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When Do You Start Prostate Exams

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The Initial Causes When Do You Start Getting Prostate Exams

How to Test for Prostate Cancer | Ask a Prostate Expert, Mark Scholz, MD

One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.

Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.

If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.

When To Get A Prostate Exam

Prostate screening is essential for most aging males.

For many years, all patients were recommended to get a prostate exam after a certain age.

Right now, the recommendations by the U.S. Preventive Services Task Force are slightly different. Prostate cancer screening should start after 55 years, but not all patients should get screened .

If you dont have risk factors or symptoms, your age is not enough reason to screen.

Still, you can do it if youre worried about your prostate.

Also, keep in mind that some average risk factors could be unknown to you. Thus, the best way to know if you need a prostate exam or not is by asking your urologist.

Men should decide for themselves if they prefer to perform an exam.

Still, health authorities recommend that males with a healthy prostate after 70 years do not perform additional exams .

What Happens During A Digital Rectal Exam

Your health care provider will insert a gloved finger into the rectum and feel the prostate for hard, lumpy, or abnormal areas. The test takes only a few minutes to complete.

You may feel slight, momentary discomfort during the test. The procedure does not cause significant pain or any damage to the prostate.

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What Is A Prostate Exam

A prostate exam is a screening method used to look for early signs of prostate cancer. In general, a prostate exam includes a PSA blood test and a digital rectal exam .

During the digital rectal exam portion, your healthcare provider carefully inserts their gloved finger into your rectum. This allows them to feel the edges and surface of your prostate gland to detect any potential abnormalities.

Why Should I Get Both Prostate Cancer Screenings

When Should I Start Getting Prostate Exams

Both screenings provide valuable information about your health that can detect prostate cancer, even at an early stage. One result without the other may not provide enough indication of whether or not treatment is necessary.

There are many reasons why a mans prostate may be enlarged, and prostate cancer is only one. When paired with a PSA blood test, results can better indicate whether further testing is needed to determine a diagnosis.

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What Would You Say To Men Who Dont Want To Get A Prostate Check

A rectal exam is recommended but optional. We recommend both, but if theyll just let you do a blood test, thats better than not doing anything at all.

If concern about the rectal exam is the only reason youre not getting screened, talk to your doctor about it. We can discuss the risks and benefits. None of the evaluation tests are mandatory, but the reason we do that is that it improves our ability to detect cancer. So, if thats why youre not being evaluated, we can talk and decide if we can do other tests.

The Initial Causes When Do You Start Prostate Exams

One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.

Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.

If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.

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The Initial Causes What Age Do You Start Getting Prostate Exams

One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.

Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.

If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.

How Often Is A Prostate Exam Necessary

Elevated PSA: How Soon Do You Need a Prostate MRI?

Your frequency of testing may be due to several factors, including your age, family history, and present health condition:

4049 Years of Age: Most urologists recommend men aged 40 and above to undergo a prostate exam if they have a family history or personal history of prostate cancer. Also, African-American men should talk to their doctor about how often to have these tests performed because they are at a heightened risk. The PSA test is the gold standard for prostate screening, and your doctor may also perform a digital rectal exam .

Your test results will further determine how often you may need a prostate exam. Generally, if your PSA result is under 2.5, you will likely only need the test every two years. On the other hand, if the result is higher, your doctor will probably recommend an annual prostate exam.

If the number is beginning to increase, your physician will probably ask you to return within a matter of months to have a follow-up test because an increasing PSA could indicate the presence of cancer cells. You may also need a biopsy.

50 Years and Above: Men with an average prostate cancer risk start getting a PSA exam at age 50. At this age, your provider may recommend an annual PSA and DRE. Your doctor will guide you regarding future PSA tests because the frequency may change as you age.

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When Should I Call My Healthcare Provider

If youre 50 and you havent had your first prostate exam yet, call your healthcare provider to set up an appointment. If youre at higher risk, such as if you’re Black or prostate cancer runs in your family, you should have your first prostate exam by age 45.

Furthermore, if you develop symptoms of urinary tract obstruction, schedule a visit with your provider right away. This may indicate an enlarged prostate, benign prostatic hyperplasia or a urinary tract infection.

A note from Cleveland Clinic

Most people are understandably apprehensive about their first prostate exam. Learning all you can about the process can help abate any fears or uncertainties you have. Talk to your healthcare provider about your screening options. A prostate exam is the first step in the early detection of prostate cancer and early detection is key to successful treatment.

Last reviewed by a Cleveland Clinic medical professional on 04/04/2022.

References

What Age Should I Get A Prostate Exam

Prostate exams are an essential basic health screening test that everyone at risk of prostate cancer should consider. Current American Cancer Society guidelines suggest that men over the age of 50 should speak with their primary care physician about getting screened routinely for prostate cancer. This guideline may change depending on your risk for prostate cancer.

