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gloved hands holding a PSA test as part of a prostate exam
By In-house Team, Circle Health Group

What to expect from your prostate exam

For many, the words "prostate exam" can conjure up feelings of unease and anxiety. It's natural to feel this way, especially when you're not sure what to expect. This article aims to ease your concerns and offer you a comprehensive guide on what a prostate exam entails, why it's crucial for men's health, and how to approach it with confidence

Every person deserves a life with optimal health, and men are no exception. One of the key components of men's health is the prostate exam—a simple, yet crucial test that helps in the early detection of potential issues.

A prostate exam is a medical test designed to check the health of the prostate gland, which is an essential part of the male reproductive system. Positioned below the bladder, this walnut-sized gland plays a role in both urine control and semen production. Let’s explore why this exam is so vital for men’s health.

Why is a prostate exam important?

The prostate gland, despite its small size, plays a pivotal role in men's health. Its primary function is to produce the seminal fluid that nourishes and transports sperm. But like other parts of our body, the prostate is not immune to health concerns.

The role of the prostate gland in the male body

Every male has a prostate gland and it has two key roles. First, it helps in controlling urine flow. The urethra, the tube that carries urine from the bladder out of the body, passes right through the prostate.

Secondly, the prostate secretes a fluid that nourishes and protects sperm. This fluid, when mixed with sperm from the testes and secretions from the seminal vesicles, makes up semen.

The health of your prostate can be an indicator of your overall health. A healthy prostate means that you're likely keeping up with your regular check-ups and are aware of the changes in your body.

Link between prostate health and overall wellbeing

The health of your prostate can be an indicator of your overall health. A healthy prostate means that you're likely keeping up with your regular check-ups and are aware of the changes in your body. On the other hand, an enlarged or inflamed prostate can lead to issues with urination and sexual health, affecting your quality of life.

The importance of screening for prostate cancer and diagnosing early

One of the primary reasons for a prostate exam is to screen for prostate cancer. Prostate cancer is the most common cancer among men, and early detection can significantly improve the outcome. When identified early, treatment options are broader, and survival rates are higher. The exam can identify potential issues before they manifest into severe symptoms or complications.

Having a prostate exam, particularly as you age or if there's a family history of prostate issues, is a proactive step toward ensuring long-term health. Knowledge is power, and understanding what's going on inside your body gives you the tools to make informed decisions about your health.

Now, let’s discuss common concerns about the prostate exam and provide a step-by-step guide on what to expect before, during, and after the examination. Your wellbeing is our priority, and we're here to guide you every step of the way.

Common prostate exam concerns

As you approach your prostate exam, it's perfectly natural to have questions and perhaps some apprehensions. Here, we aim to address some of the most common concerns men have about the procedure and offer insights to help ease your mind.

Will the exam be painful?

It's a common question, and the answer, in most cases, is no. The prostate exam, or digital rectal exam (DRE), typically causes a sensation of pressure, which some might find a bit uncomfortable, but it shouldn't be painful.

General feelings during the examination

During the DRE, you might feel a sensation akin to the urge to pass urine or a bowel movement. This is a typical response, as the doctor is examining the prostate, which is located close to the rectal wall.

The importance of relaxation during the exam

Relaxation is key. The more relaxed you are, the smoother the process will be. If you're tense, the muscles in the area can tighten, making the examination a bit more uncomfortable. Take deep breaths, and if at any point you feel pain or severe discomfort, let your doctor know immediately. Remember, they're there to ensure your comfort and health.

How invasive is the procedure?

The term ‘invasive’ itself can be daunting. However, when it comes to the prostate exam, it's crucial to understand the process and its relative simplicity.

It’s simple – how it’s done

The DRE involves the doctor inserting a lubricated, gloved finger into the rectum to feel the surface of the prostate. The primary goal is to check for any abnormalities, such as bumps or hard areas that might indicate a health concern. This procedure provides the doctor with first hand information about the size, shape, and texture of the gland.

It’s short and the benefits are more than worth it

The actual examination lasts only a few seconds to a minute. Though it might be a brief moment of discomfort, the benefits are profound. The DRE can help detect early signs of prostate issues, which, when addressed early, can lead to better health outcomes.

Is it normal to feel nervous?

Absolutely. It's entirely natural to feel nervous or anxious about any medical procedure, especially one that might feel a bit personal or intimate.

Addressing natural nerves about the exam

First and foremost, remember that medical professionals conduct these examinations daily. Their primary focus is on your health, ensuring you're in the best possible shape. They approach the procedure with utmost professionalism, aiming to make it as quick and comfortable as possible.

Strategies to reduce nervousness

  • Learn about it: Familiarity can help reduce fear. The more you understand about the procedure, the less intimidating it will feel. Consider reading up on the exam or watching explanatory videos
  • Talk to a doctor beforehand: If you have any concerns, discuss them with your doctor before the exam. They can provide insights, allay your fears, and offer suggestions to make the process smoother
  • Relaxation techniques: Techniques like deep breathing or visualisation can help calm your nerves before the procedure

Remember, the prostate exam is a proactive step toward ensuring your long-term health. With the right preparation and mindset, you can approach it with confidence and peace of mind

The prostate exam: step-by-step

Understanding what happens before, during, and after a prostate exam can alleviate any fears or misconceptions you may have about the procedure. This section will guide you through each stage of the process, ensuring you're informed and prepared.

