How do you say
“I love you” to the
men in your life?
For men, the big 4-0 is a great time to start an annual tradition – getting a PSA test. Studies show that men who get this test yearly starting in their early 40s have a better survival rate if they develop prostate cancer in their 50s or 60s. Unfortunately, our experience shows that men often won’t seek regular medical care or tests unless the women in their lives urge them to do it. So, ladies, here’s what you need to know about prostate cancer and the PSA test.
Normal levels of the protein detected by the prostate-specific antigen (PSA) test vary significantly from one man to the next. By getting this test yearly in his 40s -- before he’s likely to have prostate cancer -- the patient will have established a baseline history by the time he’s in his 50s. That will let the doctor decide if a patient’s PSA level is high based on his personal history.
Also, the doctor will have a map of how quickly the patient’s PSA level is rising. If a patient develops prostate cancer, the rate that the PSA level is increasing will help determine if the cancer is aggressive or non-aggressive, allowing the patient and doctor to make a more informed decision about the course of treatment. An added benefit: getting the PSA test yearly beginning in his 40s makes it less likely a man will be misdiagnosed and undergo unnecessary treatment simply because his individual protein levels are higher than most men’s.
Who is most at risk for prostate cancer? Men with a family history, particularly a brother or father who has or had prostate cancer, are more at risk. The older a man is, the more likely he is to get prostate cancer, especially men over 65. Race is a factor: African Americans get it more often than any other race or ethnicity. Asians are least at risk.
Eating a lot of red meat and animal fat increases a man’s risk, as does being sedentary. Finally, men who have had vasectomies before the age of 35 have higher rates of prostate cancer.
But even men who don’t fall into these categories should be checked. Prostate cancer is a leading cause of death due to cancer in North American men, second only to lung cancer. PSA tests aren’t foolproof and the patient may need to have a digital rectum exam to go along with the PSA. However, studies have shown it to be an important tool in reducing the number
of deaths caused by prostate cancer.
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