The conversation about PSA screening really applies to men that have no symptoms. However, in rare cases prostate cancer can cause symptoms and you need to be aware of what they are.

What are the early warning symptoms of prostate cancer? Usually there aren’t any. Truly, there are no early warning symptoms for prostate cancer. That’s why screening is such an important topic.

Why no symptoms? For many years, the disease is silent.

Symptoms can include:

  • A need to urinate frequently, especially at night; sometimes urgently
  • Difficulty starting or holding back urination
  • Weak, dribbling, or interrupted flow of urine
  • Painful or burning urination
  • Difficulty in having an erection
  • A decrease in the amount of fluid ejaculated
  • Painful ejaculation
  • Blood in the urine or semen
  • Pain or stiffness in the lower back, hips, pelvis, or thighs

However, urinary symptoms don’t mean you have cancer! Prostatitis or BPH (Benign Prostatic Hyperplasia, also known as enlargement of the prostate) can cause similar symptoms and are very common.

What about difficulty in having an erection? Again, this is most likely not caused by cancer, but by something else, such as diabetes, smoking, cardiovascular disease, or just plain getting older.

That said: Symptoms are symptoms, and no matter what’s causing them, you should get them checked out by a doctor.

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