January 24, 2025
Prostate health is an important aspect of men’s overall well-being, but it’s often overlooked until symptoms arise. Prostate exams are a key tool in detecting issues like prostate cancer or benign prostatic hyperplasia (BPH) early, allowing for timely and effective treatment. But when should you schedule your first prostate exam, and how often should you follow up? Let’s break it down.
What Is a Prostate Exam?
A prostate exam typically involves two main components:
- Digital Rectal Exam (DRE): During this physical exam, a doctor feels the prostate gland through the rectum to check for abnormalities like lumps, hardness, or enlargement.
- Prostate-Specific Antigen (PSA) Test: This is a blood test that measures the level of PSA, a protein produced by the prostate. Elevated PSA levels may indicate a problem, though they’re not always caused by cancer.
When Should You Get Your First Prostate Exam?
The general guidelines for prostate exams vary depending on your age, risk factors, and family history. Here’s what most experts recommend:
1. Average-Risk Men
If you have no significant family history of prostate cancer and no other known risk factors, you should discuss prostate cancer screening with your doctor starting at age 50.
2. Higher-Risk Men
You may need to start earlier if you are at higher risk for prostate cancer. Risk factors include:
- Family History: Having a father, brother, or close relative diagnosed with prostate cancer increases your risk.
- Ethnicity: African American men have a higher risk of developing prostate cancer and should consider beginning screenings at age 45.
- Other Factors: Conditions such as obesity or a history of high PSA levels may warrant earlier and more frequent screenings.
3. Men Over 70
For men aged 70 or older, the need for routine prostate exams depends on individual health and life expectancy. If you are in good health and could benefit from early detection, your doctor may recommend continued screening. For others, the risks of screening and treatment might outweigh the benefits.
What Are the Warning Signs of Prostate Problems?
Even if you’re not yet due for a routine prostate exam, it’s essential to watch for signs of prostate issues, such as:
- Frequent urination, especially at night
- Difficulty starting or stopping urination
- Weak or interrupted urine flow
- Blood in the urine or semen
- Pain or discomfort in the pelvic area
If you experience any of these symptoms, schedule an appointment with your urologist as soon as possible.
What Happens If a Problem Is Detected?
If your prostate exam or PSA test reveals an abnormality, don’t panic. Many prostate issues are non-cancerous and treatable. Your doctor may recommend additional testing, such as imaging, a biopsy, or further bloodwork, to determine the cause of the abnormal results and guide your treatment plan.
Why Prostate Health Matters
Prostate cancer is one of the most common cancers among men, but early detection dramatically improves outcomes. Regular screenings can catch potential problems early, giving you more options and better chances for successful treatment.
A Testament to Early Detection
Norm Ruebling’s life was forever changed thanks to early detection through routine PSA testing. When his results showed elevated levels, timely referral and expert care allowed him to catch his prostate cancer early.
Take Charge of Your Health
If you’re approaching the recommended age for prostate exams or have risk factors that put you at higher risk, it’s time to start the conversation with your doctor. Schedule an appointment with our urology team to discuss your screening options and ensure your prostate health is in good hands.
Your health is your greatest asset. Don’t wait to prioritize it!