Is It Time You Booked A Prostate Exam
Prostate checks are a part of life for most adult men. Its a necessary step to ensure that you stay on top of your health and become aware of any abnormalities before they evolve into serious problems.
For many men, it can be a nervous time. General Practitioner, Dr Sir-Kit Leong, from SmartClinics Clayfield in Brisbane has answered some of the most frequently asked questions by patients. Take a read and if youre still unsure, book an appointment with your GP for a chat before committing.
Risks And Benefits Of Prostate Cancer Screening
There are two main benefits of prostate cancer screening.;
One is potentially preventing death from prostate cancer. Many men have prostate cancer without experiencing symptoms, so screening can potentially identify prostate cancer early on when it can be treated more easily.;
Another benefit of screening and early detection is potentially catching prostate cancer in its early stages, allowing for more effective treatment. Earlier treatment can help prevent prostate cancer from spreading beyond the prostate , which can cause several symptoms.
Unfortunately, there are drawbacks to prostate cancer screening. The DRE is not very sensitive or specific. This means that people who have prostate cancer can still have a normal DRE, while patients with an abnormal DRE may not have prostate cancer. For these reasons, healthcare providers are no longer performing DRE alone for routine prostate cancer screening and relying instead on the PSA test .;;
PSA testing also has limitations in screening for prostate cancer. Elevated PSA levels do not only occur in prostate cancer. Prostatitis or an enlarged prostate can also cause PSA levels outside the normal range. Abnormal test results can ultimately lead to undue anxiety and further testing that may prove unnecessary .;
Another problem with the PSA test is the potential for overdiagnosis and overtreatment. Screening uncovers patients with prostate cancer who would otherwise never have had any issues resulting from the disease.;
Is It Hard To Achieve A Prostate Orgasm
As Lehmiller notes, there is limited research on prostate orgasms, so personal experimentation is important.
That trial and error process can be time-consuming. Some prostate owners achieve the big O on the first go-around, while others have to have a bit of practice before finding what works, Saynt says. It also doesnt help that some prostate owners feel ashamed or less manly when partaking prostate play: The internalized shame and feelings of inadequacy could cause mental blocks which prevent the free release of the natural sex drugs our brains release when we are at our most heightened sense of pleasure,” he says. “This fear is a trauma which many men will never get past, making enjoyable and healthy practices like prostate orgasm impossible.
Thus, its important for partnersespecially vulva-ownersto be supportive. If you’re helping your partner achieve a prostate orgasm for the first time, take it slow; dont use toys or fingers until your partner is ready, and have frequent conversations with your partner about what they do and do not like. You can even ask them to demonstrate how they masturbate with their prostate.
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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.
What To Expect During A Prostate Exam
The prostate exam, or digital rectal exam , along with prostate-specific antigen testing, is sometimes part of the prostate cancer screening process. Recent research suggests that the DRE may be ineffective in prostate cancer screening. Current screening recommendations vary depending on age and other factors. Men aged 5569 should talk with their healthcare providers regarding their risks and benefits of prostate cancer screening. African Americans and men with a family history of prostate cancer may need early screening.
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At What Age Should You Get Screened For Prostate Cancer
The following prostate cancer screening guidelines apply to men expected to live at least ten years.
Men ages 45 to 49 should have a baseline PSA test.
- If the PSA level is 3 ng / mL or higher, men should talk with their doctor about having a biopsy of the prostate.
- If the PSA level is between 1 and 3 ng / mL, men should see their doctor for another PSA test every two to four years.
- If the PSA level is less than 1 ng / mL, men should see their doctor for another PSA test between the ages of 51 and 55.
Men ages 50 to 59 should have their PSA level checked.
- If the PSA level is 3 ng / mL or higher, men should talk with their doctor about having a biopsy of the prostate.
- If the PSA level is between 1 and 3 ng / mL, men should see their doctor for another PSA test every two to four years.
- If the PSA level is less than 1 ng / mL, men should see their doctor for another PSA test at age 60.
