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First I want to say that I am a 47 year old man that is on Testosterone replacement because I have Osteoperosis due to my body not making testosterone any longer. The reason for this is probably from IBD. When one has Crohn's disease it can reduce Testosterone production or in my case stop it all together. I have been seeing this Endocrinologist for a couple of years now and after my last RX refill of it he said that I will NEED TO HAVE A PSA TEST. Not here are the reasons I believe it would be a good idea, can I put you in for one. Instead it is an ultimatum, you will have a PSA test or I will no longer give you Testosterone. Now, in my defense I have no family history of Prostate cancer so I am not in a high risk group and being on Testosterone my PSA will be elevated and that can lead to a false positive test resulting in a biopsy or worse someone thinking they have cancer when they probably don't. I support every mans decision reguarding this test, whether they decide to have it or not it is a matter of personal choice and it is unethical for a doctor , in my opinion to sneak this test in a blood workup without first discussing the pro's and con's of it with their patient. It is my choice as to whether I choose to have it or not. If my doctor had said we need to disuss how you feel about this test and here are the possible outcomes of it then I would not be upset. I called them and told them I didn't want to be tested. I said that being on testosterone my PSA would most likely be elevated and I am of low risk so I decline the PSA. I also said I need to know soon if he is requiring it to continue giving me testosterone, because I need to get a new doctor before running out. The nurse seemed nervous and said ok I will leave a note for them letting them know you are not willing to have this test. What I really wanted to know is why on earth would he order this test without discussing it with me first. I find this to be unethical in nature and I am losing my trust with this doctor. Ok, rant over. Has anyone else had a similar problem? If so what happened? What did you do about it?
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