Uploaded April 2026 | Updated September 2026, 3 weeks ago
Free prostate cancer screenings often begin with a PSA blood test. But what happens when the result is elevated? Before attending a screening, men should understand what PSA measures and how an abnormal result could lead to a prostate MRI, PI-RADS scoring, biopsy, and treatment recommendations.
In this episode, Dr. Stephen Petteruti examines the complete prostate cancer screening pathway. He explains the questions to ask before getting tested, who funds some free screening programs and why a single PSA result should not be treated as a prostate cancer diagnosis.
You will learn:
What causes an elevated PSA besides prostate cancer
How age, prostate size, BPH, prostatitis and inflammation affect PSA
Why your PSA trend matters more than one test result
When urinary symptoms require further evaluation
What a prostate MRI shows
How to understand a PI-RADS score
What the EpiSwitch PSE blood test measures
Why Dr. Petteruti questions routine prostate biopsy
What to consider before making an irreversible treatment decision
How active monitoring differs from ignoring prostate cancer
PSA is a prostate marker, not a standalone prostate cancer diagnosis. An abnormal result should lead to a careful evaluation of your PSA history, prostate size, symptoms, inflammation, imaging and individual risk.
If your PSA is elevated or a urologist has recommended a prostate biopsy, watch this episode before making your next decision.
00:00 Introduction
00:29 The hidden questions behind free prostate cancer screenings
01:41 Who funds prostate screening programs?
03:21 PSA cutoffs and age-related changes
04:28 Urinary changes as men age
06:05 Symptoms requiring further evaluation
06:29 The role of the digital rectal exam
07:13 Understanding your PSA trend
08:12 When an elevated PSA becomes more concerning
11:28 The EpiSwitch PSE blood test
13:07 Prostate MRI and PI-RADS scoring
14:33 Dr. Petteruti’s perspective on prostate biopsy
15:57 Why prostate cancer behaves differently
17:27 Avoiding unnecessary treatment-related harm
20:19 A longevity-focused approach to prostate health
Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.
Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.
Resources 📚
Dr. Petteruti Men's Vitality Group
intellectualmedicine.com/membership
Fight Cancer Like a Man
amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQ
Dr. Petteruti's Newsletter
drstephenpetteruti.substack.com/subscribe
Get Supplement - Petteruti Prostate Vitality (PPV): intellectualmedicine.com/prostate-vitality
Podcast Show Notes
intellectualmedicine.com/podcast-notes
Learn More 🌐
Intellectual Medicine
intellectualmedicine.com
Dr. Stephen Petteruti
drstephenpetteruti.com
Connect with Dr. Petteruti 📱
Instagram
instagram.com/dr.stephenpetteruti
Facebook
facebook.com/dr.stephenpetteruti
Listen to the Podcast 🎧
Apple Podcasts
podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409
Spotify
open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1
#ProstateCancer #PSATesting #MensHealth #ProstateCancerScreening #PatientAdvocacy #PreventiveCare #Longevity #IntellectualMedicine
Disclaimer:
The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.
Free prostate cancer screenings often begin with a PSA blood test. But what happens when the result is elevated? Before attending a screening, men should understand what PSA measures and how an abnormal result could lead to a prostate MRI, PI-RADS scoring, biopsy, and treatment recommendations.
In this episode, Dr. Stephen Petteruti examines the complete prostate cancer screening pathway. He explains the questions to ask before getting tested, who funds some free screening programs and why a single PSA result should not be treated as a prostate cancer diagnosis.
You will learn:
What causes an elevated PSA besides prostate cancer
How age, prostate size, BPH, prostatitis and inflammation affect PSA
Why your PSA trend matters more than one test result
When urinary symptoms require further evaluation
What a prostate MRI shows
How to understand a PI-RADS score
What the EpiSwitch PSE blood test measures
Why Dr. Petteruti questions routine prostate biopsy
What to consider before making an irreversible treatment decision
How active monitoring differs from ignoring prostate cancer
PSA is a prostate marker, not a standalone prostate cancer diagnosis. An abnormal result should lead to a careful evaluation of your PSA history, prostate size, symptoms, inflammation, imaging and individual risk.
If your PSA is elevated or a urologist has recommended a prostate biopsy, watch this episode before making your next decision.
00:00 Introduction
00:29 The hidden questions behind free prostate cancer screenings
01:41 Who funds prostate screening programs?
03:21 PSA cutoffs and age-related changes
04:28 Urinary changes as men age
06:05 Symptoms requiring further evaluation
06:29 The role of the digital rectal exam
07:13 Understanding your PSA trend
08:12 When an elevated PSA becomes more concerning
11:28 The EpiSwitch PSE blood test
13:07 Prostate MRI and PI-RADS scoring
14:33 Dr. Petteruti’s perspective on prostate biopsy
15:57 Why prostate cancer behaves differently
17:27 Avoiding unnecessary treatment-related harm
20:19 A longevity-focused approach to prostate health
Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.
Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.
Resources 📚
Dr. Petteruti Men's Vitality Group
intellectualmedicine.com/membership
Fight Cancer Like a Man
amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQ
Dr. Petteruti's Newsletter
drstephenpetteruti.substack.com/subscribe
Get Supplement - Petteruti Prostate Vitality (PPV): intellectualmedicine.com/prostate-vitality
Podcast Show Notes
intellectualmedicine.com/podcast-notes
Learn More 🌐
Intellectual Medicine
intellectualmedicine.com
Dr. Stephen Petteruti
drstephenpetteruti.com
Connect with Dr. Petteruti 📱
instagram.com/dr.stephenpetteruti
facebook.com/dr.stephenpetteruti
Listen to the Podcast 🎧
Apple Podcasts
podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409
Spotify
open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1
#ProstateCancer #PSATesting #MensHealth #ProstateCancerScreening #PatientAdvocacy #PreventiveCare #Longevity #IntellectualMedicine
Disclaimer:
The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.
