What Is Prostate Cancer Screening?

Screening looks for signs of prostate cancer before symptoms appear.

The most common screening test is a simple blood test called PSA (prostate-specific antigen). In addition, we often perform a physical exam of the prostate to have a better sense of what the PSA results mean.

Who Should Consider Screening?

Screening decisions are individualized.

Many men begin discussing screening with their doctor around age 50. We often recommend starting screening at age 40 to get a baseline, especially if they:

  • Have a father or brother with prostate cancer
  • Are African American
  • Have certain inherited genetic risks

Together we can review your health history and determine whether screening makes sense for you.

What Happens If My PSA Is Elevated?

An elevated PSA does not automatically mean cancer.

PSA levels can rise for many reasons, including:

  • Enlarged prostate (BPH)
  • Prostate inflammation or infection
  • Recent ejaculation or prostate irritation
If your PSA is elevated, the next step may include:

  • Repeating the PSA test
  • Additional blood or urine testing
  • Imaging such as MRI
  • In some cases, a prostate biopsy

Our goal is to carefully evaluate results while avoiding unnecessary procedures whenever possible.

If Prostate Cancer Is Found

Many prostate cancers grow slowly and may not require immediate treatment. Depending on the situation, options may include:

  • Active surveillance (careful monitoring)
  • Surgery
  • Radiation therapy
  • Other treatments when appropriate

We take time to explain these options so you can make informed decisions that match your health goals and preferences.