Staging Prostate Cancer, PSA Screening, and What If You Have a High PSA?

madman

Super Moderator

Mark Scholz, MD, is a medical oncologist who specializes exclusively in prostate cancer. Here, he gives a detailed survey of the best tools for staging newly diagnosed prostate cancer, describes the implications of the new PSMA PET scan, and answers other questions related to the diagnostic and staging process for prostate cancer.


0:09 Which tests are most useful for staging prostate cancer?

2:48 How PSMA PET has changed prostate cancer staging.

4:12 What does it mean to have a high-risk PSA (PSA above 20)? Does that mean the cancer is high-risk or does it need to be more than one component?

6:44 What is the significance of PSA density when staging prostate cancer?

8:28 How can a person determine the size of their prostate?

8:52 How common is it for men to have prostates larger than 40cc?

9:53 Can a urologist feel the entire prostate during a digital rectal exam or only the posterior of the gland?

10:43 Is blood in the urine a symptom of prostate cancer?
 
Screenshot (16923).webp
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

Beyond Testosterone Podcast

Online statistics

Members online
13
Guests online
160
Total visitors
173

Latest posts

Back
Top