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The Role Of Psa In Choosing The Best Treatment

If you have received a diagnosis of prostate cancer, your PSA levels can be used along with the results of other tests and physical exams and your tumors Gleason score to help determine which tests are needed for further evaluation and to decide on the best treatment plan. After treatment has begun, your PSA and other tests will be used to determine how well the treatment is working: The more successful the therapy, the lower the PSA.

Who Should Get Screened For Prostate Cancer

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Prostate cancer typically starts in men around 55 to 70 years old. For men who are not at a higher risk of developing the disease should begin a conversation with their doctor about getting screened in their fifties and repeat the screening about every two years.

Men who are at higher risk for developing prostate cancer should begin screenings at age 40. Those at higher risk for prostate cancer include:

  • Black or African-American men

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What Is A Dangerous Psa Level

PSA levels are measured as a number of nanograms in each milliliter of fluid tested. This is written as ng/mL.

  • PSA level 2.5 ng/mL or lower: This is a normal PSA level for those under age 60, but in some cases, prostate cancer may still be present.
  • PSA level between 2.5 and 4 ng/mL: This is a normal PSA level for most people.
  • PSA level between 4 and 10 ng/mL: This indicates that prostate cancer might be present. At this level, there is about a 25% chance that you have prostate cancer.
  • PSA level 10 ng/mL or above: There is a 50 percent chance that prostate cancer is present. The higher the PSA rises above 10 ng/mL, the greater the chance that you have prostate cancer.

Your doctor may also monitor your PSA velocity, or doubling time, which means recording your baseline PSA the level at your very first PSA test and seeing how fast the PSA level increases over time. Rapid increases in PSA readings can suggest cancer. If your PSA is slightly high, you and your doctor may decide to keep an eye on your levels on a regular basis to look for any change in the PSA velocity.

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Why Prostate Exams Are Important

Prostate cancer is one of the most common cancers in men. A prostate exam can reveal very valuable information about your overall health and also detect cancer as early as possible. Additionally, prostate cancer is very slow-growing and asymptomatic until very advanced stages. If not detected early enough, treatment will be a lot more difficult and chances of survival will decrease drastically.

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What Is The Psa Test

PSA stands for prostate specific antigen. Its a protein made by both normal and cancerous prostate cells. Its normal for all men to have some PSA in their blood.

A high level of PSA can be a sign of prostate cancer. But your PSA level can also be raised because of other conditions that arent cancer. This includes:

  • a urine infection
  • a benign enlarged prostate

The PSA test can also miss some prostate cancers. Research has shown that 1 in 7 men with a normal PSA level have prostate cancer. And that 1 in 50 men with a normal PSA level have a fast growing prostate cancer.

Because of this, the PSA test on its own is not recommended as a screening test for prostate cancer. But men over 50 can usually ask their GP for a PSA blood test if they want. Your GP will explain the potential benefits and risks of having a PSA test.

Research Into Prostate Cancer Screening

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Research is ongoing to find other prostate cancer screening tests and ways to improve the current test. This includes:

  • new blood and urine tests
  • a combination of a blood test and other information such as age and family history
  • MRI and other types of scans

More research is needed to find out whether these tests are reliable enough to detect prostate cancer.

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The Importance Of Prostate Health

Aside from skin cancer, prostate cancer is the most common cancer in men. According to the American Cancer Society, one in eight men will be diagnosed with prostate cancer, and one in 41 men will die from prostate cancer. More than 90 percent of men aged 80 or older have an enlarged prostate.

The prostate is a small, walnut-shaped gland that is a vital part of the male reproductive system. Located below the bladder and in front of the rectum, the prostate produces seminal fluid, which helps nourish and transport sperm.

There are several risk factors for prostate cancer, including age, family history and race. African American men are at a higher risk for prostate cancer than Caucasian men. Men with a father or brother diagnosed with prostate cancer also are at an increased risk.

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Symptomatic treatment of an enlarged prostate usually involves a combination of medication and lifestyle changes. A diet rich in fruits and vegetables may be the best option if you suffer from chronic urination. It will help the body adjust to the increased size of the prostate. Also, taking regular urination intervals will help retrain the bladder to function properly. Inactivity also contributes to urine retention, and cold temperatures can increase the urge to urinate.

Invasive treatment of enlarged prostate includes medication that relieves the pressure on the urethra and bladder. However, if the condition is severe, it may require surgical intervention. If treatment is not successful, the enlarged prostate can become a potentially life-threatening disease. As the hormone levels in the body change, the enlarged prostate can lead to various complications, including urinary retention and even cancer. This is why it is critical to see a doctor for further evaluation.

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What To Expect At Your Exam

During a prostate exam, your doctor will feel your prostate gland to check for any lumps or abnormalities. You may need to undergo further testing, such as a prostate biopsy, if anything suspicious is found. But catching prostate cancer early is crucial to treatment and survival, so don’t skip out on this important preventative health measure.

What You Need To Know About The Prostate When Do You Start Prostate Exams

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A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.

While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.

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What You Need To Know About The Prostate When Should You Get Prostate Exam

A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.

While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.

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