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When Should You Get First Prostate Exam

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ATM 3 CHAMPION OF THE WORLD.

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He’s assured me it was perfectly normal to get an erection, and even ejaculate during the exam.I still wish he hadn’t tho….

ATM 3 CHAMPION OF THE WORLD.

First 100

Believe in Yourself… and Aliens.

First 100

CRAPTAGON said:At the end of a general checkup a few years ago I was supposed to have my first prostate exam. My doctor, a very personable but large fingered man pulled out a syringe and test tube. Confused I asked what they were for. He said “Oh, that’s how we do prostate exams now. As a blood test. If there’s any issue, then we do it the other way.”I had been sweating up for the 20 years before that moment.

When Should I Go Back

The answer to how often you should get a prostate exam depends on your medical history, but if youve got the all-clear, when you return depends on your age. The recommendations are as follows:

Age 50 59:

  • If your PSA was between 1 and 3ng/mL: return every 2 to 4 years
  • If your PSA was under 1ng/mL: return aged 60

Age 60 70:

Checking For Psa At Home

Itâs best to look for prostate symptoms and then screen using a Prostate Specific Antigen blood test. While there is no physical way for you to check for prostate cancer at home, there are at-home screening options for PSA. imaware⢠at-home test for PSA can help screen you for prostate issues.

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Whats The Recommended Age For Your First Prostate Exam

Starting at age 50, all men should discuss getting a prostate exam with their doctor.

The reason for this is prostate cancer. In the UK, about one in eight men will be diagnosed with this in their lifetime. It mainly affects men aged 50 plus, but your risk increases as you get older, and the most common age to be diagnosed is between 65 and 69 years. Most men with early prostate cancer dont have any noticeable signs or symptoms.

The exception to this rule is if you are experiencing symptoms, or if your genetics predispose you as higher risk. Doctors are increasingly finding the tendency towards some prostate cancers can be inherited from your fathers family. Additionally, black men are at a higher risk, with one in four getting prostate cancer in their lifetime.

If youre experiencing no symptoms, heres the recommended age for prostate exam:

  • If you have a family history, first prostate exam at age 40
  • If you are black, first prostate exam at age 45
  • If you have no family history and youre not black, first prostate exam at age 50

What To Expect During Your Prostate Exam

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If youve been avoiding a prostate exam, you could be putting your health at risk. Knowing the facts about the procedure will help put any fears, concerns, or squeamishness to rest.

If youre a man older than 40 and have not yet had a prostate exam, its a good time to talk to your doctor. If youre also African American or have a family history of prostate cancer, its a really good time. One of six men eventually gets a prostate cancer diagnosis. And even though most men have a slow-growing type, prostate cancer is still the leading cause of cancer deaths in men older than 75. So if youre afraid of a prostate exam, its time get over it and protect your prostate health.

Start talking about your prostate care plan at age 40, and if you and your doctor think the time is right, get a digital rectal exam and a PSA blood test during your annual physical, suggests Dan Zenka, senior vice president of the Prostate Cancer Foundation and a prostate cancer survivor who was diagnosed at age 51 in 2010.

What to Expect During a Primary Care Prostate Health Exam

Your doctor will probably start by asking you if you have any prostate health symptoms like a weak urine stream, dribbling, straining to urinate, or blood in your sperm or urine. Your doctor may also ask if you have a father or a brother with prostate cancer and if the doctor doesnt ask, volunteer the information.

Here are the two tests that will be done:

What to Expect if You Need a Prostate Cancer Exam

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What Is A Digital Rectal Exam

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 the waist while standing or lie on your side with your knees bent toward your chest.

Your doctor will lubricate a gloved finger and gently place it inside your rectum. Theyll press one hand on your prostate, and their other hand will feel your pelvic area. It should only take a few moments.

You may experience momentary discomfort. You may also feel the urge to urinate, especially if your prostate is enlarged or inflamed.

Your doctor will be able to tell you if your prostate seems to be a normal size and shape. In general, a DRE has no risks.

