Dr. Chovanec podcast

Dr. Michal Chovanec

Clear, evidence-based answers on cancer, men’s health, and survivorship. Hosted by Dr. Michal Chovanec, Associate Professor of Oncology (National Cancer Institute). Trained at Indiana University under Dr. Lawrence Einhorn, Dr. Chovanec translates complex science into simple answers for patients and survivors. Topics: Everyday Cancer Questions (Safety, Prevention, Diet) Men’s Health Myth-Busting & Survivorship Disclaimer: Content is for educational purposes only and does not constitute medical advice. Please consult your physician.

  1. 10h ago

    PI-RADS Explained: What Your Prostate MRI Result Really Means

    You just received a prostate MRI report — and it says PI-RADS 3, PI-RADS 4, or PI-RADS 5.But what does that actually mean?A PI-RADS score is not a cancer diagnosis. It is a risk signal that tells your medical team how suspicious a finding looks on MRI for clinically significant prostate cancer.In this video, I explain what PI-RADS 1 through 5 means, why PI-RADS 3 is such a grey zone, why PI-RADS 4 and 5 usually require more serious evaluation, and why MRI results should never be interpreted alone.The key framework:PI-RADS tells suspicion.PSA density gives context.Biopsy gives the tissue diagnosis.Understanding the difference can help you avoid both panic and delay.📋 Free Biopsy Checklist — download below and bring it to your appointment.📘 PSA Mastery Guide — optional printable guide linked below.👉 Free Biopsy Checklist (1 page)If your doctor mentioned a prostate biopsy — don’t go in unprepared.This 1-page checklist helps you ask the right questions before you decide.Download and print it here:https://drchovanec.kit.com/30968ddb5c 📘 Optional PSA Guide (14 pages)If you want a clear step-by-step framework — from PSA to MRI to biopsy decisions — I’ve organized everything into a simple printable guide.All the information is explained for free in my videos.This just puts it into one structured plan you can actually use.https://chovano.gumroad.com/l/luikhiIn this video:— What PI-RADS means— PI-RADS 1, 2, 3, 4, and 5 explained— Why PI-RADS is not the same as cancer— Why PSA density matters— When biopsy may be recommended— Why MRI quality and radiologist experience matter#ProstateCancer #PIRADS #ProstateMRI #PSA #PSADensity #ProstateBiopsy #MensHealth #DrChovanec

  2. 3d ago

    High PSA? Ask About This Number

    Your PSA is elevated. But before you panic — or agree to a biopsy — there is one number most men have never heard of that changes how you read that result entirely.It is called PSA density. And it asks a smarter question than PSA alone: is your PSA actually high for the size of your prostate?In this video I explain:— Why the same PSA number can mean completely different things in two different men— How to calculate PSA density and what the numbers mean— How PSA density works together with MRI and PI-RADS score— The thresholds used in modern guidelines (0.10 / 0.15 / 0.20)— The five questions to ask your doctor before agreeing to a biopsy👉 Free Biopsy Checklist (1 page)If your doctor mentioned a prostate biopsy — don’t go in unprepared.This 1-page checklist helps you ask the right questions before you decide.Download and print it here:https://drchovanec.kit.com/30968ddb5c 📘 Optional PSA Guide (14 pages)If you want a clear step-by-step framework — from PSA to MRI to biopsy decisions — I’ve organized everything into a simple printable guide.All the information is explained for free in my videos.This just puts it into one structured plan you can actually use.https://chovano.gumroad.com/l/luikhi🔗 Related videos:▶ What is PI-RADS? MRI and Prostate Cancer Explained▶ Do You Really Need a Prostate Biopsy?▶ PSA Rising — What It Actually MeansDr. Chovanec is a medical oncologist. This video is for educational purposes and does not constitute medical advice. Always consult your own physician.

  3. Aug 13

    What We Got Wrong About Early Prostate Cancer | Dr. Clint Cary

    In this episode, I sit down with Dr. Clint Cary, Chair of Urology at Indiana University School of Medicine, to discuss one of the most difficult topics in men’s health: early prostate cancer.Finding prostate cancer early can save lives — but it can also lead to anxiety, unnecessary biopsies, and overtreatment when the cancer found may never have become dangerous.That is why early prostate cancer needs a toolkit.We discuss PSA testing, PSA density, MRI, biopsy, active surveillance, surgery, radiation, treatment side effects, and how men can make smarter decisions without ignoring a potentially serious disease.We also talk about the legacy of Indiana University Urology — a place with a long history of innovation in genitourinary cancers — and briefly touch on testicular cancer, where early diagnosis and expert treatment have transformed outcomes.The goal is not simply to find more cancer.The goal is to find the right cancer, at the right time, and treat the right patient in the right way. ▶️ Subscribe to my youtube channel: https://youtube.com/@DrChovanec?si=A_pIsuLTnA408nAa👉 Free Biopsy Checklist (1 page)If your doctor mentioned a prostate biopsy — don’t go in unprepared.This 1-page checklist helps you ask the right questions before you decide.Download and print it here:https://drchovanec.kit.com/30968ddb5c📘 Optional PSA Guide (14 pages)If you want a clear step-by-step framework — from PSA to MRI to biopsy decisions — I’ve organized everything into a simple printable guide.All the information is explained for free in my videos.This just puts it into one structured plan you can actually use.https://chovano.gumroad.com/l/luikhiThis video is for educational purposes only and does not replace medical advice from your own doctor. Prostate cancer screening, PSA testing, MRI, biopsy, active surveillance, surgery, radiation, and testicular cancer care should always be discussed with a qualified healthcare professional who knows your individual situation. Do not ignore symptoms or delay medical evaluation because of anything discussed in this video. No doctor–patient relationship is created by watching this content.

