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How To Examine The Prostate

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How Do You Give A Prostate Massage With Your Fingers

How to Check Your Prostate

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.

Can A Swollen Prostate If Untreated Cause Prostate Cancer

We have no evidence of that. Theyre completely unrelated problems. The area of the prostate that causes urinary symptoms is usually a different part of the prostate than where cancer is likeliest to develop.

Doctors divide the prostate into different zones. The zone that is associated with BPHand the majority of prostate growthis the transition zone. Prostate cancer occurs there much less often than in the peripheral zone, which is the outer area.

How To Locate Your Prostate

This article was medically reviewed by Erik Kramer, DO, MPH. Dr. Erik Kramer is a Primary Care Physician at the University of Colorado, specializing in internal medicine, diabetes, and weight management. He received his Doctorate in Osteopathic Medicine from the Touro University Nevada College of Osteopathic Medicine in 2012. Dr. Kramer is a Diplomate of the American Board of Obesity Medicine and is board certified.There are 11 references cited in this article, which can be found at the bottom of the page. This article has been viewed 140,179 times.

The prostate is a walnut-sized organ in males that plays a major role in the production of semen. The easiest way to access the prostate is by way of an index finger carefully inserted into the rectum. The processes for accessing the prostate as part of a medical exam or for sexual pleasure are the same, and the same precautions should be taken. You should also keep an eye out for signs of potential prostate problems and contact your doctor as needed.

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When Should I Get Tested

Visit Am I at Risk? to learn more. All men are at risk of prostate cancer, so it is important to talk with your doctor to make an informed decision. Check out our recommended age and testing guidelines, which are based on the NCCN provided recommendations.

Detecting prostate cancer early gives you the best chance of living longer. In fact, more than 99 percent of men survive prostate cancer when it is caught early.

Watch prostate cancer experts, Dr. Lowentritt and Dr. Siegel in this video discuss detection and diagnosis:

Three Grades Of Prostatic Hyperplasia

Rectal Examination and Prostate Exam

Doctors divide prostate into two layers: the inner layer is the mucosa and submucosal glands around the urethra. And the outer layer is the prostate gland. The latter constitutes the main body of the prostate, a fibrous membrane separates the two layers. Prostatic hyperplasia occurs mainly in the inner layer, it is between the bladder neck to the fine urethral part of the urethra gland, now the part is known as the transition zone with microscopic examination can see.

Mild benign prostatic hyperplasia:

The patient can show symptoms of frequent urination, urgency, urinary weakness and increase of nocturia.

Moderate benign prostatic hyperplasia:

The symptoms can be expressed as urinary endless, urinary pain, urinary incontinence , and the urination time was significantly longer.

Severe benign prostatic hyperplasia:

Urination is more laborious, and urination time is longer, urinary flow as the low-level curve or urine droplets, patients often get wet with their underwear.

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How Is A Prostate Exam Done

Transrectal ultrasound is most often used to examine the prostate. In a transrectal ultrasound, the health care provider inserts a transducer slightly larger than a pen into the mans rectum next to the prostate. The ultrasound image shows the size of the prostate and any

· The most common way for doctors to check on the health of your prostate is with a DRE. Its a fairly quick and simple procedure. For the exam, youll bend at

Digital Rectal Examination of the Prostate and Rectum. Abbreviations: DRE , PPA . The physical examination is presented as a checklist with possible results. Special important attention is given to important findings for urologists.

If Youre The Receiving Partner

Youll want to be as relaxed and aroused as possible, because itll make the experience easier and more enjoyable.

The whole poop-comes-out-of-the-butt thing gives some people a case of the heebie-jeebies even when its their own butt.

Remedy this by taking a shower and paying a little extra attention back there to get it squeaky clean. Some people like to use an enema before engaging in butt play, but it isnt necessary.

Use the bathroom before getting started. Prostate stimulation can make you feel like you need to pee, and anal penetration can cause the sensation of needing to poop.

Even though you wont actually do either, worrying that you might can interfere with your ability to let go and enjoy yourself. Knowing your bladder and bowels are empty can help.

Getting used to the sensation of having your prostate touched can help, too. Practice with an anal sex toy, like a butt plug, or your fingers.

Be sure to set the mood so that youre turned on and primed for action. Light candles, watch porn, or engage in some good old-fashioned masturbation or foreplay to get there.

Finally, be sure to lube up real good. Applying a water-based lubricant will allow for easier penetration and make for some easy gliding if stimulating your prostate externally.

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How Is Prostate Cancer Treated

For many men with prostate cancer, treatment is not immediately necessary.

