Former President Joe Biden’s diagnosis of an aggressive, stage-4 prostate cancer has reignited a long-simmering medical debate: When should men get screened for prostate cancer? For decades, doctors have wrestled with how often to screen men for the disease and when to start and stop.

Former President Joe Biden‘s late-stage prostate cancer diagnosis has ignited debate about early detection protocols and whether the White House health team failed the former commander-in-chief. Biden’s team revealed that he received a diagnosis last week following complaints of urinary issues.

Urologist Dr. Jamin Brahmbhatt knows the complexities surrounding prostate-specific antigen testing with his patients. Here’s what to consider with the PSA test.