One in eight men overall has the potential to develop prostate cancer, but more at risk are the one in six Black men likely to suffer from the disease. Screenings for prostate cancer are typically recommended to begin around age 50, but increased alert over higher incidence of prostate cancer among Black men has moved medical professionals to recommend Black men begin their screenings at age 40.
People with a family history of early prostate cancer diagnosis (before 65), especially fathers or brothers, are at a higher risk of developing prostate cancer.
Men at the age of 50 who are at average risk can potentially live ten years longer if the cancer is detected and treated early enough. The other reason for men at 40 to be screened early is that early prostate cancer doesn’t present with the typical symptom of difficult urination.
Not all Black men reach a severe stage of prostate cancer, but roughly 70 percent are at risk of developing it, and twice as likely to die from it, especially if there’s a history of type 2 diabetes.
Having diabetes does not make someone more likely to develop prostate cancer, but it does result in a higher mortality rate for those who do. Considering diabetes hits the Black community twice as hard, it’s now more important to keep those things in check to avoid what’s called comorbidities, or the presence of two or more diseases in one patient.
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The first step in the prostate cancer screening process is a prostate-specific antigen (PSA) blood test. PSA is a protein made by the prostate.
High levels of PSA in blood test results may indicate possible cancer, but it’s important to know that other factors unrelated to cancer can cause PSA levels to rise. Having an enlarged or inflamed prostate, bicycling, ejaculation, or even just aging can raise PSA levels. Certain procedures such as a urological biopsy can also contribute to increased PSA, as well as medications like prescribed testosterone.
Levels of PSA that doctors consider normal for men in their 40s and 50s are 0.6-0.7 nanograms per milliliter (ng/ml). A score above 2.5 ng/ml is considered abnormal.
There are at-home PSA tests available for purchase. However, completing the test with a doctor is
