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How Does A Prostate Exam Work

What Is Prostate Cancer Screening

What to Expect from a Prostate Exam

The prostate is a gland at the base of the male bladder which wraps itself around the beginning of the urethra . Though small, it can cause big problems for mens well-being. Prostate cancer is the fourth leading cause of death in Australian men, after heart attacks, lung cancer and stroke.

The hope with cancer screening is that, by picking up cancer early, we may forestall death and avoid suffering. But for prostate cancer, our screening tests have significant limitations.

Self Prostate Exam For Prostatic Hyperplasia

Clinically we divided prostatic hyperplasia into three gradients, indicating the severity of benign prostatic hyperplasia disease. So, in our daily lives, how to perform self prostate exam? What are the evaluation criteria?

According to the severity of the disease, each disease can be divided into mild, moderate and severe, benign prostatic hyperplasia is with no exception. So what are the typical symptoms for mild, moderate and severe prostatic hyperplasia? How can we male patients to perform self prostate exam?

How Do I Screen For Prostate Cancer

There are two main early stage screening methods a digital rectal exam , and a blood test measuring PSA levels. PSA screening is regarded as the best method to screen for prostate cancer in men over 40 or those of a certain risk factor.

While men might be intimidated by a DRE, itâs a quick and safe screening technique used by a physician, and should cause no significant pain.

A Digital Rectal Exam is a simple, painless and quick procedure. A physician inserts a gloved and lubricated finger into the rectum and feels the prostate to identify if the prostate is enlarged, has lumps or is an abnormal texture compared to a healthy example.

Although this procedure is a very clear indicator of prostate health, the entire prostate canât be examined during a DRE. This is why physicians will also take into account PSA blood work, health history, and other risk factors. Overall, itâs often difficult to detect prostate cancer early, itâs mostly found through PSA testing – so PSA screenings should be done regularly, starting at the age of 40-50.

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Why Are Prostate Exams Performed

A lot of men do not realize the importance of a frequent prostate exam. When a man goes for a general check-up with his doctor, a prostate exam may be advised. This is considered part of a general health check-up.

It is generally advised that men undergo frequent health screenings once they reach the age of 40 . Research shows that this is the time when the risk of several prostate conditions increases.

For this reason, after 40, a man should ensure they obtain a prostate exam as part of their health screening.

The main reason why a doctor may advise on a prostate exam is to feel for any abnormalities with the mans prostate. This helps detect prostate disease. It is usually possible for a doctor to determine the health of the mans prostate through this examination. Further testing may be needed too.

The doctor can detect different prostate problems through a prostate exam. It is often considered the initial diagnostic option. The prostate exam itself can give a doctor an indication if there is an enlargement or swelling in the prostate gland. It also helps to determine prostate health.

In most cases, a prostate exam alone will not be the only diagnostic tool. After a digital rectal exam is done, the doctor will order additional tests if abnormalities are identified. This will help to diagnose problems like cancer and prostate enlargement.

How Do You Find It

Prostate exam: How is it done and who should have one?

Youll need to head south along the back road to find it in a magical place called the anal region.

Although entering through the anus is the most direct way, you can also stimulate the prostate indirectly through the perineum, or taint.

This is the skin that runs underneath the scrotum to the anus.

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Why Can Stimulating The Prostate Feel So Good

The anus and its surrounding area are packed with nerve endings, Hong explains. Thats precisely why anal play can feel so amazing whether or not you have a prostate. Dr. Hong also notes that the prostate has plenty of blood vessels that swell with increased blood flow. The extra blood helps make the area more sensitive, which can boost pleasure.

Even though the anus is surrounded by nerve endings, its also surrounded by stigma. The human body is amazing in that parts like the vagina and anus have natural functions but can also be sites of intense pleasure. Trying out different sex-related acts is normal, and discovering new ways to experience pleasure is always a good idea.

Who Interprets The Results And How Do I Get Them

A radiologist, a doctor trained to supervise and interpret radiology exams, will analyze the images. The radiologist will send a signed report to your primary care or referring physician, who will share the results with you.

You may need a follow-up exam. If so, your doctor will explain why. Sometimes a follow-up exam further evaluates a potential issue with more views or a special imaging technique. It may also see if there has been any change in an issue over time. Follow-up exams are often the best way to see if treatment is working or if a problem needs attention.

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What Are Some Common Prostate Problems

The most common prostate problem in men younger than age 50 is inflammation, called prostatitis. Prostate enlargement, or benign prostatic hyperplasia , is another common problem. Because the prostate continues to grow as a man ages, BPH is the most common prostate problem for men older than age 50. Older men are at risk for prostate cancer as well, but it is much less common than BPH.

Is Going To The Bathroom Frequently A Sign Of Prostate Cancer

What it’s like to go for a rectal screening for prostate cancer

Thats one of the challenging things having urinary symptoms is very rarelyalmost nevera sign of prostate cancer. Having urinary symptoms means you should probably be evaluated for an enlarged prostate, also known as benign prostatic hyperplasia . We can treat your urinary symptoms and help you pee better.

