I am 74, have BPH, and my PSA runs 5-7 for the last few years. My urologist gets that checked twice a year, and does a DRE every 12 to 18 months.
If I were you, I would request an MRI. In other countries, they use 3.0 as the “normal” limit. My PSA was 7.2, and I had prostate cancer which was subsequently successfully treated through proton radiation and ADT.
I am 62, have had precisely 1 DRE, and will never have another one.
“I am 74, have BPH, and my PSA runs 5-7 for the last few years. My urologist gets that checked twice a year, and does a DRE every 12 to 18 months.”
80. Gleason 6/7.
PSA was higher but after two biopsies and finesteride my latest was 1.09.
We do MRI every two years.