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PSA screening Controversial

Since widespread screening for prostate-specific antigen (PSA) testing was initiated in the 1990s, mortality rates for prostate cancer have plummeted. That occurred because a rising PSA can serve as an early cancer detection tool and better enables curative treatment.

In 2012, the United States Preventive Services Task Force made a proclamation against PSA screening for most men.

Life Extension® vehemently objected and wrote scathing rebuttals describing the preventable deaths from prostate cancer that would occur if aging men were dissuaded from having annual PSA blood tests.

On April 11, 2017, the United States Preventive Services Task Force released a draft statement that revised their 2012 recommendation against the use of prostate-specific antigen as a screening blood test for prostate cancer. This group now says PSA screening’s benefits outweigh the risks for men between the ages of 55–69 years and point out the option of “watchful waiting” as a factor in changing their position.

While this is a welcome turnaround, it writes off men once they reach age 70 and fails to acknowledge prostate cancer risk in men starting at age 40.

It also uses the term “watchful waiting” which is now obsolete because there is a better option called “active surveillance” whereby a man with a rising PSA can initiate dietary and lifestyle changes to lower his PSA.

As it relates to the “average” man over age 70, the United States Preventive Services Task Force may be correct in as much as the majority of Americans who fail to proactively protect their health are usually in bad shape around age 70. That means they are likely to die of something else before their prostate cancer becomes clinically relevant.

Nevertheless more than 40,000 new prostate cancer diagnose every year and 28,000 died of prostate cancer every year.

PSA screening is thus an essential component of your longevity program because prostate cancer is outrageously prevalent in men as they mature past 55 years.

Altering one’s diet can enable PSA levels to decline and also markedly reduce prostate cancer incidence. PSA blood tests are widely available and we encourage all men over age 40 to have them done annually.

 

References
Life Extension