Prostate Cancer Screening: Should Men Get PSA Tests? Symptoms, Risk Factors & Treatment Explained | Ep. 48

Should men get PSA tests or not? Dr. Rock dives into one of the most confusing debates in men's health—prostate cancer screening. The medical establishment has flip-flopped so many times in the last decade that nobody knows what to do anymore. "Always screen" became "never screen" and now it's somewhere in between. Dr. Rock cuts through the noise and explains why most prostate cancers are actually slow-growing time bombs that might never go off, why the guidelines changed, and who really benefits from early detection versus who just ends up with unnecessary treatment and regret.

Here's what most guys don't know: your PSA number going up doesn't mean you have cancer. Riding a bike, having sex, even a prostate infection can spike it. But age, family history, and race change everything about your risk. Dr. Rock breaks down what those numbers actually mean, how the Gleason score tells you if your cancer is a turtle or a cheetah, and why newer tech like MRIs and "active surveillance" means we're not just yanking out every prostate anymore. He also gets real about the downsides nobody wants to talk about—incontinence and erectile dysfunction from surgeries that might not have even been necessary.

If you're wrestling with whether to get your first PSA test, staring at an elevated number, or wondering if your testosterone therapy is a problem, this episode is for you. Dr. Rock shares how his own approach has changed over the years, why he's going back to screening guys over 45-50 who are at risk, and the honest conversation you need to have with your doctor. No fear-mongering, no medical jargon—just straight talk about a decision that could save your life or cause unnecessary problems.

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