If urinary symptoms bring men to the doctor, we can discuss screening for prostate cancer. Thats important because not all men will go to a doctor until theres something wrong with them. And prostate cancer screening really is the only way to detect prostate cancer, because its almost always asymptomatic.

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Repeating The Psa Test

A mans blood PSA level can vary over time , so some doctors recommend repeating the test after a month or so if the initial PSA result is abnormal. This is most likely to be a reasonable option if the PSA level is on the lower end of the borderline range . For higher PSA levels, doctors are more likely to recommend getting other tests, or going straight to a prostate biopsy.

How Do You Prepare To Give A Prostate Massage

When it comes to sex, there are two kinds of safety: physical and psychological. Psychological safety starts with permission, Hong explains. Prostate stimulation is not something you surprise withit takes some preparing, Lexx Brown-James, Ph.D., L.M.F.T., tells SELF. That means bringing it up verbally before getting down to business. A simple You know, theres something Ive been really excited about trying… can help start the conversation, Brown-James says.

If you and your partner both agree to try it, youll also need to account for physical safetywhich boils down to avoiding anal trauma. So it might be helpful to learn a few best practices before you talk to your partner, TBH. This way you can discuss any concerns they or you might have.

The first step in safe prostate play is washing your hands with good old soap and water. You can use these handy instructions from the Centers for Disease Control and Prevention . As you probably know from the new coronavirus pandemic, keeping your hands clean is one way to avoid spreading germs on your hands to the eyes, nose, or mouth. Its also a good time to mention that you dont need any special antibacterial soap for this. As SELF has previously reported, tried-and-true hand soap will do the trick.

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How Would You Say Prostate Orgasms Differ From Penile Ones

Fred: Theyre way more intense. Penile orgasms are quicker, and they dont feel anywhere near as good. I love both, naturally, but for me, a penile orgasm is a quick release, whereas getting a prostate orgasm is a full eyes rolled back situation.

Alan: The obvious answer for me is the different location of the sensations. Oftentimes, with prostate orgasms, I have engaged my entire body. On top of that, it doesnt have to mean an ejaculation, thus changing how we define what the climax of our sexual pleasure is. I often find, depending on the situation, that I can have sex longer with a prostate orgasm.

Evan: Prostate orgasms are a lot more full-body. I feel it more in my legs and torso, rather than just locally in my dick. Also, sometimes I cum kind of quickly from penile orgasms, and with prostate stimulation, I last longer in every way. The resulting orgasm is generally longer and “slower” than just stimulation from my dick.

Drew: In my experience, p-spot orgasms are really different from penile ones. When I cum via penile stimulation it feels like a quick and heavy punch to my pleasure center, followed by a really nice burst/release prostate orgasms are much more intense and drawn out. At some point, I usually start oozing cum , which can go on for quite a while. I liken this all to an ocean wave on the beach, undulating between crashing up the shore and receding back down to the sea, only to come back once more.

How Is Prostate Cancer Detected

Trick to Remember function of Reproductive glands ...

There is no single test to detect prostate cancer. The two most common tests are the prostate specific antigen blood test and the digital rectal examination .

The PSA test measures the level of PSA in your blood. It does not specifically test for cancer. Virtually all PSA is produced by the prostate gland. The normal range depends on your age. A PSA above the typical range may indicate the possibility of prostate cancer. However, two-thirds of cases of elevated PSA are due to noncancerous conditions such as prostatitis and BPH.

A DRE is generally conducted by a urologist to feel the prostate. While DRE is no longer recommended as a routine test for men who do not have symptoms of prostate cancer, it may be used to check for any changes in the prostate before doing a biopsy.

If either of these tests suggest an abnormality, other tests are necessary to confirm a diagnosis of prostate cancer, usually a magnetic resonance imaging scan and transrectal ultrasound biopsy.

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How To Check Your Prostate

This article was co-authored by Robert Dhir, MD. Dr. Robert Dhir is a board certified Urologist, Urological Surgeon, and the Founder of HTX Urology in Houston, Texas. With over 10 years of experience, Dr. Dhirs expertise includes minimally-invasive treatments for enlarged prostate , kidney stone disease, surgical management of urological cancers, and mens health . His practice has been named a Center of Excellence for the UroLift procedure, and is a pioneer in non-surgical procedures for ED using his patented Wave Therapy. He earned his undergraduate and medical degrees from Georgetown University and was awarded honors in pre-medical studies, urology, orthopedics, and ophthalmology. Dr. Dhir served as chief resident during his urological surgical residency at University of Texas at Houston / MD Anderson Cancer Center in addition to completing his internship in general surgery. Dr. Dhir was voted Top Doctor in Urology for 2018 to 2019, one of the top three Best Rated Urologists in 2019 & 2020 for Houston Texas, and Texas Monthly has named him to the 2019 & 2020 Texas Super Doctors Rising Stars list.wikiHow marks an article as reader-approved once it receives enough positive feedback. This article has 11 testimonials from our readers, earning it our reader-approved status. This article has been viewed 1,038,621 times.

