Men should generally start getting prostate exams around the age of 50 if they are at average risk. Men who have higher risk factors, such as African American descent or a family history of prostate cancer, should consider starting screenings earlier, around age 40 or 45. Annual screenings are commonly recommended for average-risk men between ages 50 and 75, while high- risk men may need earlier and possibly more frequent screenings.
Risk Factors and Screening Ages
- Average risk men: Start annual screenings at age 50 to 55.
- High risk men (African American or family history of prostate cancer): Start screenings at age 40 to 45.
- Screening before age 40 is generally not recommended unless there is a very strong family history or genetic risk.
Types of Prostate Exams
- Digital Rectal Exam (DRE): A doctor feels the prostate for abnormalities.
- Prostate-Specific Antigen (PSA) blood test: Measures PSA levels which can indicate prostate issues including cancer.
Additional Notes
- Screening decisions should be discussed with a healthcare professional who can consider personal risk factors.
- Some guidelines suggest discontinuing regular PSA testing after age 75 unless the person is in good health with a life expectancy of 10 years or more.
- Symptoms of prostate problems should prompt earlier evaluation regardless of age.
These recommendations align with those from major health organizations and medical centers as of 2024-2025.
