When Should I Get Tested
Deciding to get tested is a personal decision made after a consultation with your doctor. Some important factors to consider are your age, race, family history, and history of exposure . Visit our Am I at Risk?page to learn more and check out our recommended age and testing guidelines, which are based on the NCCN provided recommendations.
All men are at risk of prostate cancer, so it is important to talk with your doctor to make an informed decision. Detecting prostate cancer early gives you the best chance of living longer. In fact, when it is caught early, the 5-year survival rate is over 99 percent.
Talk to Nathan about Prostate Cancer Screening is an interactive conversation that can help you decide whether to get screened. In partnership with the CDC, Nathan was developed to share information and answer your questions about prostate cancer screening and treatment. He also suggests some questions you might want to ask your doctor. Click the image below to get started!
Questions You Might Want To Ask Your Gp
- Do I need to see a specialist? Is it urgent?
- When will I see them?
- Where will I see them?
- Will I find out about my appointments by post or telephone?
- Do I need tests? What will they involve?
- How long should I expect to wait?
- Where can I find out more about tests?
- Do I have to do anything in preparation for this test?
- When will I get the results and who will tell me?
Your GP might not be able to answer all of your questions. They will tell you what they can at this point. Not knowing is difficult to cope with and can make you anxious.
Speaking to a friend or relative about how you feel might help.
Discuss Prostate Cancer Testing With Your Doctor
Medical authorities do not recommend that all men should be tested for prostate cancer. In fact, most authorities suggest that men should make their own choice about whether or not to have a PSA test. If you decide to be tested, it is recommended that it should be done every two years from 50 to 69 years of age, and only if your health is such that you expect to live for at least another seven years.
Men at high risk of prostate cancer, such as men with a family history of prostate cancer , or men who have previously had an elevated test result, can start two-yearly testing from age 45. Your doctor can help you decide whether this is necessary.
While there is now some evidence that regular testing may prevent prostate cancer deaths, there are concerns that many men may be diagnosed and treated unnecessarily as a result of being screened, with a high cost to their health and quality of life .
However, the option of active surveillance, where a low-risk cancer is watched closely instead of being treated, helps to lower these risks. Active surveillance is now used quite commonly in Australia for men with low-risk prostate cancer.
If you are unsure whether or not to be tested after considering the benefits and uncertainties of testing and your own risk of prostate cancer, discuss it with your doctor.
In Australia, if you choose to be tested for prostate cancer the tests are covered by Medicare.
Also Check: Prostate Gland Definition
What Do You Say To Patients Diagnosed With Prostate Cancer
Something I say to my patients a lot is that, in treating prostate cancer, we end up trying to extend your quantity of life at the cost of your quality of life. And so, at some point, if the quantity is extended a lot, and we can minimize the effect on quality, that makes sense, but the equation is different for every man. How much decrease in quality of life are you willing to accept if were going to extend your life?
Realistically, a lot of guys who are 70 dont have any sexual function anyway, so thats not a huge loss for them. As men get older theres definitely an increased chance of having erectile dysfunction the guys who have sexual function over 70 are very keen on preserving it. Even for the guys who dont have good sexual function, who are on Viagra, for them its often even more important to preserve what sexual function they have.
Worried About Having A Dre
Its natural to feel worried or embarrassed about having tests, but some men find the idea of having a DRE upsetting. For example, if youve been sexually abused as a child or an adult, you might feel very upset about having this test. Theres no right or wrong way to feel about this, and it is your choice whether or not you have tests for prostate cancer.
It might be helpful to talk to a counsellor about your experience, thoughts and fears. Or you could contact a charity for people whove been sexually abused, such as the National Association for People Abused in Childhood or SurvivorsUK. If you do decide to have a DRE, explain your situation to your doctor as they can talk through the test with you and help to reassure you.
When I had the DRE I thought, For a few seconds of discomfort, I can live with it. Yeah its uncomfortable, but it could save your life. A personal experience
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How Do You Give A Prostate Massage With Your Fingers
If, after talking through a few specifics, youre still not sure where to start, Brown-James has some techniques. Bring your pointer, middle, and ring fingers together, then push up into , Brown-James explains. Stimulating this area with gentle but firm strokes also stimulates the prostate. It’s basically a playground down thereBrown-James recommends techniques like rubbing clockwise for 810 strokes, then going counterclockwise, stroking toward the scrotum or touching the penis while you massage your partners perineum. Even though youve hopefully discussed what youd both like beforehand, you and your partner should talk about what you think you might each like to do and feel and then, if you agree to test things out, try that next, making sure youre each being open about what feels good and what doesnt feel so good in the moment.
