| Guideline | Recommendation |
|---|---|
| USPSTF, men 55–69 | Make an individual decision about PSA screening after discussing benefits and harms |
| USPSTF, men 70+ | Recommends against routine PSA-based screening |
| American Cancer Society, average risk | Discuss screening starting at age 50 |
| ACS, higher risk (Black men; father/brother diagnosed before 65) | Discuss starting at 45 |
| ACS, even higher risk (several close relatives diagnosed young) | Discuss starting at 40 |
Many men have this conversation during their annual physical exam.
USA Prostate Exam: Quick Facts
- Tests
- Digital rectal exam (DRE) + PSA blood test
- DRE time
- Under 1 minute
- USPSTF (55–69)
- Individual decision (Grade C)
- USPSTF (70+)
- Recommends against routine PSA screening
- Higher risk
- Black men; father/brother diagnosed before 65
- Medicare
- Yearly PSA ($0) and DRE for men 50+
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Official sources
Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.