Yes, DRE is expected.
I disagree however. It is not a long way off, I am quite sure there are some docs who would want biopsy now and to pull me off TRT right away. Already had 2 PSA tests that were high. After PSA 1.6 last July, rapid rise: November PSA over 7 and late January PSA 6.9 with free PSA putting me at 5% risk.
And, I already know there are a slew of other tests available including but not limited to 4K score, PCA3, Oncoblot and a bunch of more expensive genetic based tests, though some of them are associated with samples from biopsy. I want to know my stuff when confronted with a strong push towards biopsy, including getting my hands on a copy of Morganthaler's work.
