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I'm 38 and talked to my GP this year about when I need to start thinking about the prostate exams. His response was that I'm a ways off unless there is a family history and that the medical community is at odds right now on whether or not screening is really beneficial. His position was that digital exams are not 100% reliable and PSA tests are even less reliable. He also said that the cancers that typically form in the prostate are very slow growing and do not become lethal before old age gets you. I'm going to take his advise and hope science makes some breakthroughs before someone needs to put their finger up my bunghole...
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