Prostate Cancer

Prostate screening looks for prostate-specific antigen (PSA) in the blood and may include a digital rectal exam (DRE). Talk with your clinician about when to start, because benefits depend on your age, family history, and personal values.

  • Average risk: discuss PSA/DRE between ages 50-69
  • Higher risk (Black men or strong family history): start the conversation at 40-45
  • Screening can pause after age 70 if PSA is consistently low
*Risk shortcuts
  • Average risk: no prostate cancer in close relatives, no known BRCA or similar mutations, and no concerning PSA history
  • Higher risk: Black men, strong family history, or known gene mutations—discuss starting at 40-45 and repeat tests more often

PSA Blood Test

Measures the level of PSA protein. A value above 4 ng/mL may prompt repeat testing, MRI, or a biopsy depending on trends and risk.

Digital Rectal Exam

A clinician gently checks for bumps or firmness on the prostate. When combined with PSA, it increases the chance of finding aggressive disease early.

MRI & Biopsy

If PSA stays elevated, MRI helps pinpoint suspicious areas. Image-guided biopsies then confirm whether cancer is present and how aggressive it is.

Lifestyle & Prevention

Balanced nutrition, regular exercise, and quitting smoking support prostate health. If you’re on testosterone therapy, check PSA more frequently.

Discuss These Symptoms

  • Weak urine stream or frequent nighttime urination
  • Blood in urine or semen
  • Pelvic discomfort, lower back pain, or unexplained weight loss