Identifying Potential Prostate Problems
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If Screening Test Results Arent Normal
If you are screened for prostate cancer and your initial blood PSA level is higher than normal, it doesnt always mean that you have prostate cancer. Many men with higher than normal PSA levels do not have cancer. Still, further testing will be needed to help find out what is going on. Your doctor may advise one of these options:
- Waiting a while and having a second PSA test
- Getting another type of test to get a better idea of if you might have cancer
- Getting a prostate biopsy to find out if you have cancer
Its important to discuss your options, including their possible pros and cons, with your doctor to help you choose one you are comfortable with. Factors that might affect which option is best for you include:
- Your age and overall health
- The likelihood that you have prostate cancer
- Your own comfort level with waiting or getting further tests
If your initial PSA test was ordered by your primary care provider, you may be referred to a urologist for this discussion or for further testing.
Can I Check For Prostate Cancer At Home
It is strongly advised under any circumstances not to self-examine for prostate cancer at home either by yourself or with a partner. Not only does it take a skilled professional to assess how the prostate feels to make an accurate determination of overall prostate health, self-examinations have the potential to cause injury.
âSince the prostate is an internal gland, itâs extremely important that only licensed medical professionals conduct the exam. At-home self-exams should not be administered in order to avoid injury or self-harm. Regular screening is important for prostate cancer, as the disease often does not present symptoms until it is too late. Talk to your doctor about making sure you receive a regular DRE check-up at each visit.â
While actually screening yourself for prostate cancer at home is ill advised, you can still monitor your risk factors for prostate cancer between yearly check-ups, like practicing a healthy diet and exercising regularly.
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Special Types Of Psa Tests
The PSA level from a screening test is sometimes referred to as total PSA, because it includes the different forms of PSA . If you decide to get a PSA screening test and the result isnt normal, some doctors might consider using different types of PSA tests to help decide if you need a prostate biopsy, although not all doctors agree on how to use these tests. If your PSA test result isnt normal, ask your doctor to discuss your cancer risk and your need for further tests.
Percent-free PSA: PSA occurs in 2 major forms in the blood. One form is attached to blood proteins, while the other circulates free . The percent-free PSA is the ratio of how much PSA circulates free compared to the total PSA level. The percentage of free PSA is lower in men who have prostate cancer than in men who do not.
If your PSA test result is in the borderline range , the percent-free PSA might be used to help decide if you should have a prostate biopsy. A lower percent-free PSA means that your chance of having prostate cancer is higher and you should probably have a biopsy.
Many doctors recommend a prostate biopsy for men whose percent-free PSA is 10% or less, and advise that men consider a biopsy if it is between 10% and 25%. Using these cutoffs detects most cancers and helps some men avoid unnecessary biopsies. This test is widely used, but not all doctors agree that 25% is the best cutoff point to decide on a biopsy, and the cutoff may change depending on the overall PSA level.
Are You Seeing Prostate Cancer Becoming More Prevalent In Younger Patients
Its pretty rare. Its less common that men in their 40s have prostate cancer, but, we also are very rarely screening them. The young men who come in to be screened tend to have one of those high-risk features. They most likely had a father who had prostate cancer, so theyre nervous about it. Or theyre African-American, and theyve been flagged by their health care providers.
If youre young, your quality of life is even more important to you right now. We know that, if diagnosed with low-grade prostate cancer, a person will need treatment at some time in life. If we can delay treatmentwhich could negatively impact urinary or sexual functionby several years, then we should do that and obviously discuss that there is a low but possible chance of metastasis developing during that time.
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What Are The Symptoms Of Prostate Cancer
Not everyone with prostate cancer has symptoms, so regular screening should be a part of your annual physical, starting at the age of 40-50. However, prostate symptoms should never be ignored and should be brought up to a physician.
Typical symptoms of prostate cancer, according to the Prostate Conditions Education Council , include:
- Frequent urination
- Weak urinary stream
- Pain or burning during urination
- Blood in the urine or ejaculate
- Bone pain in the hips, ribs or back
- Back pain
Read our guide to common pee problems that may be signs of prostate cancer if you are experiencing urination problems.
How Can You Stimulate Prostate
Prostate massage or also called prostate milking is a practice of stimulating prostate gland for sexual and medical benefits. You can do it internally or externally, but you should do it only when you understand the process and know that you can damage the prostate if you do it incorrectly. Keep reading to find out more about how to stimulate prostate without facing any issues.