  4. Jul 14

    Dr. Lawrence Einhorn: The Man Who Cured Testicular Cancer

    Some doctors improve cancer treatment. Very few change the fate of an entire disease. Dr. Lawrence Einhorn did.In this special episode, I sit down with Dr. Lawrence Einhorn, one of the true legends of oncology, my mentor and my friend. His cisplatin-based treatment helped transform testicular cancer from a once-devastating diagnosis into one of the greatest cure stories in modern medicine.We talk about why testicular cancer became such a transformative diagnosis, how cisplatin’s anti-cancer effect was discovered, what it was like to treat the first patients, and how he felt when young men who once had little chance began surviving.This conversation is not only about chemotherapy and clinical trials. It is also about courage, science, patients, love, hope, and the human side of cancer care.We also discuss what one of the most respected physicians in modern oncology thinks about the future of medicine, including the role of artificial intelligence.This is a conversation about one of the most important breakthroughs in cancer history — and the people behind it.Topics covered:Testicular cancerCisplatin chemotherapyThe history of cancer treatmentHow testicular cancer became curableThe first patients treated by Dr. EinhornCancer survivorshipThe human side of oncologyLove, hope, and treatmentArtificial intelligence in medicineSubscribe for more clear, evidence-based conversations about cancer, men’s health, and modern oncology.#DrLawrenceEinhorn #TesticularCancer #Cisplatin #CancerBreakthrough #IndianaUniversity #Oncology #CancerTreatment #CancerResearch #MensHealth #CancerSurvivorship #CancerPodcast #MedicalPodcast #AIinMedicine #CancerHistory #DrChovanec

    Dr. Lawrence Einhorn: The Man Who Cured Testicular Cancer
  5. Jul 12

    Testosterone and Prostate Cancer: We Were Wrong

    For decades, men have been told that testosterone “feeds” prostate cancer.But is that actually what the modern data shows?In this video, I break down the real relationship between testosterone, TRT, PSA, and prostate cancer risk — including where the fear came from, why the old “fuel for the fire” model may be too simplistic, and what newer studies suggest about properly monitored testosterone therapy.We’ll cover:• Why prostate cancer is androgen-sensitive• The 1941 Huggins and Hodges study that shaped decades of thinking• Why advanced prostate cancer is not the same as low testosterone in otherwise evaluated men• The saturation model• What modern TRT safety data suggests• Why PSA monitoring still matters• When testosterone therapy requires cautionTestosterone is not a decision to make casually. But fear alone is not a medical strategy.The key is context, baseline evaluation, and careful monitoring.👉 Free Biopsy Checklist — 5 Questions to Ask Before Prostate Biopsy:https://drchovanec.kit.com/30968ddb5c📘 Optional Paid PSA Guide:A concise printable guide to help you understand PSA, MRI, biopsy decisions, and the diagnostic pathway.All core education is covered for free in my videos — this guide simply organizes it in one place.https://chovano.gumroad.com/l/luikhiSubscribe for calm, evidence-based prostate cancer education.—Dr. Michal ChovanecMedical OncologistHelping men make informed decisions about prostate cancer screening, diagnosis, and treatment.Medical disclaimer:This video is for educational purposes only and is not personal medical advice. Please discuss your individual situation with your doctor, especially before starting or stopping testosterone therapy.

  6. Jul 10

    The PSA Screening: Life-Saving… or Dangerous?

