@jeffmarc Hello Jeff,

My grandfather that died of prostate cancer was on my mother's side, and my cousin who was diagnosed with prostate cancer at 56 was my mother's sister's son. So it appears to be on my mother side.

Interestingly, my father had battled high PSAs all of his life from 65 and beyond. I remember having the conversation with him. His remember him saying his PSA was an 8, then 11. He went and seen a Urologist and got DRE and biopsies and nothing was ever found. Then after a while he just never went back. I don't know the final answer on that, or if he was asked to do more follow-ups. He did pass away due to cancer 13 years later and I asked the doctor if this could have started in his prostate but the doctor told me he died of a "smokers cancer" type. My father smoked for 43 years. The cancer my father had that killed him at 78 gave him no warning. He was 77 and moving furniture out of the basement by himself - very strong with no symptoms. He dies in literally 7 months of diagnosis. Never had any pain, even at the end.

My father's also had 2 other son's with a different mother than mine, but neither of them had prostate cancer and they're in their 70s now.

I made an appointment with my PCP for tomorrow to order a PSE test. I'll happily pay for it. then wait to see those results. If it comes back indicating I likely do have cancer, I'll immediately get an appointment at our UoM Urology clinic. If it comes back that I likely don't have cancer, I'll opt to monitor every 6 months through my PCP.

Does that plan sound reasonable at this point?