PSA Levels Explained: Do You Still Need a Prostate Exam?

A normal PSA is generally under 4.0 ng/mL — but that single number tells you almost nothing on its own. If you're on testosterone therapy or taking finasteride, it can be misleading enough to hide real disease. Dr. Zaid Fadul explains what a PSA test actually measures, what your number means at your age, whether you still need a digital rectal exam, and why every man on TRT needs a baseline PSA before his first dose. Your labs are only useful if someone helps you interpret them. Bring your results to a free 15-minute discovery call with one of our physicians — a real MD, not a sales rep. Let's build the plan together. 👉 https://www.bespokeconciergemd.com/fr... What you’ll learn: ✅ What PSA measures, and why it's prostate-specific but not cancer-specific ✅ What counts as a normal PSA level, including the gray zone between 4 and 10 ✅ Why the median PSA for men in their forties is only 0.5 to 0.7 — and why your trend matters more than any single value ✅ Why the AUA says PSA should be drawn in every man over 40 before starting testosterone therapy ✅ The TRT monitoring schedule your provider should be following: baseline, 3 months, 6 to 12 months, then annually ✅ Why major U.S. guidelines no longer recommend the digital rectal exam for routine screening ✅ When a prostate exam still genuinely matters, and why finasteride doubles the math ✅ What actually happens after a high PSA — repeat testing, MRI, and PSA density before any biopsy ✅ The three questions to ask your doctor at your next visit 📌 CHAPTERS: 0:00 What Is PSA? The Blood Test Most Men Get Wrong 0:50 What Is a Normal PSA Level by Age? 2:26 PSA and Testosterone: Why TRT Patients Must Be Tested 3:48 Do You Still Need a Digital Rectal Exam (DRE)? 4:59 High PSA? What Actually Happens Next 6:18 What To Ask Your Doctor About Your PSA Healthcare that works like everything else in your life: instant, direct, no runaround. Text your doctor. Same-day telehealth. Flat monthly rate. 👉 See what membership includes → https://www.bespokeconciergemd.com/me... 🎥 Related Videos & Topics    • The At Home Checkup Every Man Should Do #m...   (Men's Health Checkup)    • Concierge Doctor Membership Plans Explaine...   (Membership Plans Overview)    • Cialis Review: What Every Man Should Know ...   (Cialis Overview)    • Prostate Cancer: The Talk Every Man Needs ...   (Prostate Cancer Roadmap)    • The Prostate Cancer Treatment Most Men Are...   (Prostate Cancer Doc Interview) TRT Risks & Benefits (Coming Soon) Finasteride vs Dutasteride (Coming Soon) ▶️ Playlists To Explore    • Men's Health Topics #menshealth   (Men's Health)    • Prostate Health 101 | Enlarged Prostate, P...   (Prostate Health)    • Lab Work Decoded | Biomarkers, Reference R...   (Labwork & Biomarkers Decoded)    • Fast, Expert Virtual Health Checkups Witho...   (Virtual Checkups)    • Membership Plans for Bespoke Concierge MD   (Primary Care Membership Plans) 📚 KEY STUDIES REFERENCED: ERSPC 23-Year Follow-up — PSA screening reduces prostate cancer deaths: 🔗 https://www.nejm.org/doi/full/10.1056... PLCO Trial — Adding DRE showed no mortality benefit: 🔗 https://pmc.ncbi.nlm.nih.gov/articles... Naji Meta-Analysis, 9,241 men — DRE sensitivity only 51%: 🔗 https://pmc.ncbi.nlm.nih.gov/articles... PROBASE Trial — DRE fails as screening in younger men: 🔗 https://pubmed.ncbi.nlm.nih.gov/37806... AUA/SUO Early Detection Guideline — PSA is first-line test: 🔗 https://www.auajournals.org/doi/10.10... #psa #prostatehealth #prostatecancerawareness #menshealth #trt #testosterone #psatest #conciergemedicine #menshealthover40 🎖️About Dr Fadul: With Harvard leadership training, double board certification in Family and Addiction Medicine, and service as a U.S. Air Force Flight Surgeon, Dr. Zaid Fadul brings rare depth to every health topic he covers. He founded Bespoke Concierge MD to give patients direct, physician-led primary and preventive care built on evidence — not hype. ⚕️ Disclaimer: This video is for informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Watching this video does not create a doctor-patient relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have seen or heard in this video. Use of this information is at your own risk. Visit our website to learn more. 👉 https://www.BespokeConciergeMD.com