The PSA test is no more than a blood draw.
One of the odd things about prostate cancer is that there is little evidence that catching it early saves lives. It would seem like it should but it grows so slowly that this is hard to prove.
A doctor that recently died told his partners that he thought that the treatment hastened his demise. He said that he was sure that, being a doctor, treatment was better than no treatment. However, he suffered a complication from the treatment and it hastened his death.
Along with the diagnosis, the doctors tell you that you could
1. Do nothing (for me that would mean about a 50% chance of living 15 years
2. Have radical surgery. That would mean I might have an 85% chance of living 15 years
3. Have radiation and probably have somewhere between a 50% and 85% chance of living 15 years
4. Have cryosurgery - unknown what the life expectancy is but is the least invasive of the choices so far. To further complicate this, they recently changed from Nitrogen to Argon gas so while they think it is better, they really do not know.
5. Have hormone therapy. Probably not a good idea at my age (61) since it will eliminate all male hormones and possibly grow boobs^^
Can you imagine if the doctor gave you 5 choices of what to do for your bad valve and then said that you had to make up your mind, that they would not try to influence you??? Your choices are don't do anything, choose what type of surgery and which surgeon you want or take a pill that will essentially change you to the opposite sex.