When John, 52, got his "high" PSA test results, his urologist immediately recommended a biopsy. Six months later—after surgeries, incontinence, and impotence—he learned the shocking truth: He never had cancer at all. His story isn’t rare—it’s the dirty secret of modern prostate screening.

How the PSA Test Fooled Millions

The Prostate-Specific Antigen (PSA) test was never meant for mass screening. Originally developed to monitor cancer recurrence, it’s now misused to:
✔ Create false alarms (benign growths inflate PSA)
✔ Drive profitable biopsies ($3,000+ per procedure)
✔ Sell unnecessary treatments (45% of prostate surgeries are avoidable)

Key Flaws:

• 65% false-positive rate (National Cancer Institute)
• Zero correlation with mortality in 70% of cases
• Natural PSA spikes from:
  → Bike riding
  → Sex 24-48h before testing
  → Even routine doctor’s exams

The Billion-Dollar Prostate Cancer Machine

The Test ($50-200) → "Your PSA is elevated!"

The Biopsy ($3,000+) → Risk of sepsis, erectile dysfunction

The Treatment ($50k+) → Surgery/radiation for "cancers" that would never spread

"PSA testing is like finding ‘schrapnel’ in every man over 50, then calling it a ‘ticking bomb.’" — Dr. Biswaroop Roy Chowdhury

Who’s Most at Risk?

• Men over 50 (PSA naturally rises with age)
• African Americans (higher baseline PSA)
• Cyclists & athletes (prostate irritation)

Smarter Alternatives

Instead of routine PSA screening:
🔍 Digital Rectal Exam (DRE) – Finds only clinically significant lumps
🔍 MRI First – Non-invasive imaging before biopsies
🔍 PHI Test – More accurate biomarker (when combined with PSA)

If Your Doctor Insists on PSA Testing

Ask: "What’s my PSA velocity?" (Rising trend matters more than one high reading)

Request free-PSA ratio (helps distinguish cancer from benign growths)

Wait 6 weeks and retest if:
You recently biked/had sex
Have a urinary infection

Final Thought: "True prevention means questioning tests that profit from fear. Your health deserves better than a screening lottery."