Know your risk: You may be at least twice the usual risk if you have a brother with prostate cancer, a father diagnosed before age 65, 2 + second degree relatives who died from prostate cancer, Black sub-Saharan ancestry or a BRCA2 mutation also make you high-risk.
Discuss the possible benefits and harms with your GP before deciding to test: You can choose to test, opt out, or opt back in. These pathways apply if you choose testing.
Follow the pathway for your age: Age 45-49: Routine testing is not recommended if you are not at higher risk. If interested in your prostate health, an initiial test may be offered. Age 50-69: You can decide to test after an informed discussion: PSA test every two years. Age 70 +: Clinical assessment. Consider life expectancy, other health conditions, values and preferences. Test only if life expectancy is over 7 years.