If the cancer is at an early stage and not causing symptoms, your doctor may suggest either “watchful waiting” or “active surveillance”.

The best option depends on your age and overall health. Both options involve carefully monitoring your condition.

Some cases of prostate cancer can be cured if treated in the early stages.

Treatments include:

Some cases are only diagnosed at a later stage, when the cancer has spread.

If the cancer spreads to other parts of the body and cannot be cured, treatment is focused on prolonging life and relieving symptoms.

All treatment options carry the risk of significant side effects, including erectile dysfunction and urinary symptoms, such as needing to use the toilet more urgently or more often.

For this reason, some men choose to delay treatment until there’s a risk the cancer might spread.

Newer treatments, such as high-intensity focused ultrasound and cryotherapy, aim to reduce these side effects.

Some hospitals may offer them as an alternative to surgery, radiotherapy or hormone therapy.

But the long-term effectiveness of these treatments is not known yet.

If Screening Test Results Arent Normal

Dr.Lips Prostate Exam! Let me Gently examine you!

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.

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How Does The Procedure Work

Ultrasound imaging is based on the same principles involved in the sonar used by bats, ships and fishermen. When a sound wave strikes an object, it bounces back, or echoes. By measuring these echo waves, it is possible to determine how far away the object is as well as the object’s size, shape and consistency. This includes whether the object is solid or filled with fluid.

In medicine, ultrasound is used to detect changes in the appearance of organs, tissues, and vessels and to detect abnormal masses, such as tumors.

In an ultrasound exam, a transducer both sends the sound waves and records the echoing waves. When the transducer is pressed against the skin, it sends small pulses of inaudible, high-frequency sound waves into the body. As the sound waves bounce off internal organs, fluids and tissues, the sensitive receiver in the transducer records tiny changes in the sound’s pitch and direction. These signature waves are instantly measured and displayed by a computer, which in turn creates a real-time picture on the monitor. One or more frames of the moving pictures are typically captured as still images. Short video loops of the images may also be saved.

The same principles apply to ultrasound procedures such as transrectal ultrasound which require insertion of a special imaging probe or transducer into the body.

Repeating The Psa Test

A mans blood PSA level can vary over time , so some doctors recommend repeating the test after a month or so if the initial PSA result is abnormal. This is most likely to be a reasonable option if the PSA level is on the lower end of the borderline range . For higher PSA levels, doctors are more likely to recommend getting other tests, or going straight to a prostate biopsy.

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The Evaluation Criteria Of Benign Prostatic Hyperplasia Self Prostate Exam

  • How often do you have to urinate again within 2 hours?
  • How often do you find yourself stopping and re-starting several times during urination?
  • What is the frequency of incomplete emptying of the bladder after urination in the last month?
  • How often do you find it difficult to delay urination?
  • How often do you feel the urinary incontinence?
  • Subjects were able to determine scores from 0 to 5 based on never, less than one-fifth,less than half,about half,more than half, and almost always

  • How often do you have to urinate by pressing or pulling?
  • 7. How many times do you usually get up from bedtime till next morning?

    Subjects were able to determine the score from 0 to 5 according to never, once, twice, three times, four times and five times

    0 points to 7 points for mild symptoms

    8 points to 19 points for moderate symptoms

    20 points to 35 points for severe symptoms

    Summary

    It is generally believed that mild symptoms only need follow-up, and moderate symptoms and severe symptoms were required for drug treatment and surgery. However, if any of the seven questions score more than three points, then even if the total score is not high, patients should also consider adopting the appropriate treatment.

    The incidence of benign prostatic hyperplasia often increases with age, the incidence rate of 40 to 79-year-old male is about 50%, while the incidence rate of 80 years of age is as high as 83%.

    How Does A Person Prepare To Receive A Prostate Massage

    Prostate Examination Photograph by Maurizio De Angelis ...

    One quick FYI is that prostate massages can make people feel like they have to pee, so the person having their prostate massaged should probably empty their bladder beforehand. Then you and your partner should take deep breaths. Deep breathing activates the bodys relaxation responsewhich is good for everyone involvedand a relaxed anal sphincter is a happy anal sphincter . Keep in mind that the more relaxed and turned on one is, the more comfort and pleasure theyre likely to experience.

    Another thing to remember: The physical position may make receiving a prostate massage feel better or more feasible. Its not a guarantee, but some people find that being on top makes anal penetration easier, SELF previously reported. Your partner can kneel with your hand between their legs, for instance. With that said, it will likely take some experimentation to figure out which position feels best for the person receiving a prostate massage.

