
Preparing for a Prostate Exam

A prostate exam is a crucial screening tool for detecting prostate issues, ranging from benign prostatic hyperplasia (BPH) to prostate cancer.
Our team at Chesapeake Wellness Center in Cecilton and Elkton, Maryland, offers expert management of chronic conditions like diabetes and hypertension. We also focus on protecting your health with routine physicals and screening tests like prostate exams.
The need for a prostate exam depends on several factors, including age, family history, and overall health. Check our team’s guidelines for scheduling a prostate exam and how to prepare.
Timing is everything for a prostate exam
The prostate is a small gland in the male reproductive system. The purpose of a screening exam is to look for signs of prostate cancer. The testing typically includes a blood test (PSA) and a digital rectal exam (DRE).
The American Cancer Society recommends prostate screenings based on age and risk factors, which they break down into three risk categories:
Average risk
Guidelines recommend beginning prostate exams at age 50 if you’re at average risk.
High risk
If you have a close family member (father or brother) who was diagnosed before age 65, or you’re African American, guidelines recommend you start screening at 45.
Highest risk
If you have multiple first-degree relatives who’ve had prostate cancer at an early age, your provider may recommend screening at 40.
Most prostate problems are noncancerous
Your Chesapeake Wellness Center provider may recommend a prostate exam based on symptoms such as frequent urination (especially at night), weak stream, difficulty emptying your bladder, or pelvic discomfort.
While these symptoms could indicate cancer, they’re most often related to benign conditions such as benign prostatic hyperplasia (BPH). This age-related prostatic enlargement is common, affecting most men after 60.
How to prepare for a prostate exam
Preparation for a prostate exam is simple. Here are some tips to help you get ready:
Review your medical history and symptoms
Take the time to review your symptoms or family history of prostate disease before the test. Share these issues during the pre-exam discussion to help provide a more complete prostate health assessment.
Avoid ejaculation before a prostate-specific antigen (PSA) blood test
Refrain from ejaculation 24-48 hours before the blood test since it could temporarily raise PSA levels and affect results.
Check your diet
Some doctors suggest avoiding spicy foods, caffeine, and alcohol before the exam, as they can irritate the prostate.
Stay hydrated
Drink plenty of water, but don’t overdo it right before prostate screening to avoid discomfort during the digital exam.
Relax
The digital rectal exam (DRE) is quick and typically not painful, but staying relaxed can help make the experience more comfortable.
Follow up as directed
If your initial PSA test or DRE shows abnormalities, your doctor may recommend additional diagnostic testing (biopsy) or more frequent screening.
Schedule a visit at Chesapeake Wellness Center today for all your health care needs. Call the office near you or request an appointment online.
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