Good evening doctors. how often should you check free-psa, regular psa, digital rectal examination for screening for possible prostate cancer. no symptoms presently?

This is a topic of controversy between USPSTF, American Urology Association and American Cancer Society. By UPTODATE: "The best available evidence from randomized trials found that screening has at most a small benefit in reducing prostate cancer mortality. Screening has no benefit in reducing overall mortality". If you aren't in high risk group, discuss risk and benefit thoroughly with your PMD.

After thoro discussion with your Urologist based on rectal exam , family history PSA progression and other factors