Hey, welcome — really glad you are here. My name is Alex. Sixteen years ago a friend pulled me aside in an airport and told me I had a prostate problem I didn't even know about. I went home, opened a browser, and found almost nothing useful — some medical jargon, a few scary headlines, and no one talking to regular people in plain language about what any of it meant. So I started building the thing I couldn't find. Prostate Paladin exists because prostate health affects every man — and the people around him — and yet it is one of the least talked about topics in most families. The men won't bring it up. The families don't know how to start the conversation. And the internet is so full of noise it is hard to know what to pay attention to. That ends here. Here is what you will find in this community: 💙 Prostate Basics — clear, plain-language information about what the prostate is, what can go wrong, and what is normal at every age. 💬 The Conversation Corner — practical help for partners, children and families who want to start the conversation but aren't sure how. 🔍 Symptoms, Tests & Diagnosis — what the tests mean, what the results tell you, and what questions to ask the doctor ⚕️ Treatment Options & Real Stories — what is available, what others have experienced, and how to move forward with confidence. Before you do anything else — grab your free copy of the Quick Family Guide to the Prostate. It covers the basics, includes the IPSS symptom test, and has a doctor checklist you can print and take to the next appointment. It is a good place to start. 👉 Please get the Quick Guide from the Classrtoom Tab at the top of this Clsssroom - It is Free One thing I want you to know: you are probably here because someone in your life has a prostate issue — and they are not talking about it. That is one of the most common situations in this community. You are not alone, and you are not overstepping by wanting to know more. Knowledge is armour. Awareness is key. Ask questions. Share your story when you are ready. And welcome to the community.

If the words "elevated PSA" have been in any conversation in your house recently, this is worth knowing about. A new blood test called IsoPSA was FDA-approved in December 2025. It does something the standard PSA test has always struggled with — it helps distinguish between a PSA reading that's high because of cancer, and one that's high for other reasons like an enlarged prostate or inflammation. Why does that matter? Because right now, up to 75% of men who go for a prostate biopsy based on an elevated PSA come back with a negative result. That's a lot of invasive, stressful, expensive procedures that could potentially be avoided. IsoPSA looks at the structure of the PSA protein — not just the level — to give doctors a clearer picture of whether a biopsy is actually needed. Early studies suggest it could reduce unnecessary biopsies by around 40–45%. This isn't medical advice. Your doctor is the one who decides what's right for your situation. But if your PSA has come back elevated and you're facing the biopsy conversation, it might be worth asking: "Is IsoPSA something we should consider?" Knowledge is armor. Ask the question.

Welcome. You're in the right place. To jump straight in - check out the Quick Family Guide to the Prostate in the Classroom Whether you found your way here because something sent you searching, someone in your life nudged you in this direction, or you just had a quiet feeling it was time to pay attention — welcome. This community exists because of moments exactly like that. Let me tell you what Prostate Paladin is, why it exists, and what we're here to do together. How This Started It started at an airport. An embarrassing moment — the kind you don't forget — led to a friend pointing out that I had a prostate issue I didn't even know about. I went home that night and did what anyone would do: I opened a browser. What I found was a whole lot of nothing. Medical jargon. Scary headlines. Clinical language that felt like it was written for doctors, not for a regular man trying to understand what was happening in his own body. Nothing warm. Nothing human. Nothing that felt like it was written for me. So I wrote the thing I couldn't find. Two books came out of that research — Prostate Mania (for men navigating prostate health, diagnosis, and all the questions nobody taught us to ask) and Prostate for Women (for the partners, daughters, and women in men's lives who want to help but don't always know where to start). And now, Prostate Paladin. I'm not a clinician. I'm someone who spent years researching this, lived through it, wrote two books about it, and built a community around it. That's the frame here: the well-read friend at the table who happens to know a lot — not the doctor at the top of the article. What Is the Prostate, and Why Does It Matter? Most men couldn't point to their prostate on a diagram. That's not a failure of intelligence — it's a failure of conversation. Here's the short version: The prostate is a small, walnut-sized gland that sits just below the bladder, surrounding the urethra (the tube that carries urine out of the body). Its main job is to produce seminal fluid — the liquid that nourishes and transports sperm. It also plays a role in urinary control, sexual function, and overall reproductive health.

Before my prostate issue was pointed out to me, I did not know I had a prostate, nor that it would affect my life as I grew older. Every man has a prostate, it is a part of his pelvic region. It sits just below the bladder and surrounds the urethra. It starts off around the size of a walnut. Over time it begins to grow and eventually makes itself known. The prostate supplies fluids that are part of your ejaculate. It nourishes and protects your sperm on the way to the egg. So, as such it is a part of your reproductive system, and helps to bolster your fertility in a roundabout way. However, most men do not know this, so why are they reluctant to talk about their prostate? It is a puzzle that needs to be solved. The 3 biggest prostate issues are: 1. Enlargement - Known as BPH - Benign Prostatic Hyperplasia 2. Prostatitis - inflammation, or infection 3. Prostate Cancer - second most common cancer in men (skin cancer is #1). Roughly 1 in 8 men will be diagnosed with prostate cancer. We will discuss these in greater detail in another post, for now we are focused on why nobody talks about this. I have several theories: 1. Because we do not know about our prostate we do not recognize the signs when our prostate is telling us that there is a problem. 2. Because the prostae grows so slowly (it takes 20 years for most men before we notice there is a problem)we think that this is just "normal" and everybody has the same problem. 3. Nobody has informed us that the prostate will become a problem for men as they get older. Even your doctor will not mention it unless you ask. Of course your doctor will not mention anything else unless you ask, but considering the statistics, men should be better informed. The fact of the matter is the prostate affects men everywhere in every nation. 50% of men over 50 years old 60% of men over 60 years old 70% of men over 70 years old 80% of men over 80 years old 90% of men over 90 years old These statistics are worldwide, but in reality the numbers are slightly different. Asian populations are likely to suffer less, but African Americans, African and Carribbean men are likely to suffer more - almost two times more than average. The reasons for this are not well understood, but research is ongoing, for now please pass this knowledge to the men in your life, so they know.