My PSA numbers are very similar to yours. Similar age to you. I turned 61 a little over a month ago. Biopsy on April 10, 2026 had (4) cores of 3+4 and (1) core of 3+3. Biopsy in September of 2025 had 5 cores of 3+3. I do not think lesion went from 3+3 to 3+4 in 6 months. I think the 1st biopsy sampling missed the 3+4.

In 2022, my yearly bloodwork PSA went from 2.0 to 2.8 (prior year to 2022). Had two more PSA tests in 2022. One was at 1.8 and the other at 2.7.

Since it was not too high, I did not go to Urologist. 2023 and 2024, yearly PSA were at 2.5.

My 2025 PSA was 4.0. I made 1st available appointment with Urologist. 1st ever visit to a Urologist. No infection and nothing felt by DRE. With 4.0 still not being too high, I was not pushed by Urologist to submit to any further testing. I told him I wanted more tests.

I did 4K blood test (PSA portion was at 2.0) and MRI. MRI showed a Pirads(5) lesion. Biopsy a few weeks later confirmed Gleason 3+3. Active Surveillence was treatment protocol.

Went to City of Hope for 2nd opinion. 3 PSA tests at City of Hope in 2025 and early 2026 were 2.7 (few weeks after biopsy which should elevate PSA) and 2.0 twice.

Scheduled a confirmation MRI/biopsy for April 2026, because MRI was indicating a lesion likely with higher grade than 3+3. This has proven to be the case.

PSA test April 3, 2026 was at 3.6 (bloodwork prior to MRI and April 10th biopsy)

February 2026, PSA was 2.0.

You going to Urologist and having a DRE and MRI would provide information.

My lesion is along the prostate capsule. MRI indicate no visible extracapsular extension, but it is along the wall. If I had not gone to Urologist last year, I would have never known. I do not know why I have only had 2 PSA values over 3.0 and none over 4.0. If lesion extends thru capsule, treatment and spread are more difficult to manage. That is one reason to visit Urologist and get MRI. Finding cancer before it spreads or gets too high of a grade, is important.

Best case for you, you visit Urologist and have an MRI and no lesions are visible. In that case, keep tracking PSA. Maybe get PSA checked 3-4 times per year for a few years.

Best Wishes.