How Is A Digital Rectal Exam Performed

A DRE is a physical exam of the prostate. The health care provider will ask the patient to bend over a table or lie on his side while holding his knees close to his chest. The health care provider slides a gloved, lubricated finger into the rectum and feels the part of the prostate that lies next to it. The DRE may be slightly uncomfortable, but it is brief. This exam reveals whether the prostate has any abnormalities that require more testing. If an infection is suspected, the health care provider might massage the prostate during the DRE to obtain fluid to examine with a microscope. This exam is usually done first. Many health care providers perform a DRE as part of a routine physical exam for men age 50 or older, some even at age 40, whether or not the man has urinary problems.

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What Was Your First Prostate

Fred: I didnt expect it, so it was a very new sensation. It was like feeling someone lighting a fire in my feet and feeling it slowly spread all the way up my body. Slowly moving through my torso and making me shiver. I was in shock!

Alan: My first prostate-induced orgasm felt like an out of body explosion. My head was dizzy for like a minute afterward, and I had this absolutely incredible rush of nothing but pleasure. Needless to say, I was hooked and wanted to keep going.

Evan: My first prostate induced orgasm was because of a prostate toy I bought a few years ago. I never had one before using it. It was pretty hot because the toy got me really close to ejaculating without touching my dick. Then all it took was a little stroke, and I shot everywhere.

Drew: I remember the first time pretty vividly. I was having sex with a fuckbuddy and they repositioned me on my back with my legs up on their shoulders. They started pounding away at my hole and must’ve found just the right angle or something because a whole new wave of pleasure and sensation came over me. I’ve never looked back since.

It was heaven. I almost didn’t understand what was happening. That there could be so much sensation, throughout every inch of my body, was brand new to me.

Ryan: The first time I realized I liked it up the butt and really hit my prostate myself was when I was 16. I got my first vibrator and really went to town on my own ass.

Prostate Massage Therapy And Why It May Be Helpful

What to Expect from a Prostate MRI Exam

Prostate massage therapy , in which the prostate is stimulated through the rectum, was once a popular treatment for prostatitis.

The procedure is similar to a digital rectal exam, except rather than briefly looking for abnormalities on the prostate, the person performing the prostatic message rubs the prostate with light to moderate pressure until it secretes fluid through the urethra .

It was once thought that people could relieve symptoms related to prostatic congestion by expelling inflammatory cells and fluid from the obstructed glands. But this therapy largely fell out of favor in the 1960s, once antibiotics became available.

A study published in the journal Neurology tested whether prostate massage could be used as an adjunct treatment for people with chronic prostatitis, but the researchers found that the treatment did not significantly help patients.

In some cases, doctors have used prostate massage therapy to obtain sperm from men with spinal cord injuries, leading to successful pregnancies. But electroejaculation stimulating the prostate using an electric current delivered through a probe inserted into the rectum typically yields more sperm, noted an article published in the journal Nature Reviews Urology.

Using prostate massage to achieve ejaculation is sometimes called prostate milking. Both prostate massage and prostate milking can also be sexual techniques to stimulate pleasure.

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Why You Should Screen

Prostate cancer is the most common type of cancer found in men. The cause of prostate cancer is unknown. Research has found it is most common in men who:

  • are over age 50
  • have a family history of prostate cancer
  • are of African ancestry

If caught early, treatment is often successful. If you need treatment, your doctor will discuss the options with you.

The Prostate-specific antigen test is the best way to detect prostate cancer but may also produce false results.

How Should I Prepare

Your MRI exam may use anendorectal coil, a thin wire covered with a latex balloon. The doctor places the coil a short distance into the rectum. The rectum is located immediately behind and up against the prostate. Placing the coil into the rectum so close to the prostate helps generate more detailed images. It also enables yourradiologist to perform magnetic resonance spectroscopy. MR spectroscopy can provide additional information on the chemical makeup of cells in the prostate. Additionally, prostate MRI may examine water molecule motion and blood flow within the prostate to help differentiate between diseased and normal prostate tissue.

Your doctor will typically use an endorectal coil with low-field MRI magnets if you have a metal orthopedic implant. Metal implants may interfere with imaging when using a high-field magnet MRI. The doctor will typically not use an endorectal coil with high-field MRI units.

You will need to change into a hospital gown. This is to prevent artifacts appearing on the final images and to comply with safety regulations related to the strong magnetic field.

Guidelines about eating and drinking before an MRI vary between specific exams and facilities. Take food and medications as usual unless your doctor tells you otherwise.

If you have claustrophobia or anxiety, ask your doctor to prescribe a mild sedative prior to the date of your exam.

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