@asgmiami1 you might also try a PSE blood test or a MPS2 Urine test. Both are apparently more precise than a PSA for Prostate Cancer. The MRI gives you the size of your prostate in ML which you can use to calculate your prostate density and put your PSA into a context.

@asgmiami1

@beachflyer gave a great summary.

Your PCP could always give you a referral to a Urologist, if needed.

I would just start calling Urologists amd tell them your PSA increased more than 0.7 from year to year. That is one general guideline in the medical industry.

My PSA for the past 6 years has been between 2 and 2.9.

In June of 2025, my annual result was 4.0

I called local urologist and got 1st available appointment in July 2025.

Prostate was not enlarged, DRE did not find a lesion and no infection indicated by urine tests.

Urologist asked if I wanted to pursue further tests. I confirmed, I wanted further tests.

4K blood test and MRI was completed in Sept 2025. 4K test was in the low-moderate range. However, MRI showed a PIRADS-5 lesion (2cm in length)

Biopsy results were Gleason 3+3 on 5 cores.

My PSA test last month was at 2.0. Two other PSA tests over the past 6 months were also at 2.0.

I do not know the reason, my yearly, PSA test in June 2025 was elevated at 4.0. However, if that test had not been elevated, I would not have scheduled an appointment with Urologist.

I do not know what information insurance will need to approve a MRI. But seeing an Urologist ASAP, is the next step.

Best Wishes.