Are you confused about whether or not to undergo a prostate biopsy? Or, you’ve already been diagnosed with prostate cancer and you all are trying to figure out what is the best treatment approach?

If yes, welcome to prostate cancer confusion.

Maybe I can help. But first, see the top 10 things you need to know about prostate biopsies and choosing a prostate cancer treatment.

10 things to know before undergoing a prostate biopsy

  1. You’re not crazy for not wanting one. Prostate biopsies are painful and uncomfortable weeks after the procedure. Despite that, you may still need one.
  2. A prostate biopsy can cause erectile dysfunction.
  3. The idea that prostate biopsies cause spreading (known as track or needle seeding) of cancer is probable, though a small percentage of the times.
  4. There is only one gold-standard way of knowing if you have prostate cancer and that is by undergoing a prostate biopsy.
  5. Beware of charlatans wanting to treat your “prostate cancer” without a biopsy.
  6. There is blood in your pee and semen after a biopsy for up to two weeks.
  7. Up to 25% of men develop lower urinary tract symptoms (LUTS) after a prostate biopsy.
  8. Despite taking antibiotics before and after a prostate biopsy, infections still can occur. If fever occurs, don’t bother taking anything for the fever. Go to the emergency room immediately.
  9. A prostate MRI may help determine if a biopsy is needed.
  10. Other lab tests like the 4K Score, Select MDx, PSA density, PSA kinetics are all useful tool to determine if a prostate biopsy is necessary.

After reading the above “10 things” you may be more reluctant to have your prostate poked, eh?

I understand. A prostate biopsy is no fun.

Still, in most cases, while never pleasant, prostate biopsies are not always so horrible and it’s the only way to know if you have bad disease, additionally, now that you can find finasteride available online some of the nastier side effects can be alleviated.

The question is, do you really need a prostate biopsy? The scientific evidence clearly shows there’s an epidemic of over screening and overdiagnosis of prostate cancer. In other words, most don’t need to be screened or treated for prostate cancer as they will never die from it.

But what if you are in the unfavorable percentile? What if you do have the type of disease that is indeed life-threatening?

Solution: Partner with me so we can strategize whether or not you need a prostate biopsy.

I do all the research related to prostate cancer so that you don’t have to.

If you’d like to work directly with me, one-on-one, to not only figure out if you need a prostate biopsy but how to avoid one with holistic methods, schedule a consult with me.

Email my assistant Felicia at

So far, after over a decade of helping men all over the world with prostate cancer screening advise, I have not failed one person. [knock on wood]

10 tips to figure out the best treatment for prostate cancer

  1. Take a deep breath (or two), and don’t panic. You need to be emotionally stable to make the best treatment choice for yourself.
  2. Don’t feel rushed to choose a treatment. That decision will be a life-changing, so take your time.
  3. Do your homework. See at least three physicians before choosing a treatment.
  4. Your physician is biased towards what they do. That’s normal. Still, look at the pros and cons of their treatment recommendation.
  5. Take good notes. Better yet, bring along your spouse or any good note-taker. You will not hear all the details the physician will say. And “the devil is in the detail” as they say.
  6. Do NOT tape-record the medical visit. Doctors feel funny about this, even if they say it’s OK and have nothing to hide. Your physician will be more conservative with what he says if you tape record. We live in a litigious society, and your doc will try to protect themselves.
  7. Listen to your family members carefully, but not too much. They love you, I know. But all they hear is the “C-word,” not prostate cancer. This is an emotional diagnosis, understandably, but the decision needs to be made as practically as possible. Ultimately, it’s your body.
  8. Ask your doctor whether you are a candidate for Active Surveillance. Most diagnoses’ for prostate cancer are low-grade, which makes opting for no medical treatment a viable option.
  9. Keep a good electronic record of your PSA, prostate biopsy and prostate cancer history. Make it easy to open the document and print as needed, or email a physician’s office.
  10. There are more treatments available for prostate cancer than ever before that’s not surgery or radiation. Research all your options.

Again, the decision for choosing the right treatment for your type of prostate cancer is akin to buying a house – a big one. Except, now we are talking about your body. And the decision can be life-altering.

After seeing thousands prostate cancer cases in my career, I can say, with certainty, that you will be fine with the decision you choose and do better if you follow the “10 things” tips above.

However, if you and your life partner think you need more clarity in choosing the best treatment for your type of prostate cancer, or if it gets confusing because every doctor you see is suggesting a different treatment, then I welcome an opportunity to help.

I can partner with you and provide some clarity. Together we can work through the confusion and figure out not only what’s the best treatment for you but also the best holistic methods to stay cancer-free.

If interested schedule a consult with me – email my assistant Email my assistant Felicia at

I do all the research related to prostate cancer so that you don’t have to.

You may consult in person, by Skype, or by phone.

My advice is 100% focused on what your needs are. I don’t have an “ax to grind” here as I don’t do any medical treatments for prostate cancer and do not do biopsies.

To make an appointment, call or email Felicia at and she will schedule you for an appointment.

Office Phone Number: 646.490.0536