how do they check your prostate
A prostate check is usually a quick, routine exam that mainly involves a blood test and a brief internal exam with a gloved finger to feel the gland through the rectum. It can be awkward but should not be very painful and normally takes less than a minute for the internal part.
What a prostate check is
- The prostate is a small gland that sits just below the bladder and in front of the rectum, and it helps produce semen.
- Doctors check it to look for problems like enlargement, inflammation, or possible signs of cancer, especially as men get older.
Main ways they check it
1. PSA blood test
- A small sample of blood is taken from your arm to measure prostate‑specific antigen (PSA), a protein made by prostate cells.
- Higher‑than‑expected PSA can mean many things (enlargement, infection, recent ejaculation, or cancer), so it is a “signal” to look closer, not a diagnosis by itself.
2. Digital rectal exam (DRE)
- You undress from the waist down and are usually asked to stand and lean forward or lie on your side with your knees drawn up.
- The clinician puts on a glove, applies lubricant, and gently slides one finger into your rectum to feel the back of the prostate for size, shape, and any hard or lumpy areas.
What it feels like and how long it takes
- The DRE usually feels like brief pressure and a strong “need to go” sensation rather than sharp pain; it is over in a few seconds.
- Discomfort can be higher if you are very tense, so slow breathing and relaxing your buttock muscles helps a lot.
If something seems abnormal
- If the PSA or DRE looks suspicious, the doctor may order more tests such as repeat PSA, MRI, ultrasound, or a biopsy to take tiny samples from the prostate for lab analysis.
- Biopsy is done with a thin needle (through the rectum or the skin between scrotum and anus) under local anaesthetic, often guided by ultrasound or MRI, and takes multiple small cores of tissue.
Tips before your first exam
- Ask what tests are planned (PSA only, DRE, or both) and why they are recommended at your age and risk level.
- Let the clinician know if you have haemorrhoids, anal pain, or a history of trauma so they can be as gentle and prepared as possible.
TL;DR: They usually check your prostate with a PSA blood test and a very short digital rectal exam using a lubricated, gloved finger to feel for size and lumps; it’s quick, often more embarrassing than painful, and further tests only happen if something seems off.
Information gathered from public forums or data available on the internet and portrayed here.