What Happens During A Dre

The DRE will take place in a private exam room at your doctors office. The test only takes a few minutes. You will need to take off any clothes below your waist. You will be given a gown to wear or a cloth to wrap around your body.

For men. The doctor will ask you to stand and bend forward at the waist or they will ask you to lie on your side on an exam table with knees pulled up to your chest. As they start the DRE, the doctor may ask you to relax and take a deep breath. Then they will gently insert a lubricated, gloved finger into your rectum. The doctor will feel the size of your prostate gland. They will also feel for bumps, soft or hard spots, or other abnormal areas. The doctor will also examine the wall of your lower colon and rectum.

For women. The doctor will usually ask you to lie on your back on an exam table. Your feet will be in raised stirrups. The doctor may ask you to relax and take a deep breath as they start the DRE. Then they will gently insert a lubricated, gloved finger into your rectum. The goal is to feel your reproductive organs and the bowel. The doctor may also feel for problems in your internal organs. They do this by pressing on your lower abdomen or pelvic area with their other hand.

A DRE usually does not hurt, but you may be uncomfortable. You may also feel the need to urinate. If a mans prostate is enlarged, there may be some discomfort or mild pain during the exam.

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Prostate Cancer Screening Guidelines

Specialists in the Prostate and Urologic Cancer Program encourage all men at risk for prostate cancer to consider appropriate screening. Men considering prostate cancer screening should first talk with their personal physicians so they may make an informed decision about the risks and benefits, and whether screening is right for them.

The following guidelines are based on American Cancer Society recommendations about prostate cancer screening. Men should not be tested without first learning about the risks and possible benefits of testing and treatment. They should have a conversation with their doctor about whether, when and how often prostate cancer screening is appropriate, given individual health factors.

After having a discussion with their doctor, men who want to be screened should be tested with the prostate-specific antigen blood test. The digital rectal exam may also be done as a part of screening. The discussion about screening and your risk factors should take place at:

  • Age 50: Men who are at average risk of prostate cancer and are expected to live at least 10 more years.
  • Age 45: Men at high risk of developing prostate cancer. This includes African Americans the rate at which African American men are diagnosed with cancer is 76% higher than for white men. All men who have a first-degree relative diagnosed with prostate cancer at an early age are considered to be at high risk.
  • Age 40: Men at even higher risk .

How Often Do I Need To Get A Prostate Exam

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A prostate exam is a common examination that is used to check on the current condition of the prostate. As men age, the need to monitor prostate health becomes more of a necessity. Unfortunately, many men neglect the task of having periodic examinations of the prostate. Often, this is due to a misunderstanding about the mechanics of the exam, as well as a lack of information about prostate cancer and what the disease can do if left unchecked.

Prostate exams do not require much, other than a visit to the family physician or urologist. The exam takes place in the doctors office, and involves nothing more than a lubricant and a rubber glove. The physician dons the glove, lubricates the index finger, and inserts the finger into the anus. The prostate can be easily examined through the thin walls of the rectum, allowing the physician to check for growths, texture, and any other abnormalities. Generally, the examination takes only a moment or two and is relatively painless.

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What Are The Risks Of A Prostate Exam

In the medical community, there is some controversy regarding the risks and benefits of a prostate exam. When a DRE is performed and irregularity is detected, 50% of the time there is prostate cancer and 50% of the time there isnt. The risk, then, becomes over-treatment.

Although not a physical health risk, the possibility of further testing, such as a prostate biopsy or an MRI of the prostate, can be anxiety-provoking.

Overall, the benefits highly outweigh the risks. Patients should discuss the pros and cons of prostate cancer screening with their physician to make the best decision for their health.

As men age, they can face physical, sexual and medical health concerns that have an impact on their everyday lives. Making healthy lifestyle choices, like exercising regularly and eating a healthy diet, along with regular checkups and screening tests can help prevent or lead to early treatment of many men’s health threats.

When Should You Get Your First Prostate Exam

In 30 seconds

The answer to when you should get your first prostate exam depends on your medical history and genetic predisposition.

