This case involves a fifty-three-year-old patient who presented to his urologist complaining of recent sexual dysfunction. He also complained of sleep disturbances, fatigue, and lower back pain. The urologist advised the patient that he may be suffering from low testosterone and would likely benefit from using AndroGel “trt,” or therapeutic testosterone cream. The physician only performed a physical exam on the patient but neglected to screen his blood for a baseline PSA value. Three months later, the patient returned with reports of improved sexual function but now complained of new urinary symptoms associated with occasional blood in the urine. Subsequently, the patient was found to have advanced prostate cancer.