Prostate Restored
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How is prostate checked?

Digital rectal examination (DRE) is when a health care provider inserts a gloved, lubricated finger into a man's rectum to feel the prostate for anything abnormal, such as cancer.

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Some men get a PSA test to screen for prostate cancer. Talk to your doctor, learn what is involved, and decide if a PSA test is right for you. Cancer screening means looking for cancer before it causes symptoms. The goal of screening for prostate cancer is to find cancers that may be at high risk for spreading if not treated, and to find them early before they spread. If you are thinking about being screened, learn about the possible benefits and harms of screening, diagnosis, and treatment, and talk to your doctor about your personal risk factors. There is no standard test to screen for prostate cancer. Two tests that are commonly used to screen for prostate cancer are described below.

Prostate Specific Antigen (PSA) Test

A blood test called a prostate specific antigen (PSA) test measures the level of PSA in the blood. PSA is a substance made by the prostate. The levels of PSA in the blood can be higher in men who have prostate cancer. The PSA level may also be elevated in other conditions that affect the prostate. As a rule, the higher the PSA level in the blood, the more likely a prostate problem is present. But many factors, such as age and race, can affect PSA levels. Some prostate glands make more PSA than others.

PSA levels also can be affected by—

Certain medical procedures.

Certain medications.

An enlarged prostate.

A prostate infection.

Because many factors can affect PSA levels, your doctor is the best person to interpret your PSA test results. If the PSA test is abnormal, your doctor may recommend a biopsy to find out if you have prostate cancer.

Digital Rectal Examination (DRE)

Digital rectal examination (DRE) is when a health care provider inserts a gloved, lubricated finger into a man’s rectum to feel the prostate for anything abnormal, such as cancer. The U.S. Preventive Services Task Force does not recommend DRE as a screening test because of lack evidence on the benefits.

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Is it a must for a man to erect every morning?

The lack of a morning erection isn't necessarily a concern. Sometimes, men wake up at different points in a sleep cycle, when an erection isn't occurring. Still, morning erections might provide some clues about penile health and erectile dysfunction (ED). Typically, men have several erections while they sleep.

Is a lack of morning erections a concern?

The lack of a morning erection isn’t necessarily a concern. Sometimes, men wake up at different points in a sleep cycle, when an erection isn’t occurring. Still, morning erections might provide some clues about penile health and erectile dysfunction (ED). Typically, men have several erections while they sleep. The process is called nocturnal penile tumescence (NPT) (or “morning wood” in slang terminology), and it occurs in males of all ages, even small children. NPT is associated with the activation of certain areas of the brain during REM (rapid eye movement) sleep and is not caused by sexual stimulation. If a man wakes up during or just following an REM sleep period, he might have a morning erection. ED can have physical and psychological causes. Sometimes, both physical and psychological factors are involved at the same time. When a man suspects he has ED, his healthcare provider might ask about morning erections. If he still experiences NPT, chances are his erection problems have a psychological origin, since his physical “plumbing” is still in working order. If he doesn’t have NPT, then physical issues may be the root of the problem. Morning erections are not the only criteria used to assess ED. Healthcare professionals will also consider a man’s medical history, testosterone levels, and any medications he takes.

Men should mention changes in their morning erections to their healthcare provider.

Cleveland Clinic

“Why Do Men Get Morning Erections? 5 Answers to Your Questions”

(June 22, 2016)

https://health.clevelandclinic.org/men-get-morning-erections-5-answers-questions/

International Society for Sexual Medicine

“What is nocturnal penile tumescence (NPT)?”

https://www.issm.info/sexual-health-qa/what-is-nocturnal-penile-tumescence-npt/

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