Hello my name is Dr. Rob Mordkin, and that i amthe US medical Director for LetGetChecked right here in these days to talk to you aboutPSA and in particular screening for prostate cancer. Prostate cancer is a very long-established diseasethat impacts guys of their prostate gland and for these of you that do not know theprostate is a small gland that is located deep in the pelvis just below thebladder and simply above the rectum. Screening involves mostly twoapproaches and both are predominant. One is blood checking out of some thing referred to as PSA,we are going to come again to that in a second and the 2d a part of checking out or screeningfor prostate melanoma vitally most important is a digital rectal exam which meanspalpating or feeling the prostate via the rectum, by way of the rectalwall. Understandably many men shy far from this portion of the examination, however it isimportant, at least fundamental in early detection and particularly frankly, the testitself, the rectal exam, mustn’t take greater than five to ten seconds in yourdoctor’s place of job, as far as the blood experiment goes PSA, PSA stands for prostate detailed what is that what is prostate detailed antigen.What is that, good it’s a protein that’s shaped by cells, prostate cells,and laboratories can now measure the levels of that antigen of that proteinin the bloodstream. Predominant to appreciate although that that is acontroversial test and the controversy rather frankly is well earned.The intent it can be controversial is that testing PSA and an expanded degree of PSAin the bloodstream does not continually mean that the person actually has prostate cancer.Even more concerning is that a typical PSA does no longer continually 100% rule out that aman does now not have prostate cancer. But we do comprehend that there’s a correlationbetween the PSA blood stages and the probability for prostate melanoma and sothe greater the PSA degree the higher the advantage that that character has prostatecancer. How does one diagnose prostate cancer?Well finally it requires a prostate biopsy which is a method that can beeither performed in the office below a local anesthetic or probably under a mildIV sedation medicine but the system itself the biopsy takes more than fiveminutes and a result is in general received within per week or so.Sufferers will mostly question me how do I knowif I’ve acquired prostate melanoma in other words are there symptoms or indicators that Imight have that the diseases is present and unfortunately prostate melanoma isvery insidious. That means, that you will not have any indicators or symptoms of prostatecancer unless the sickness is well progressed. That means now not that it can be in theprostate anymore however that it’s spread to far-off portions of the body.As soon as that’shappened, really frankly, the horses out of the barn, the teach has left the stationand so my challenge or purpose is to take a look at to detect the disorder good earlier than thatwould happen good earlier than there were any signs and this brings us again to thisimportance of checking out, PSA checking out and rectal examination trying out. Who should be confirmed? Well, as a generalrecommendation any man who does no longer have a loved ones historical past of prostate melanoma orany man who is not African-American must mainly have a baseline test,again PSA and rectal examination, beginning at about age 50 after which if we expect thatinitial experiment is natural or inside the natural ranges then probably every different ayear going forward.Conversely however, if a person has arelative who’s had prostate cancer or if they may be African-American, then testingearlier and more as a rule makes probably the most experience. Even commencing as early as age 40and perhaps doing testing as in most cases as yearly. This style of decision canbe made in conjunction with a urologist or a health care professional who mainly deals withprostate cancer and it’s a shared accountability figuring out that manymen will have prostate cancer that does not have to be treated so it can be notalways that straightforward or handy conversation and the resolution about whoto scan and win the test should be shared between the health care professional and thepatient but again the decision to motion right here is ifyou have a loved ones historical past of the ailment if you’re African-American gettingtesting and getting proven early makes probably the most sense. If you’re curious and youwant to advocate for your possess well being getting established as a baseline at age 50would be my call to motion.If you need more expertise about this I invite youto talk over with LetsGetChecked.Com and both through are living chat or direct phoneconversation that you could talk to considered one of our nursing group individuals..