gleason score had.

I mentioned this as my PCP, urologist, and two different R/Os were all concerned with steady rise of PSA not the number it was at. I was technically under the normal (below 4) and I was 76 years old when diagnosed. Have you gotten second opinions? I cannot give medical advise but the PSA numbers you mentioned with saying normal at increasing rates is questionable to not address regardless of number if your PSA is rising and rising.

BPH can cause a higher PSA but it too needs to be addressed and is why the standard PSA test is so valuable as it not only shows your current number but if that number is steadily rising over time.

I was far under your doctors 6.5 PSA norm at age 76 with a 3.75 PSA and I had prostate cancer.