How often should a man have a PSA test?

every two to three years For most men, every two to three years is enough. Depending on the results of your first PSA test, your doctor may recommend you get screened less (or more) frequently.

hopkinsmedicine.org - Prostate Cancer: Age-Specific Screening Guidelines

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Johns Hopkins urologist Christian Pavlovich, M.D. , discusses what he wants men to know about today’s prostate cancer screening guidelines. When should you start getting screened for prostate cancer ? The answer depends on multiple factors, including your age and family history.

Prostate Cancer Screening Ages 40 to 54

The PSA test is a blood test that measures how much of a particular protein (called prostate-specific antigen) is in your blood. It’s been the standard for prostate cancer screening for 30 years. Your doctor will consider many factors before suggesting when to start prostate cancer screening. But he’ll probably start by recommending the PSA test. While the general guidelines recommend starting at age 55, you may need PSA screening between the ages of 40 and 54 if you: Have at least one first-degree relative (such as your father or brother) who has had prostate cancer

Have at least two extended family members who have had prostate cancer

Are African-American, an ethnicity that has a higher risk of developing more aggressive cancers

Prostate Cancer Screening Ages 55 to 69

This is the age range where men will benefit the most from screening. That’s because this is the time when:

Men are most likely to get cancer

Treatment makes the most sense, meaning when treatment benefits outweigh any potential risk of treatment side effects Most men will get prostate cancer if they live long enough. Some prostate cancers are more aggressive; others can be slow-growing. Doctors will take your age and other factors into consideration before weighing the risks and benefits of treatment. You should ask your doctor how often he or she recommends you get screened. For most men, every two to three years is enough. Depending on the results of your first PSA test, your doctor may recommend you get screened less (or more) frequently.

Decoding a PSA Test

Doctors will consider your age and the size of your prostate when determining what your PSA score means. In general: For men in their 40s and 50s: A PSA score greater than 2.5 ng/ml is considered abnormal. The median PSA for this age range is 0.6 to 0.7 ng/ml. For men in their 60s: A PSA score greater than 4.0 ng/ml is considered abnormal. The normal range is between 1.0 and 1.5 ng/ml. An abnormal rise: A PSA score may also be considered abnormal if it rises a certain amount in a single year. For example, if your score rises more than 0.35 ng/ml in a single year, your doctor may recommend further testing. If your PSA score is in the abnormal range, your doctor may recommend you repeat the PSA test. If your levels are still high, your doctor might recommend one of the newer prostate cancer screening tests available today. These tests can help better assess your risk for prostate cancer and determine whether a biopsy is necessary. Only a prostate biopsy can definitively diagnose prostate cancer.

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

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Can sitting cause prostate problems?

Stand up when possible. When you sit for long periods, it puts pressure on your prostate gland and inflames it over time. Try to avoid long bike rides and sitting down for too long.

webmd.com - Can I Prevent Prostatitis? - WebMD

Prostatitis is a condition that causes your prostate gland to become swollen, tender, and inflamed. It can be quite painful, especially when you pee or ejaculate (release semen during an orgasm). The most common locations of pain were the perineum (the area between the anus and the scrotum), testes (58 percent), suprapubic area (Between the public area and belly button), and penis Doctors aren’t always sure what causes prostatitis. Common causes vary depending on whether it is acute vs. chronic and/or infectious vs inflammation. Sometimes, an infection in your urinary tract is to blame. Other times, it’s due to an injury or nerve damage. In many cases, doctors never find the cause. Because of that, treatment for prostatitis can be a challenge. For some men, it can take months -- or even years -- to recover. There’s no sure way to prevent getting this condition, but many small lifestyle changes can help keep your prostate gland healthy. They may also help to lower your risk of prostatitis. If you already have problems with your prostate, try these tips to ease your symptoms and keep your issue from getting worse.

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