Episode Description

If you logged into your patient portal tomorrow and saw your PSA rising, what would be your next move? Most men—and many doctors—panic and rush straight into a blind biopsy. As an oncologist, I see this mistake every day. In this episode, I’m taking off the white coat to share my personal playbook. If my own PSA spiked tomorrow, here is the exact 4-step sequence I would follow to protect my health, demand the right context, and avoid unnecessary procedures.

In this episode, we cover:

• Step 1: Confirm – Why you must wait 2-6 weeks to rule out "noise" (like recent workouts, ejaculation, or lab errors).

• Step 2: Context – How prostate size changes the game and why you need to know your "PSA Density."

• Step 3: The Map – Why a multiparametric MRI (and understanding your PI-RADS score) is an absolute deal-breaker before any needle touches the prostate.

• Step 4: The Target – The crucial difference between throwing darts blindfolded and getting an MRI-guided fusion biopsy.

• The PREVENT Trial – Why you should ask your doctor about a transperineal biopsy instead of a transrectal one to reduce the risk of severe infection.

You deserve the exact same standard of care that a doctor would demand for himself. Do not let fear choose your next step.

Resources Mentioned in this Episode:

• 📥 Download my optional payed 14-Page PSA Guide: chovano.gumroad.com/l/luikhi

Episode Description

Most men are never told the full truth about prostate cancer screening.

When a single PSA test comes back high, the medical "conveyor belt" often kicks into high gear, moving you straight toward a biopsy without a second thought. This is what I call the Biopsy Trap.

In this episode, I explain why a reflex biopsy can lead to "battleship medicine"—a blind sampling approach that can miss aggressive cancer or, worse, find low-risk "turtle" cancers that trigger unnecessary panic and life-altering overtreatment.

What you’ll learn in this episode:

• Why you should never agree to a biopsy based on just one PSA result.

• The "Escape Routes": How MRI, biomarkers, and risk calculators provide a modern sequence for smart decision-making.

• The 2 specific questions you must ask your urologist to pause the conveyor belt.

• How to differentiate between a "clinically significant" cancer and one that can be safely watched.

I’ve organized the exact testing sequences and modern tools which are discussed free in my videos and podcasts into an optional payed 14-page PSA Guide. It includes:

• The Blueprint: A step-by-step breakdown of how to read your lab results.

• The Context Framework: How clinicians use prostate size, your PSA trend, and MRI to reveal what a single number cannot.

• The Decision Matrix: Understanding when a biopsy is truly the right move.

Download the Guide Here: chovano.gumroad.com/l/luikhi

Disclaimer: I am a medical oncologist, but I am not your doctor. This episode is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician.

#drchovanec #zdravievhrsti #prostatecancer #highPSA #menshealth

Free PSA & Biopsy Guide

You’ve been told your PSA is “normal” because it’s under 4.0.

But what if that number doesn’t tell the full story?

For decades, men were reassured that anything below 4.0 ng/mL was safe. Today, we know that prostate cancer risk is far more nuanced. PSA must be interpreted in context — including age, prostate volume, PSA density, and changes over time.

In this episode, I explain:

• Why the 4.0 cutoff is outdated
• What PSA density actually means
• When a rising PSA matters — even if it’s “normal”
• Who should consider MRI before biopsy
• How to avoid the common PSA interpretation traps

If you want to understand your PSA results clearly before your next doctor’s visit, this episode will help you connect the dots.

This podcast is for educational purposes only and does not replace individual medical advice.