Early-stage prostate cancer may cause no symptoms. Intermediate stages can cause urinary problems like trouble urinating, weak stream, frequent urination or pain with urination. High-risk stages can cause urinary problems and may also include weight loss, pain in the pelvic area or lower back or hips, loss of appetite or blood in the urine. Guidelines for prostate cancer screening are based on a man's age and his risk of getting prostate cancer. Some things that put men at a higher risk include:
- Being African American.
- Having a father or brother who had prostate cancer.
- When a gene change, such as BRCA, runs in your family.
The age-related recommendations for prostate cancer screening are:
If you are age 40 or under
- Men aren't advised to undergo screening for prostate cancer.
If you are 40 to 54 years old
- Men at average risk aren't advised to undergo screening for prostate cancer.
- Around age 45, men at higher risk should talk with their doctors about the pros and cons of testing and consider getting screened for prostate cancer.
If you are 55 to 69 years old
- All men are recommended to consider getting screened for prostate cancer after they have talked with their doctor about the pros and cons of screening.
If you are age 70 or older
- Most men aren't advised to undergo screening for prostate cancer as the side effects of screening often outweigh the benefits.