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Patient Education

Prostate Health

Clear, unhurried guidance on prostate screening and what your results actually mean for you.

Prostate health is one of the most common — and most over-worried — topics in preventive care for men. As your Los Angeles primary care physician, Dr. Golian helps you understand when PSA testing makes sense, what your numbers mean, and how to act on them calmly, without rushing into unnecessary procedures.

Symptoms & Warning Signs

Many prostate changes cause no symptoms at all, which is why screening conversations matter. When symptoms do appear, they often include:
  • A weak or interrupted urine stream
  • Needing to urinate frequently, especially at night
  • Difficulty starting urination or fully emptying the bladder
  • A sudden, urgent need to urinate
  • Blood in the urine or semen
  • Discomfort or pressure in the pelvic or lower-back area

Causes & Risk Factors

Several factors can raise your likelihood of prostate enlargement or cancer and may shape how we approach screening:
  • Age — risk rises notably after 50
  • A family history of prostate, breast, or ovarian cancer
  • African American heritage, which carries higher risk
  • Inherited genetic factors (such as BRCA gene changes)
  • Obesity and a sedentary lifestyle
  • Diets high in processed and red meats

How Dr. Golian Manages Prostate Health

Care begins with a conversation, not a reflex test. During your comprehensive physical, Dr. Golian discusses your age, family history, and preferences so that any PSA testing is a shared, informed decision rather than an automatic one.

If your PSA is elevated or your exam raises a question, she interprets the result in context — repeating it, tracking the trend, and considering other explanations before assuming the worst. When further evaluation is warranted, she arranges urology referral and coordinates subspecialty care, staying involvedthroughout so you never navigate it alone.

Staying Well

Everyday habits genuinely support prostate and overall health. A balanced diet and regular activity, maintaining a healthy weight, and managing related conditions all help.

Because prostate care is part of a fuller picture of men's preventive health, Dr. Golian pairs it with timely colon cancer screening and attention to heart and metabolic health, so your screening plan fits the whole of you.

Frequently Asked Questions

1At what age should I start PSA testing?
For most men, the conversation about PSA testing begins around age 50, or earlier — around 40 to 45 — if you have a family history of prostate cancer or are African American. Dr. Golian will walk through your personal risk and help you decide together.
2Does a high PSA mean I have prostate cancer?
Not necessarily. PSA can rise for many benign reasons, including an enlarged prostate, infection, or even recent activity. An elevated result is a reason to look more closely, not a diagnosis, and Dr. Golian interprets it in the context of your overall health before any next steps.
3Do I need a PSA test every year?
Not always. Screening frequency depends on your age, risk factors, and previous results. Some men benefit from testing every one to two years, while others may safely test less often or pause altogether after a certain age.
4What happens if my results are concerning?
Dr. Golian coordinates referral to a trusted urologist and, when appropriate, subspecialty care. She stays involved throughout, helping you understand each recommendation and supporting you through any follow-up.
5Can I lower my prostate cancer risk?
While not every factor is within your control, a healthy weight, regular exercise, and a diet rich in vegetables and lower in processed and red meats all support prostate and overall health. Dr. Golian can help you build a sustainable plan.

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Related Conditions

Take a Calm, Informed Approach to Prostate Health

Let's talk through your risk and build a screening plan that fits you — without unnecessary worry.

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Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

†Some listed indications involve investigational/off-label use. Learn more.