PSA Testing and Urological Concerns: A Patient's Guide

Prostate-related consultation

Is there a situation where a doctor is too young to perform a PSA test? Today, I visited a urologist who had a poor attitude and said this.
If I want to pursue this on my own, which unit can I seek? Currently, I feel swelling in the genital area, and sometimes there is slight pain in the testicles.
Occasionally, my urine stream splits when I urinate.
Are these issues related to frequent masturbation? I am already seeking professional treatment with medication.
I would like to ask if this condition can improve with abstinence.
Thank you for your attention and answers, and I appreciate your hard work.

Le, 20~29 year old female. Ask Date: 2015/07/14

Dr. Li Yilun reply Urology

PSA testing is typically recommended for men over the age of 50 for prostate cancer screening, and it is covered by health insurance under these circumstances.
If you wish to undergo the test out-of-pocket, it can be performed at any laboratory that offers testing services, including general clinics that conduct cancer blood tests.
It is advisable to consult your physician in detail, as a simple description of symptoms is insufficient for diagnosing any condition.
If there are any abnormalities, it is recommended to seek evaluation and examination from a specialist to avoid delays in diagnosis and treatment.
Physicians often require a thorough medical history, physical examination, and appropriate tests to confirm a diagnosis and determine the treatment plan.

Reply Date: 2015/07/14

More Info

Understanding PSA Testing and Urological Concerns: A Patient's Guide
Prostate-Specific Antigen (PSA) testing is a crucial tool in assessing prostate health, particularly in men over the age of 50 or those with risk factors such as a family history of prostate cancer. However, your question about whether younger men, like yourself at 36, can undergo PSA testing is valid and important. While the general recommendation is to start PSA screening at age 50, younger men can indeed be tested if they exhibit symptoms or have concerns about their prostate health.

In your case, the symptoms you described—swelling in the genital area, occasional testicular pain, and changes in urination—are significant and warrant further investigation. These symptoms could be indicative of various conditions, including prostatitis (inflammation of the prostate), benign prostatic hyperplasia (BPH), or even more serious issues like prostate cancer. It’s essential to address these symptoms with a healthcare professional who can provide a thorough evaluation.

Regarding your concern about the frequency of masturbation, while there is no direct evidence linking frequent masturbation to elevated PSA levels or prostate issues, it can sometimes lead to temporary changes in prostate health. For instance, ejaculation can cause a transient increase in PSA levels, which is why it’s often recommended to abstain from ejaculation for 2-3 days before a PSA test for more accurate results. However, the act of masturbation itself is generally considered a normal and healthy sexual activity unless it leads to physical discomfort or emotional distress.

If you are experiencing discomfort or pain, it’s crucial to seek medical attention. A urologist can perform a physical examination, including a digital rectal exam (DRE), and may recommend further tests such as a PSA test, ultrasound, or urinalysis to determine the underlying cause of your symptoms. If you feel that your current healthcare provider is not addressing your concerns adequately, it is entirely appropriate to seek a second opinion or consult a different urologist.

As for the question of whether abstaining from sexual activity can improve your symptoms, it may help if your symptoms are related to irritation or inflammation. However, it’s essential to approach this with a balanced perspective. If your symptoms persist or worsen, it’s crucial to follow up with your healthcare provider for further evaluation and treatment options.

In summary, while PSA testing is typically recommended for older men, younger men with symptoms or concerns should not hesitate to seek evaluation. Your symptoms are significant and should be addressed by a healthcare professional. Remember, open communication with your healthcare provider is key to understanding your health and making informed decisions about your care. If you feel uncomfortable with your current provider, don’t hesitate to seek a second opinion. Your health and peace of mind are paramount.

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