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Screening Guidelines for Prostate Cancer

April 28, 2025

Prostate cancer is the second most common cancer in American men. While it is true that not all prostate cancers require immediate treatment, early detection is still one of the most important factors in surviving cancer. If your family medical history, lifestyle, or other factors indicate that you are at greater risk for prostate cancer, make sure you discuss prostate cancer screenings with your physician and decide if a screening is right for you.

The benefit of screening for prostate cancer is identifying high-risk, localized prostate cancer that can be successfully treated, thereby preventing the morbidity and mortality associated with advanced or metastatic prostate cancer.

In the United States, prostate cancer screening typically involves a PSA test and/or a digital rectal exam (DRE). The PSA test measures prostate-specific antigen in the blood, while the DRE is a physical examination of the prostate. The decision to screen is a shared one between the patient and their doctor. According to the American Cancer Society, the discussion about screening should take place at:

  • Age 50 for men who are at average risk of prostate cancer and are expected to live at least 10 more years
  • Age 45 for men at high risk of developing prostate cancer. This includes African American men and men who have a first-degree relative (father or brother) diagnosed with prostate cancer at an early age (younger than age 65).
  • Age 40 for men at even higher risk (those with more than one first-degree relative who had prostate cancer at an early age)

Your best chance of surviving prostate cancer is early detection. Prostate screenings can be easily performed by a family practice physician or an urologist. If you have any questions about prostate cancer screening or would like help scheduling a screening, please contact our center today.