Read Also: What Is The Definition Of Prostate Gland
Screening Tests For Prostate Cancer
Screening is testing to find cancer in people before they have symptoms. Its not clear, however, if the benefits of prostate cancer screening outweigh the risks for most men. Still, after discussing the pros and cons of screening with their doctors, some men might reasonably choose to be screened.
The screening tests discussed here are used to look for possible signs of prostate cancer. But these tests cant tell for sure if you have cancer. If the result of one of these tests is abnormal, you will probably need a prostate biopsy to know for sure if you have cancer.
Whats The Difference Between Prostate And Penile Orgasm
There are several differences between orgasms of the prostate and the penis. These include:
Prostatic fluid is only one part of the fluid that comes out when the penis ejaculates. The rest comes from other structures, including the seminal vesicles and the and glands. A prostate orgasm will only produce fluid from the prostate gland.
Method of Stimulation
Arousal and orgasm are complex processes that involve the nerves, brain, and hormones, in addition to sex organs. There is a lot that doctors still donât know about them. However, penile orgasm generally happens through stimulation of the penis, and prostate orgasm through the stimulation of the prostate.
While some men do not enjoy the sensation of prostate orgasm, others prefer it. In general, prostate orgasms are thought to be more intense than penile orgasms. For one thing, penile orgasms are associated with 4-8 pelvic contractions, while prostatic massage orgasms are associated with 12.
In general, prostate orgasms require a shorter refractory period, or recovery time, than penile orgasms. For that reason, prostate orgasms are sometimes associated with the possibility of multiple orgasms.
Itâs possible to have a prostate and penile orgasm at the same time or one after another, and some people find that this combination provides the most intense orgasm. However, you may lose your erection after a prostate orgasm, which can prevent or delay penile orgasm.
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What Do The Dre Results Mean
A digital rectal examination is a test used to see if you might have a prostate problem or prostate cancer.
Your prostate may feel:
- normal a normal size for your age with a smooth surface
- larger than expected for your age this could be a sign of an enlarged prostate
- hard or lumpy this could be a sign of prostate cancer.
The DRE is not a completely accurate test. Your doctor or nurse cant feel the whole prostate. And a man with prostate cancer might have a prostate that feels normal.
Ways To Perform Self Prostate Exam For Most Common Prostate Diseases
How do you perform self prostate exam? Do you know that you have got a problem with your penis? The answer is not very clear.
You can insert your finger, as described in my own page of self prostate massage, you may have some ideas, but not sure. It should be soft and not hard, painless soft touch, and feel smooth without caking. Make sure you use gloves and lubricate to make insertion easier. To be gentle!
DRE or digital rectal examination by a trained urologist will provide you with the information you need. He would be very hesitant if he wants to do a biopsy. This is because the procedure has a lot of risks. He may underestimate the path of the invasion including the act if he finds the slightest sign of cancer.
Due to prostate disease symptoms often have no specificity, which means that prostate disease is difficult to distinguish only from the symptoms. So when you have these symptoms, you should also check through many other exams to finally determine whether it is really a prostate disease. It is best to get aids from professional hospitals as soon as possible to find a solution. Urinary problems can warn male urinary system, including many organs, such as lower urinary tract, the bladder, prostate and urethra, they have directly relations to the appearance of urinary symptoms.
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The Best Anal Sex Toys For Prostate Massage
If youre ready to move on to bigger and more advanced anal toys, here are some of the best anal sex toys for prostate massage.
This firm silicone anal sex toy is a powerful P-spot vibrator, with a curved shaft for intense prostate stimulation and stimulating nubs on the handle for extra external sensation. It has 4 inches of insertable length and 7 modes of vibration. And, its waterproof and rechargeable.
Glass sex toys might seem intimidating, but they are some of the most simple yet versatile sex toys as they can be heated or cooled in a bowl of water, allowing you to experience different temperatures and the sensations that come with them. This glass butt plug has been handcrafted with an angled tip and curved shaft, perfect for anal stimulation.
Its made from smooth borosilicate glass which is shatter-resistant, hypoallergenic and compatible with all lubes.
LELOs Loki Wave is a vibrating prostate massager like no other, because as well as vibration, it literally waves and beckons inside you in a come hither motion. This stimulates the prostate for P-spot orgasms. It also has a perineum stimulator.