How are you approaching PSA screening in men with no family history or symptoms?  

Do you discuss and offer it routinely, wait until 50 or 55 as some guidelines suggest, or individualize based on patient preference?

https://www.cancer.org/cancer/types/prostate-cancer/detection-diagnosis-staging/acs-recommendations.html#:~:text=The%20American%20Cancer%20Society%20recommends,health%2C%20preferences%2C%20and%20values.

https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening#:~:text=For%20men%20aged%2055%20to,Men%2070%20years%20and%20older