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Prostate cancer (needs checking)

Also called: Prostate cancer, high PSA, prostate cancer screening

Cancer of the prostate gland, common in older men. Many grow slowly. Talk with your doctor about PSA screening from age 50, or earlier with higher risk.

Common inMen over 50
Higher riskBlack men, family history
OptionsWatching, surgery, radiation

Overview

Early prostate cancer usually has no symptoms.

Peeing problems in older men are more often from an enlarged prostate.

Symptoms

Common signs:

  • Concern about prostate cancer or a high PSA
  • High PSA, or told the prostate feels hard or lumpy

Less common

  • Trouble peeing
  • Blood in urine or semen
  • Bone pain

When to get medical care

Call 911Can't pee at all.
Get care todayBone pain with weakness in the legs.
See a doctor soonA high PSA or peeing changes.

Causes

Aging, genes.

Does it spread or run in families?

  • Cancer isn't contagious. You can't catch it from someone.
  • It can run in families. Tell your doctor if a parent, brother, or sister has it.

Who is more likely to get it

  • Over 50
  • Black men
  • Family history

Possible complications

Diagnosis

Tests look for it.

Questions you may be asked

  • Family history

The exam

Rectal exam sometimes.

Tests

Tests, if needed:

  • PSA blood test:
  • MRI:
  • Biopsy:

Treatment

Choose a plan with your doctor.

Self-care

  • Ask about the pros and cons of PSA screening
  • Stay active and keep a healthy weight

Medicines

Medicines that may help:

MedicineHelps withGood to know
Hormone therapy
Advanced cancer

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Low-risk cancers are often watched (active surveillance).

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an oncologist (cancer doctor), often with a surgeon and a radiation doctor.

Living with it

  • Keep a simple diary of symptoms, triggers, and medicines to bring to visits.
  • Bring a list of your medicines and questions to each visit.
  • Ask for a survivorship care plan when treatment ends.
  • Gentle activity, like walking, can ease tiredness.
  • Long-term illness can affect mood. Tell your doctor if you feel down or anxious.

Support groups and helplines

Back to school, work, or sports

  • Most people can keep working or going to school.
  • Ask about changes that help, like extra breaks or a flexible schedule. Workers may be covered by the ADA. Students may get a 504 plan.

For caregivers

  • Go to visits when you can and take notes.
  • Keep a list of medicines, allergies, and doctors in one place.
  • Learn the warning signs that need fast care.
  • Take breaks and ask for help. Caregivers need care too.

Outlook

Most are very treatable.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Should I be screened?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Prostate cancer (needs checking)

Sources

Last updated 2026-11-12.