When To Get A Prostate Exam

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.

What To Expect During The Exam

You can get a prostate exam easily and quickly at your doctors office. Generally, for cancer screenings, your doctor will take a simple blood test.

Your doctor might also choose to perform a DRE. Before performing this exam, your doctor will ask you to change into a gown, removing your clothing from the waist down.

During a DRE, your doctor will ask you to bend over at the waist or lie on the exam table in a fetal position, with your knees to your chest. They will then insert a gloved, lubricated finger into your rectum.

Your doctor will feel for anything abnormal, such as bumps or hard or soft areas that might indicate a problem. Your doctor may also be able to feel if your prostate is enlarged.

A digital rectal exam can be uncomfortable, especially if you have hemorrhoids, but isnt overly painful. It will last only a couple of minutes.

A DRE is one of your doctors tools that can help them detect several prostate and rectal problems, including:

• BPH
• prostate cancer
• abnormal masses in your rectum and anus

Your doctor will be able to tell immediately if there are any areas of concern that may warrant further testing.

The results of a DRE exam are either normal or abnormal, but doctors typically rely on several different tests to help them make a prostate cancer diagnosis.

If your doctor feels something abnormal during the DRE, they will probably recommend getting a PSA blood test, if you havent done so already.

• transrectal ultrasound

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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Do You Also Ejaculate When You Have A Prostate

Fred: Sometimes yes, sometimes no. Occasionally Ill shoot when Ive gone through a prostate orgasm, but usually, if I ejaculate, I dont even notice.

Alan: Most of the time I do ejaculate with a prostate-induced orgasm, but the first time I didnt. Its how I learned I could climax without an ejaculation.

Drew: I generally cum from p-spot orgasms, but it’s more drawn out and less of a “shooting my load” type situation. The cum oozes out during the drawn-out orgasm and is usually accompanied by some really lovely spasming of my hole.

Oh boy, do I ever. I have been told on multiple occasions that I need to do adult film work with the amount that I ejaculate when my prostate is stimulated. Fountain, hose, shower, drain spoutjust a few of the words that humans have used to describe my cumshot when something is up my rear end.

Daniel: Many times when I’m enjoying prostate stimulation it’s difficult to keep an erection. I get lost in the waves of pleasure and just lose it. Other times, I can maintain my erection and will masturbate while being penetrated or stimulated. I can time my prostate orgasm with my penile one causing a massive surge of energy and triggering dopamine to leak in my brain.

Dominus: I practice Tantra and can have multiple body orgasms that aren’t ejaculatory, and prostate play can get me to that state. Now if I want to ejaculate at the same time, at my age, this is the only time I really shoot like I did in my teen years.

When Is It Time To Stop Being Checked For Prostate Cancer

The answer depends on your current health and your level of concern about cancer.

Routine PSA testing to check for prostate cancer is no longer recommended for most men. But despite what the experts suggest, many men continue to opt for annual PSA tests. This includes a surprisingly large number of men in their 70s. In a recent study in the journal Cancer, more than half of a group of men 75 and older had PSA tests and biopsies.

These men have placed their hope in the value of early diagnosis and treatment, yet stand to gain less from PSA testing than younger men. Across all ages, routine PSA screening leads to life-saving treatment for cancer in about one in every 1,000 men screened.

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What To Expect During The Digital Rectal Exam

Your doctor may examine you either standing or lying down.

• If standing, you will be asked to stand facing the examination bed, with feet apart, body bent forward and your arms or elbows on the bed. Feel free to ask your doctor to give you a heads up before making any sudden movements.
• Wearing surgical gloves, the doctor will coat a finger in lubricant.
• The finger will be inserted into your rectum in a downwards angle. You may feel a little pressure or slight discomfort, but it shouldn’t hurt. It is important to relax and take deep breaths and let the doctor know immediately if there is pain.
• Your doctor may have to wait a few seconds for your external sphincter muscle to relax, and may ask you to bear down as if you are having a bowel movement.
• The doctor moves the finger in a circular motion in order to identify the lobes and groove of the;prostate gland.;The doctor checks for:Lumps on or around the prostate
• Swelling;
• Hard spots or bumps;;
• Abnormalities on the prostate
• A normal prostate is usually around 2-4 cm long and has a triangular shape, with a firm and rubbery texture

Research Into Prostate Cancer Screening

Many prostate cancers grow very slowly and dont cause men any problems in their lifetime. Overall, evidence from trials of prostate screening has shown that prostate cancer screening does not reduce the number of men dying from prostate cancer.

The Cancer Research UK CAP trial looked at whether a single PSA blood test would reduce the number of men dying of prostate cancer. This was a large UK study with over 400,000 men between the ages of 50 and 69 taking part. Around half the men were offered a PSA blood test the other half weren’t.;

The results in early 2018 showed that the number of men dying from prostate cancer was the same in both groups. This was after 10 years of follow up. The researchers say that this trial doesnt support PSA testing as a screening test for prostate cancer. They say we need more research to find a better screening test.

This supports what the 2013 Cochrane review found. This looked at screening research from a number of trials and concluded that prostate cancer screening did not reduce the number of men dying from prostate cancer.;

Research looking at doing more than one test doesnt show that this would help either. Increasing the number of tests could increase the level of harms such as diagnosing those cancers that wouldnt cause any harm . Many men have side effects from treatment and the risks of routine PSA screening outweigh the benefits.

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Benefits And Harms Of Screening

The benefit of screening is that the disease is often curable with early detection .; Common treatments like surgery or radiation aim to remove or kill all cancerous cells in the prostate.; If the cancer spreads beyond the prostate before it is treated, it is often fatal.; However, the cancer usually grows so slowly that it is often equally safe to wait until there are symptoms before attempting to diagnose prostate cancer. Symptoms of prostate cancer might include urinary problems, difficulty having an erection, or blood in the urine or semen.