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    What Is Ultrasound Imaging Of The Prostate

    Ultrasound is safe and painless. It produces pictures of the inside of the body using sound waves. Ultrasound imaging is also called ultrasound scanning or sonography. It uses a small probe called a transducer and gel placed directly on the skin. High-frequency sound waves travel from the probe through the gel into the body. The probe collects the sounds that bounce back. A computer uses those sound waves to create an image. Ultrasound exams do not use radiation . Because images are captured in real-time, they can show the structure and movement of the body’s internal organs. They can also show blood flowing through blood vessels.

    Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.

    Prostate ultrasound, also called transrectal ultrasound, provides images of a man’s prostate gland and surrounding tissue. The exam typically requires insertion of an ultrasound probe into the rectum of the patient. The probe sends and receives sound waves through the wall of the rectum into the prostate gland which is situated right in front of the rectum.

    What Happens After The Dre

    If any abnormalities are found during the DRE, the doctor may order more tests and possibly schedule a prostate biopsy to see if there are any signs of cancer present.

    If there are no signs of prostate cancer found during screening, the results of the PSA blood test may help to determine the time between future prostate cancer screenings. PSA levels vary by age and other factors.

    Ultimately, you and your doctor will decide how often you should be screened since your diet, health and lifestyle habits are all factors on the timing and frequency of your prostate cancer screenings. Be sure to consult with your doctor if you notice any changes in your health.

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    Prostate Milking Vs Male Orgasm

    Many people experience an orgasm from prostate milking, especially if they masturbate during it.

    A person may not be able to distinguish between prostate fluid and ejaculated semen. Prostate fluid is one component of semen. When a male has an orgasm and ejaculates, sperm, prostate fluid, and other fluids present in the ejaculate.

    Not all men ejaculate or have an orgasm during prostate milking. Masturbation and other forms of sexual contact make an ejaculation during the massage more likely.

    Psa Screening Blood Test

    What to Expect from a Prostate Exam

    A Prostate-specific antigen is made by the cells of the prostate gland. PSA testing is a common method to test for prostate cancer. PSA is found in semen, with a small amount in the blood. Men without prostate cancer often have PSA levels under 4 nanograms per milliliter of blood. Elevated PSA level increases the likelihood of having prostate cancer .

    The American Cancer Society reports that men with a total PSA level of between 4 and 10 have roughly a 1 in 4 chance of having prostate cancer. With a total PSA of over 10, the chance of having prostate cancer rises to over 50%. Following the PSA test, if the levels are high, a doctor may suggest a repeat screening test or a prostate biopsy.

    In addition to prostate cancer, there are many other factors that can affect a mans PSA levels.

    Reasons for a High PSA:

    Reasons for a Low PSA:

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    Digital Rectal Examination For Prostate Cancer

    A digital rectal examination , performed as part of an annual physical checkup, is one of the most important tests for the early detection of prostate cancer. Because the prostate gland is located just in front of the rectum, it cannot be felt from the outside of the body.

    During the DRE, a doctor inserts a lubricated, gloved finger into the patient’s rectum to feel for lumps, enlargements, or areas of hardness that might indicate prostate cancer. The procedure lasts for less than minute and, while uncomfortable, should cause no pain. However, a painful examination could indicate the presence of other, benign conditions, such as prostatitis.

    If Youre The Giving Partner

    Cleanliness and safety are a must, even for the giver.

    Cut and file your nails smooth to help avoid scratching or tearing the delicate skin in and around the anus.

    Wash your hands thoroughly, even if youre planning to use a condom over your finger to penetrate your partner. For extra comfort, stuff cotton balls inside the condom or glove.

    You can also get the party started in the shower together, which serves as foreplay and gets you both all nice and clean for the big show.

    Youll probably need to try a few different moves and experiment with speed and pressure to find what feels best.

    Here are some techniques to try, whether youre using fingers or toys.

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    It’ll Just Take A Minute

    There’s no shying away from the fact that this exam involves inserting a gloved and lubricated digit into the rectum. While that may not sound pleasant, it’s over very quickly. The whole appointment might take just few minutes and the part you’re dreading – probably less than 20 seconds.

    You’ll be granted some privacy to take off your lower clothing before being asked to lie on your side and draw your knees up to your chest. While it’s natural to tense up in these situations, you be surprised at how easily a lubricated finger slips in. Once it’s in there it usually takes just a few seconds for the anal sphincter to relax around it.

    You’ll be aware of some pressing – this shouldn’t be painful but it may make you feel a brief urge to urinate. If you do experience any pain you should tell the examiner straight away. If the exam is physically intolerable for you but deemed necessary it can be performed under general anaesthetic. Once the surface of the prostate has been inspected, the digit is removed and the area around the anus cleaned of any residual lubricant.

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