Jan 27, 2021

When Should I Start Getting Checked for Prostate Cancer?

Identifying cancer in its earlier stages significantly increases the ability to treat it effectively. When it comes to prostate cancer, knowing when to start screening — and what to expect — can make all the difference.
By - Benancio Martinez, MS, APRN, FNP-C

Why Early Detection Matters

Prostate cancer is one of the most common cancers affecting men, and in many cases patients have no symptoms in the early stages. Waiting for symptoms to appear before getting checked is one of the most common mistakes men make. Early detection is key — and it starts with knowing when to begin screening.

What Age Should I Start?

Men over 50: The Y Factor recommends that all men over the age of 50 begin regular prostate cancer screenings. At this age, the likelihood of developing prostate cancer increases meaningfully.

Men under 50: A prostate-specific screening is not typically necessary before 50, but that doesn't mean younger men should skip their health evaluations entirely. The Y Factor recommends that men begin their Annual Urological Wellness Exam at age 20. This exam monitors a broad range of male-specific health conditions and establishes the baseline your providers need to track your health over time.

Don't Wait for Symptoms

One of the most important things to understand about prostate cancer is that symptoms are often absent in the early stages. By the time symptoms develop, the cancer may be at a more advanced stage. This is why regular screenings — not symptom-driven visits — are the standard of care.

The PSA Blood Test

After reviewing your medical history, one of the first tests performed at The Y Factor is the Prostate-Specific Antigen (PSA) blood test.

PSA is a protein produced by the prostate gland, found primarily in semen and blood. The test measures the level of PSA in the blood because the risk of prostate cancer increases as PSA production increases.

The scale used runs from 1 to 10 ng/mL (nanograms per milliliter). Generally, The Y Factor uses 4 ng/mL as a reference point — most men without prostate cancer have a PSA level below 4 ng/mL. Most men with prostate cancer see their PSA level rise above 4 ng/mL, though it is possible to have prostate cancer with a lower PSA level.

This is why the PSA test alone is not sufficient for a definitive diagnosis.

Why PSA Levels Can Be Misleading

The PSA test is a valuable screening tool, but it is not perfectly precise. Several factors can affect PSA levels and produce results that don't reflect cancer. Elevated PSA may be caused by:

  • An enlarged prostate
  • Older age
  • Prostatitis (infection of the prostate gland)
  • Ejaculation
  • Riding a bicycle
  • Other urological procedures
  • Hormones that raise testosterone levels

This is why a PSA result is always interpreted in the context of your full medical picture — and why additional testing is often necessary.

The Prostate Biopsy

When PSA results or other findings warrant further evaluation, a prostate biopsy is performed. This procedure involves taking a small sample of prostate tissue and examining it under a microscope. A biopsy is the most accurate way to confirm the presence of prostate cancer.

If cancer is detected, the biopsy also provides information about how quickly the cancer is likely to spread — which directly informs the treatment plan.

Serving Houston and the Surrounding Areas

The Y Factor provides prostate cancer screenings and comprehensive men's health evaluations to men across the greater Houston area, including Katy, The Woodlands, Tomball, Sugar Land, Cypress, Spring, Pearland, Friendswood, and League City.

Schedule Your Prostate Cancer Screening at The Y Factor

Whether you're over 50 and due for your first prostate screening, or a younger man looking to establish your annual wellness routine, The Y Factor is here to guide you through every step. Call one of our offices today to schedule your consultation.

Women have OB-GYNs. Men have The Y Factor.

Call us today or book online. Same-week appointments available in Houston.

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Frequently
Asked Questions

  • At what age should men start prostate cancer screenings?

    The Y Factor recommends prostate cancer screenings for all men over the age of 50. Men under 50 are encouraged to begin their Annual Urological Wellness Exam at age 20 to monitor overall male health.

  • What is the PSA test and what does it measure?

    The PSA (Prostate-Specific Antigen) test is a blood test that measures the level of PSA — a protein produced by the prostate gland — in the blood. Elevated PSA levels may indicate an increased risk of prostate cancer, though other factors can also raise PSA levels. The Y Factor uses 4 ng/mL as a general reference point.

  • Can I have prostate cancer if my PSA level is below 4 ng/mL?

    Yes. While most men with prostate cancer have PSA levels above 4 ng/mL, it is possible to have prostate cancer with lower levels. This is why PSA results are always reviewed alongside other findings, and why a prostate biopsy may be recommended for further evaluation.

  • What factors can cause a falsely elevated PSA level?

    Several factors can raise PSA levels without indicating cancer, including an enlarged prostate, older age, prostatitis, recent ejaculation, bicycle riding, certain urological procedures, and hormones that raise testosterone levels. Your provider at The Y Factor will review these factors when interpreting your results.

  • What happens if my prostate biopsy comes back positive?

    If cancer is detected, the biopsy also indicates how quickly the cancer is likely to spread. The Y Factor's urologists will use this information to develop an appropriate treatment plan tailored to your specific diagnosis.

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