Men ages 60 to 70 should have their PSA level checked.
- If the PSA level is 3 ng / mL or higher, men should talk with their doctor about having a biopsy of the prostate.
- If the PSA level is between 1 and 3 ng / mL, men should see their doctor for another PSA test every two to four years.
- If the PSA level is less than 1 ng / mL, no further screening is recommended.
Men ages 71 to 75 should talk with their doctor about whether to have a PSA test. This decision should be based on past PSA levels and the health of the man.
What Do The Results Mean
PSA levels may be above the baseline for various reasons other than prostate cancer.
Other factors that can raise PSA levels include:
- older age
- an enlarged prostate â because of benign prostatic hyperplasia , for example
- prostatitis, which is inflammation and swelling of the prostate
Also, people with obesity may have lower PSA readings.
In addition, some medications may reduce PSA levels, including:
- 5-alpha reductase inhibitors, which can help treat BPH
- aspirin, which some people take regularly as a blood thinner
- statins, which help manage cholesterol levels
- thiazide diuretics, a kind of water pill that can help reduce high blood pressure
Some herbal medicines and supplements can also lower PSA levels. Tell the doctor about any medications and supplements before undergoing the test.
High PSA levels alone do not indicate cancer. However, if a DRE also reveals changes, a doctor may recommend a biopsy for a more accurate result.
The PCA3 is another test for prostate cancer that doctors use in some circumstances. Find out more.
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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 Are The Warning Signs Of Prostate Cancer
If you havent been for a prostate;exam for some time, it is well worth keeping an eye out for the warning signs of prostate cancer. Some of the warning signs include:
- Changed urination patterns. This can include urinating more frequently or finding it necessary to urinate more often at night. Finding it difficult to empty your bladder, or a weak/interrupted flow can also be a warning sign.
- Blood in urine or semen. Sometimes this may be accompanied by pain or a burning sensation.
- Erectile dysfunction or otherwise abnormal function. If youve found yourself having difficulties gaining or maintaining an erection, and cant identify any other likely cause, this may be a symptom of prostate cancer.
- Discomfort sitting or bending this can be an indication that your prostate is abnormally enlarged.
These warning signs can vary significantly between individuals. The absence of symptoms does not necessarily mean the absence of prostate cancer. Other symptoms may include weight loss, swollen feet, fatigue, or muscle pain elsewhere in the body. To be sure, it is important to book yourself in for a prostate exam.
If you are healthy and have no symptoms/signs, think about doing a prostate;exam from 40 years old.
A prostate;exam is advisable every one to two years once you reach the age where there is an increased risk of prostate cancer from around 50 and order.
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When To Get Tested
The USPTF and other medical experts recommend taking questions about prostate exams to the doctor. That’s because answers about the benefits and risks of prostate exams and when to get tested are personal they vary based on a person’s age, family history and overall health.
The 2017 USPTF guidelines suggest that screening should start at:
- Age 40 for anyone with a family history of prostate cancer
- Age 45 for African Americans
- Age 50 for everyone else
Follow-up tests may not be necessary depending on risk and the outcome of the first test. Because the disease develops slowly, tests usually stop after age 70.
Finding Prostate Cancer Early
There is no national screening program for the early detection of prostate cancer. Doctors have different opinions about whether all men without symptoms of prostate cancer should be tested.
There is concern that testing healthy men will cause unnecessary harm and lead to treatments that may not offer long-term benefits. Treatment for prostate cancer can leave men with side effects such as erectile dysfunction and continence issues, which can affect their quality of life.
Testing may identify fast-growing or aggressive cancers that have the potential to spread to other parts of the body and would benefit from treatment. It may also detect very slow-growing cancers that are unlikely to be harmful.
Weigh up all the risks and benefits before deciding whether to be tested for prostate cancer, particularly if you dont have symptoms. Talking to your doctor can help.
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When Should You Start Doing Self
If you develop a genital or rectal condition at a young age, your doctor may ask you to start doing genital self-exams.
