I see both male and female patients. Women are accustomed to some sort of yearly exam, typically related to women’s health.
I’ve found over my years of practice that men typically present at the ages of 30, 40, or 50 wondering what is required of their health. Unlike women, the average healthy man may not have a specific need for a physician. It’s not unusual for a male patient to go over 20 years without seeing a physician. After going so long without seeing a physician naturally, they are very nervous about the prospect of meeting a physician and getting a rectal exam immediately.
These medical headlines are extremely helpful. The current recommendations are that for the majority of men, prostate cancer is not recommended.
My approach is education. Every man should be aware of symptoms of prostate enlargement, such as frequent urination or trouble emptying the bladder. Men should also be prepared discuss issues with sexual health, as any issues with having an erection could signal issues with cardiovascular disease. Checking PSA or performing a prostate exam won’t be necessary UNLESS a patient wants to do this. Patients that want a more rigorous screening exam have the option once we discuss the risks and benefits it prostate screening.