    👉 Free Biopsy Checklist (1 page): Don’t go to your appointment unprepared.Download and print: “Before Prostate Biopsy: 5 Essential Questions to Ask Your Urologist”https://drchovanec.kit.com/30968ddb5c📘 Optional PSA Guide (14 pages):If you want everything organised in one place, this printable guide walks you step-by-step through PSA interpretation, MRI decisions, and biopsy pathways.All information is covered for free in the videos — this is the structured version for clarity.https://chovano.gumroad.com/l/luikhiShould you get a PSA test?It sounds like a simple question.But the answer is one of the most controversial topics in modern medicine.Because the PSA test can save lives —but it can also lead to unnecessary biopsies, anxiety, and treatment for cancers that may never have caused harm.In this video, I break down the real data behind prostate cancer screening — including the four major clinical trials:• Göteborg Trial (44% relative reduction in mortality)• ERSPC 23-year follow-up (NEJM 2025)• PLCO Trial (U.S.)• CAP Trial (UK, 400,000+ men)You’ll understand:• What “lives saved” actually means in real numbers• Why the benefit is smaller than most people think• What overdiagnosis really is — and why it matters• Why many men are treated for cancers that would never harm them• Who should consider PSA screening — and who probably shouldn’tThis is not about fear.And it’s not about blind reassurance either.It’s about making an informed decision before you enter a pathway that’s hard to reverse.👨‍⚕️ About me:I’m Dr. Chovanec, medical oncologist and Associate Professor, trained at Indiana University under Dr. Lawrence Einhorn.On this channel, I break down cancer topics with clarity — so you can make calm, informed decisions.📌 If you found this helpful:• Subscribe for evidence-based cancer education• Share this with someone who is considering PSA testing• Comment your questions — I read every one⚠️ Disclaimer:This content is for educational purposes only and does not replace medical advice.

    The PSA Screening: Life-Saving… or Dangerous?
  7. Apr 28

    94% Accurate Prostate Test? Here’s What It Really Means

    There’s a new blood test being called 94% accurate for prostate cancer.It sounds like a breakthrough.But before you trust that number, you need to understand what it actually means.Because right now, many men are still being sent for biopsy based on a test — PSA — that was never designed to diagnose prostate cancer.And that’s where things start going wrong.In this video, I explain:Why PSA is often misleadingWhy many biopsies are unnecessaryWhat this new test (PSE) actually measuresWhat “94% accuracy” really means in real clinical practiceAnd how modern prostate diagnostics are shifting toward better decision-makingThe goal is not to avoid testing.The goal is to make better decisions before committing to invasive procedures.👉 Free Biopsy Checklist (1 page): Don’t go to your appointment empty-handed. Download and print: “Before Prostate Biopsy: 5 Essential Questions to Ask Your Urologist.”https://drchovanec.kit.com/30968ddb5c📘 Optional Paid PSA Guide (14 pages): If you want everything organised in one place, my 14-page PSA Guide includes the full step-by-step sequence, how to interpret common PSA/biomarker results, MRI basics, and a printable decision tree. All info is covered for free in the videos — this is the printable toolkit.https://chovano.gumroad.com/l/luikhi▶️ Subscribe to my youtube channel: https://youtube.com/@DrChovanec?si=A_pIsuLTnA408nAaResources "health in hands": https://zdravievhrsti.sk/en/ 🎥 Watch next:When do you actually need a prostate biopsy?→ https://youtu.be/KNTT5oWqxQQThis podcast is for educational purposes only and does not replace medical advice. Always discuss decisions with your treating physician.

    94% Accurate Prostate Test? Here’s What It Really Means
  8. Apr 25

    Metastatic Prostate Cancer: What It Really Means (Not What You Think)

    For many men, those words immediately mean one thing:👉 “This is the end.”But that assumption is often wrong.In this video, I explain what metastatic prostate cancer actually means — what is happening inside the body, why it spreads (especially to bone), and how modern treatment has changed what this diagnosis looks like today.We’ll break down:What metastasis really is (and what it is NOT)Why prostate cancer spreads to boneWhat happens to your body when it doesWhy treatment shifts from cure → controlAnd what this means for real life and long-term outcomesThis is not about false reassurance.It’s about understanding the biology — and making sense of a diagnosis that is often misunderstood.👉 Free Biopsy Checklist (1 page)Don’t go to your appointment empty-handed. Download and print:“Before Prostate Biopsy: 5 Essential Questions to Ask Your Urologist.”https://drchovanec.kit.com/30968ddb5c📘 Optional PSA Guide (14 pages)If you want everything organised in one place, this guide walks through how clinicians think about PSA, biomarkers, MRI, and biopsy decisions.All essential information is covered for free in the videos — this is the printable toolkit.https://chovano.gumroad.com/l/luikhiResources:Health in Hands → https://zdravievhrsti.sk/en/If this helped you understand the situation more clearly, consider subscribing.This channel is about helping you navigate cancer decisions with clarity — not fear.#prostatecancer #metastaticcancer #oncology #cancerexplained #menshealth

    Metastatic Prostate Cancer: What It Really Means (Not What You Think)

About

Clear, evidence-based answers on cancer, men’s health, and survivorship. Hosted by Dr. Michal Chovanec, Associate Professor of Oncology (National Cancer Institute). Trained at Indiana University under Dr. Lawrence Einhorn, Dr. Chovanec translates complex science into simple answers for patients and survivors. Topics: Everyday Cancer Questions (Safety, Prevention, Diet) Men’s Health Myth-Busting & Survivorship Disclaimer: Content is for educational purposes only and does not constitute medical advice. Please consult your physician.