Before the prostate exam

The success and comfort of your prostate exam start well before you're in the examination room.

Speak openly with your doctor

It can't be emphasised enough how crucial open dialogue is with your healthcare provider. Share any concerns, questions, or fears you might have about the upcoming procedure. Being informed about what to expect can be a significant relief and can help allay any apprehensions you might have.

Prepare for the exam if necessary

Typically, no special preparation is needed for a prostate exam. However, it's a good idea to wear loose, comfortable clothing to the appointment. Some men also find it helpful to empty their bladder beforehand, as this can make the procedure more comfortable.

During the prostate exam

The main portion of the prostate exam involves the digital rectal exam (DRE) and may include the PSA (prostate-specific antigen) blood test.

As mentioned earlier, the DRE involves the doctor gently inserting a lubricated, gloved finger into the rectum. They'll be feeling for the size, shape, and texture of the prostate, looking for any signs of abnormality. The entire procedure lasts for just a minute or less.

The PSA blood test and what it measures

Apart from the DRE, a PSA (prostate-specific antigen) blood test might be recommended. This test measures the level of PSA in your blood, which can help detect prostate health issues. Higher PSA levels can sometimes indicate prostate problems, including cancer, although other factors can also elevate PSA levels.

Both tests are short and straightforward

Both the DRE and the PSA blood test are quick and relatively simple. They're essential tools that medical professionals use to ensure your prostate is healthy or to detect issues early on when they're more manageable.

After the Exam

Once the exam is over, you might wonder about the next steps and what any findings might mean.

Understanding PSA levels and what they mean

If you've had a PSA test, the results will show the amount of PSA in your blood. A higher PSA level doesn't necessarily mean you have prostate cancer. It can be elevated due to several reasons, such as an enlarged prostate, a urinary tract infection, or recent physical activity. Your doctor will consider these factors when interpreting your PSA levels.

The significance of further tests or procedures

If there are concerns based on the DRE or PSA test results, your doctor may recommend further tests or procedures to get a clearer picture of your prostate health. This might include a repeat PSA test, an MRI scan, or a biopsy. Remember, early detection is the key, and any subsequent testing is to ensure your health and wellbeing.

Who should consider a prostate exam?

Every man must consider his prostate health as he ages. Knowing when to start and what to be aware of can make all the difference in early detection and effective treatment.

Age and the prostate exam

Age plays a significant role in determining when you should consider a prostate exam.

All men over age 50

Medical professionals often recommend that men over 50 consider having regular prostate exams. It's during this age bracket that the risk for prostate-related concerns starts to increase.

Those with a family history of prostate concerns

If prostate cancer or other related conditions run in your family, it might be advisable to start examinations earlier, sometimes as early as 40. A family history can heighten the risk, making early surveillance essential.

Signs to watch out for

Being aware of early signs can vitally speed-up diagnosis and treatment.

Early signs of prostate issues or cancer

  • Frequent urination, especially during the night
  • Difficulty starting or holding back urination
  • Painful or burning sensation during urination
  • Blood in the urine or semen
  • Persistent pain in the back, hips, or thighs

The importance of early detection and intervention

Catching prostate issues early on can make treatment more effective and improve long-term outcomes. Awareness of these symptoms and timely consultation can be lifesaving.

An annual check-up allows for monitoring of any health changes and early detection of potential issues. It's not just about prostate health but overall wellbeing.

Embracing proactive prostate health

Being proactive about your health is a cornerstone of prostate health and long-term wellness.

Maintain annual check-ups

An annual check-up allows for monitoring of any health changes and early detection of potential issues. It's not just about prostate health but overall wellbeing.

Keep an open dialogue with your doctor

Being open about your concerns and symptoms ensures that you and your healthcare provider are on the same page. This collaborative approach leads to more personalised care.

Take charge of your health

Take charge of your health by educating yourself, your diet and exercise, seeking regular check-ups, and advocating for tests or treatments when you believe they're necessary. Prevention and early detection are often more manageable than treatment.

Prioritise your prostate health today

Understanding the significance of prostate exams and their role in men's health can't be understated. Not only do these exams offer a chance for early detection and effective treatment, but they also provide peace of mind in knowing that you're taking steps to ensure your long-term health. Don't wait until symptoms arise. Prioritise your health today.

Is it time for your prostate exam, or maybe you noticed some of the symptoms listed above? Book an appointment online today with Circle Health Group or give us a call directly. We're here to guide you every step of the way and help you find the right specialist, tailored to your needs, from our expert team of urologists.

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If you're concerned about symptoms you're experiencing or require further information on this subject, talk to a GP or see an expert consultant at your local Circle Hospital.

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