Otherwise, you probably wont need to do self-exams until you begin;going through puberty.
Your doctor may also start performing genital exams at this time if they arent already as;part of your annual physical.
What Happens After A Clinical Exam
Your next steps will depend on what, if any, symptoms your doctor observed during the clinical exam.
Here are some possibilities:
- Youre referred to a urologist;or other specialist for specialized testing and diagnosis.
- You get further testing done;to diagnose conditions that may be causing genital abnormalities or growths.
- Youre prescribed medication;that can relieve symptoms of genital abnormalities or dysfunction.
- Youre referred to a;therapist or counselor;if the cause of your genital abnormalities is;psychological;or;emotional.
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Craig Melvin And Al Roker Premiere ‘get Checked’ Psa
Dr. Matthew Rettig, the medical director of the Prostate Cancer Program at the Institute of Urologic Oncology at UCLA in California, said that even if screenings aren’t performed right away, men should at least start talking about them with their doctors early in life.
“I think I would have that conversation fairly early on in life, maybe even in 30s or 40s, about when to initiate screening,” said Retting. “I think that would be most important for patients who are at high risk for prostate cancer and high risk for early onset of prostate cancer. Those are the types of patients that probably ought to have the discussion and make a decision about when to start screening at a relatively young age.”
Who Should Get A Prostate Exam
Starting at age 50, all men should discuss prostate cancer screening with their doctor. The American Cancer Society advises men at higher risk to have this conversation at age 45.
Youre considered to have an increased risk if youre African-American or if a first-degree relative had prostate cancer before age 65. If more than one first-degree relative had prostate cancer before age 65, you might want to consider beginning prostate cancer screening even earlier.
The ACS estimates there will be about 180,890 new cases of prostate cancer in the United States in 2016. About 26,120 men will die from it.
Prostate cancer is easier to treat before it spreads. However, some prostate cancers are so slow-growing that they dont always require treatment. A lot depends on your age and other factors.
Discuss your risk factors with your doctor, and ask if you should have a prostate exam as part of your yearly checkup.
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About Author: Ken Harris
Ken Harris is the proudest father and a writing coordinator for the Marketing & Communications division of OSF HealthCare.He has a bachelor’s in journalism from the University of Wisconsin-Madison and worked as a daily newspaper reporter for four years before leaving the field and eventually finding his way to OSF HealthCare.In his free time, Ken likes reading, fly fishing, hanging out with his dog and generally pestering his lovely, patient wife.
Health & Wellnessal Roker Reveals Prostate Cancer Diagnosis
Rettig said that someone who has a “strong family history” of early onset prostate cancer might want to talk to their primary care provider or other health care practitioner earlier in life, while someone with less risk might prefer to wait.
The guidelines for how often men should be screened again also vary. If you have a high prostate-specific antigen , a protein made by cells in the prostate gland, you may be recommended to come back for more frequent screenings, but those with lower PSA levels might only be advised to come back every four years or so.
“If you’re 55 and have you have a PSA of less than one, you can wait four years to get screened again,” Rettig explained. “Alternatively, if you’re 45 and have a PSA of two and a half, that might be someone who might get a biopsy or be re-screened within the year. … How frequently one would be prescreened is really contingent upon the specifics of the patient.”
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Will It Include A Prostate Exam
If youre;age 55 or older, you may already be getting;annual prostate exams.
Otherwise, your doctor likely wont recommend this exam unless they observe unusual symptoms that could be related to your prostate.
A prostate exam is actually composed of two different tests: the digital rectal exam and the;prostate-specific antigen ;exam. Heres how theyre done.
What Do You Want Men To Know About Prostate Cancer
The important thing to know is that, if you live long enough, you will probably get prostate cancer. If you live into your 80s, about 80 percent of men have some sort of prostate cancer. That doesnt mean theyre going to die from prostate cancer because, as a percentage, very few men die from prostate cancer. It means its important to be aware of it and consider screening early, so if its a high-grade type, we can identify it and treat it.;
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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.