ache in area below scrotum

Though that is where the prostate is, it is unusual to get an ache there from prostitis. I expect an enlarged prostate could be pressing on something else nearby.

There have been a few posts on here about GPs thinking prostate cancer is a very old man's disease, and that even high PSA is acceptable as it is such a slow disease you will probably die of something else first.

Though I can understand this point of view, and I think a prostate cancer screening program would do more harm than good. If you have symptoms in the prostate it should be investigated. You need to know your PSA, do not be palmed off with "I don't think that's appropriate" if you are over 50 you can demand the test. When you get the results do not be palmed off with "it's normal" you need to know the exact figure, if it is over 4 it should be investigated further. If it is over 2, I would want another test in a year to see how fast it is rising.

Dave's comment about about being told 'it's normal' is a point well made. Last year, when I phoned my GPs surgery to get the result of a PSA blood test, I was told the lab had noted 'normal, no action required'. Of course, I insisted on being told the exact figure which was 3.6. This was a progressive rise over the last three quarterly tests (I was on AS at the time) and led to me being referred to hospital, after I had requested to speak with my GP. Following MRI and TP biopsy, I underwent surgery and post op pathology showed T3a. IMHO, a lab should only report specifics and  has no business to make subjective notations in isolation of patient history.