Shared decision making for men 55-69. Ask tell ask Do not screen if > 70 and life expectancy < 10 years, AA increase risk 1.6 x or FHx father or sibling 2-3x risk: screen 40-45. If PSA > 2.5 screen annually, and < 2.5 Q 2 years. PSA > 4 referr for bx.