Your prostate grows throughout your life, which means youre more likely to experience problems as you age.

Prostate cancer is often symptomless, but if you feel unwell, consult a doctor: identifying whats wrong will help you get the right treatment.

First off, what is a prostate? This is a walnut-sized gland located below the bladder, near your rectum. It secretes fluid that becomes part of semen, helping to carry sperm. has two main growth phases first in puberty, and the second from around age 25, continuing at a rate of 14% increase each decade.

Sometimes the prostate can become enlarged enough to cause problems or as a result of related health issues. The most common prostate problems are:

  • Prostatitis: when your prostate becomes inflamed as a result of an infection
  • Benign prostatic hyperplasia : an overly enlarged prostate
  • Prostate cancer

The recommended age for a prostate exam takes into account the fact the prostate grows throughout adulthood, but BPH, prostatitis and prostate cancer can affect you at any age. Below, well outline what to look out for, when to get a prostate exam, and what that entails.

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When To Startand Stopscreening

The doctors and researchers who recommend screening argue that cases of prostate cancer found very early can be cured more quickly, with less chance of relapse or spread. Those who recommend against routine screening point to the slow-moving nature of prostate cancer and the side effects of surgical and medical treatment, which can be considerable.

The introduction of PSA screening in the US led to an initial increase in the number of prostate cancer cases diagnosed each year, even though many of these new cases were non-aggressive or low-risk prostate cancer. The issue was not that screening was harmful, it was that many of these low-risk cancers did not necessarily need immediate treatment. It seems strange to say that a patient might be better off leaving cancer untreated, but in some cases, it can be true. For a few years, the United States Preventative Services Task Force recommended against PSA screening. We are now seeing more cases of advanced prostate cancer diagnosed in recent years. This may be a long-tail effect of that USPSTF recommendation. It has now been changed to note that for men aged 55 to 69 years, the decision to undergo PSA screening is an individual one and should be discussed with your doctor. USPSTF continues to recommend against screening for men aged 70 and over.

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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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Another Option: Digital Rectal Exams

Most prostate biopsies are driven by PSA results. Urologists also use the digital rectal exam, or DRE.

The American Urological Association hasnt recommended rectal exams because there has yet to be a randomized trial in which some men get the rectal exam and some dont. Based on who lives and dies, this would show if rectal exams have value, says Dr. Freedland. Many people, myself included, think they do have value. Its part of the evaluation that we use even if its not officially in our guidelines.

The DRE may cause momentary discomfort, but it can also detect prostate cancer for those patients with normal PSA levels. We use the exam because we think it should work and be helpful, even if it hasnt been studied, Dr. Freedland adds. Most people are screened with PSA and DRE.

An Abnormal Psa Test: What Comes Next

If your PSA score is in the abnormal range, your doctor may recommend yourepeat the PSA test. If your levels are still high, your doctor mightrecommend one of the newer prostate cancer screening tests available today.

These tests can help better assess your risk for prostate cancer anddetermine whether a biopsy is necessary. Only a prostate biopsy candefinitively diagnose prostate cancer.

For individualized recommendations that suit you, ask your doctor about:

  • What age you should start prostate cancer screening
  • New blood, urine and imaging tests that are available
  • Improved biopsy techniques, if applicable

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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.

Any Sign Of My Car Keys

When should Men get Screenings for Prostate Cancer?

At what age should you get a prostate exam? Because the early stages of prostate cancer often show no symptoms, detecting it ASAP is the only reason you need to get checked. And if the doctor finds your keys, consider it a bonus. The Canadian Cancer Society recommends you wait until youre around 50 to get screened for prostate cancer.

As you can tell, prostate exams are, ahem, the butts of some pretty good one-liners. Here are some more:

After my prostate exam, the doctor left. The nurse came in with a worried look on her face, and said the three words I was dreading to hear: Who was that?

I had a prostate exam yesterday. Thats the last time I will ever fall asleep on the subway!

I went to see my doctor for a prostate exam. There was nothing to worry about he gave me the thumbs up!

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