The harms of screening include 1) inaccurate results leading to unnecessary biopsies and complications, and 2) complications from unnecessary treatment. Even if a man has prostate cancer, if he does not have symptoms he may not need to be treated. Experts estimate that between 18% and 85% of prostate cancers detected by these screening tests would never become advanced enough to harm the patient.; This wide range of uncertainty, however just adds to the confusion.

Unnecessary treatment costs a lot of money, but the main concern is the complications, which include serious and long-lasting problems, such as urinary incontinence and impotence.15

What Was Your First Prostate

Fred: I didnt expect it, so it was a very new sensation. It was like feeling someone lighting a fire in my feet and feeling it slowly spread all the way up my body. Slowly moving through my torso and making me shiver. I was in shock!

Alan: My first prostate-induced orgasm felt like an out of body explosion. My head was dizzy for like a minute afterward, and I had this absolutely incredible rush of nothing but pleasure. Needless to say, I was hooked and wanted to keep going.

Evan: My first prostate induced orgasm was because of a prostate toy I bought a few years ago. I never had one before using it. It was pretty hot because the toy got me really close to ejaculating without touching my dick. Then all it took was a little stroke, and I shot everywhere.

Drew: I remember the first time pretty vividly. I was having sex with a fuckbuddy and they repositioned me on my back with my legs up on their shoulders. They started pounding away at my hole and must’ve found just the right angle or something because a whole new wave of pleasure and sensation came over me. I’ve never looked back since.

It was heaven. I almost didn’t understand what was happening. That there could be so much sensation, throughout every inch of my body, was brand new to me.

Ryan: The first time I realized I liked it up the butt and really hit my prostate myself was when I was 16. I got my first vibrator and really went to town on my own ass.

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Why Is Active Surveillancethe Wait

We utilize active surveillance;for men who have been diagnosed with a low-grade prostate cancer. The reason we monitor low-grade prostate cancer using active surveillance, rather than treating it aggressively, is that there are cancers that dont need treatment. ;

With low-grade prostate cancer, youre more likely to have problems from the treatment than from the prostate cancer. Any treatment we do for prostate cancer is going to affect a mans urinary and sexual function. It may affect it a little bitor a lot. With this type of prostate cancer, we can tell you now that theres very little likelihood the cancer is going to cause you any problems. We have a good and growing amount of evidence that low-grade prostate cancers, on average, progress very slowly and do not appear to spread to the lymph nodes. Active surveillance lets us detect higher grade disease and treat it at that point.

For us to do anything and treat it is going to change your quality of life. I think thats a powerful thing.;

How Would You Say Prostate Orgasms Differ From Penile Ones

Fred: Theyre way more intense. Penile orgasms are quicker, and they dont feel anywhere near as good. I love both, naturally, but for me, a penile orgasm is a quick release, whereas getting a prostate orgasm is a full eyes rolled back situation.

Alan: The obvious answer for me is the different location of the sensations. Oftentimes, with prostate orgasms, I have engaged my entire body. On top of that, it doesnt have to mean an ejaculation, thus changing how we define what the climax of our sexual pleasure is. I often find, depending on the situation, that I can have sex longer with a prostate orgasm.

Evan: Prostate orgasms are a lot more full-body. I feel it more in my legs and torso, rather than just locally in my dick. Also, sometimes I cum kind of quickly from penile orgasms, and with prostate stimulation, I last longer in every way. The resulting orgasm is generally longer and “slower” than just stimulation from my dick.

Drew: In my experience, p-spot orgasms are really different from penile ones. When I cum via penile stimulation it feels like a quick and heavy punch to my pleasure center, followed by a really nice burst/release; prostate orgasms are much more intense and drawn out. At some point, I usually start oozing cum , which can go on for quite a while. I liken this all to an ocean wave on the beach, undulating between crashing up the shore and receding back down to the sea, only to come back once more.

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What Are The Symptoms Of Prostate Cancer

If you notice any of the following symptoms, please see your doctor immediately.

• Erectile disfunction or other irregularities. If youre suddenly experiencing erectile dysfunction or having trouble performing sexually, it could be a sign of Prostate cancer.
• Blood in urine or semen. If theres any pain or burning sensation while urinating or you find blood in your urine or semen, please consult you doctor at once.
• Frequent urination. If you notice that youre urinating much more frequently, its worth discussing it with your doctor to find the probable cause.
• Any changes to your urination pattern, such as a weak flow, dribbling after urination or bladder obstruction need to be checked out as well.

As men age, the prostate can become enlarged and lead to some of the above problems. If you notice any of the above-mentioned symptoms, please do not panic. Go see your doctor to get your Prostate checked to rule out cancer.

What Are We Looking For

Many men experience issues with their prostate gland as they age. The symptoms for benign;prostate enlargement and prostate cancer are very similar – most men present first with urinary issues. When your prostate has simply enlarged the surface is usually smooth. We begin to suspect prostate cancer when the surface is hard and lumpy. It’s a key difference and the best way to find out is via a rectal exam.

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What Is A Prostate Cancer Screening Like

A prostate cancer screening can be conducted in one of two ways. The first, a PSA test, is a simple blood draw. The second is a brief rectal exam that takes less than 30 seconds to perform.

For a screening, if a patient comes and asks for a prostate cancer screening, it begins with a blood test, said Ehdaie. Its a small vial of blood, and then a medical history and physical examination. In the physical examination there will be a digital rectal examination in which the physicians finger is inserted into the rectum to feel the prostate.

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