Dr. Stephen Petteruti

The PSA test is not the problem. What happens after the result comes back is where things go wrong.

Getting a PSA test is smart and I support it. What I do not support is letting a urologist interpret it without question. Before you accept a referral that puts you on a conveyor belt toward biopsy, pause and ask whether watchful monitoring over the next few months is a reasonable alternative.

Interpreting PSA results in context, over time, without invasive procedures, is exactly how the overdiagnosis cycle gets broken.

Learn how to use the PSA test the way it was actually intended. Tune in to the full episode of Intellectual Medicine. URL in comments!

Prostate is one of the most overdiagnosed and overtreated conditions in medicine today. The two forces driving that are fear and profit, and neither one is easy to stop.

Here is what most men are never told. The atypical dormant cells that get labeled as cancer are present in the majority of men who live long enough. They sleep quietly in the gland. They will not harm you unless something ignites them. The biopsy that follows a high PSA reading does not protect you from that risk.

Watch this episode of The Overdiagnosis Trap: Why Common Prostate Screenings Often Lead to Unnecessary Harm . URL in comments!

If you are dealing with an enlarged prostate and are hesitant about finasteride because of its reputation for affecting sexual function, there is a smarter way to use it.

Combining finasteride with testosterone therapy addresses both sides of the problem at once. Finasteride lowers DHT levels inside the gland, reducing prostate size and improving urinary flow, while testosterone keeps your energy, libido, and overall function where they need to be.

Studies show significant prostate size reduction after six months with this approach.

See why this combination is one of the most effective approaches available to men today. Don’t miss the full episode of Intellectual Medicine. URL in comments!

Prostate enlargement is not just a hormonal issue. Chronic inflammation is a major and often overlooked driver.

Poor dental hygiene, inflammatory foods, chronic stress, even frequent travel all contribute to a pro-inflammatory state that quietly accelerates prostate growth over time.

Natural first, thoughtful intervention second, surgical options as a last resort. That is the order that protects both your prostate and your overall vitality.

Watch this episode of Intellectual Medicine walks through exactly what to address and in what order. URL in comments!

The prostate gland makes its own DHT internally, and your body saturates it at relatively normal testosterone levels.

Once your testosterone is above roughly 300, the prostate has already maxed out the DHT it can absorb. That means raising your testosterone from 400 to 1,200 through therapy produces no additional effect on the gland, no change in PSA, no increase in size, no accelerated growth.

The fear that testosterone therapy drives prostate enlargement is biochemically inaccurate. Men can pursue optimal hormone levels without sacrificing prostate health.

Watch this episode of Intellectual Medicine and get the full picture on testosterone and your prostate. URL in comments!

Fighting cancer like a man does not mean submitting to every intervention the system recommends.

Conventional medicine will not fund the research that validates alternative protocols because there is no financial return in it for them. What we are building is a grassroots observational cohort of men who chose differently, who said no to the fear-driven pathway, and who are tracking their outcomes honestly.

In the meantime, know who is funding the information you are getting.

Don't let prominence replace accuracy. Don’t miss the full episode of Intellectual Medicine. URL in comments!

If your surgeon told you the full truth before scheduling your prostatectomy, most men would walk out of that office.

Here is what genuine informed consent sounds like: "This surgery will not reduce your likelihood of dying from prostate cancer. It will guarantee some level of harm, infection risk, potential impotence, possible cardiac event. Now, when would you like to schedule?" That conversation is not happening.

What is happening instead is a system built on incomplete disclosure, institutional pressure, and the assumption that treatment always beats watchful waiting.

Watch this episode of Intellectual Medicine before you make any decisions. URL in comments!