Recognize it earlier, act quickly
Prostate cancer is the most common cancer among men in Germany and one of the leading causes of death among male cancer patients. The good news is that if detected early, prostate cancer is often highly treatable . Therefore, it is crucial to be aware of the risks , to interpret symptoms correctly, and to undergo regular checkups .
What is prostate cancer?
Prostate cancer (medically: prostate carcinoma ) is a malignant tumor of the prostate gland . It arises from uncontrolled cell growth in the prostate, often in the outer part of the gland. In its early stages, the disease is often asymptomatic , which is why early detection is so important.
Depending on growth rate and spread, a distinction is made between:
- Low-grade (indolent) carcinoma: Grows slowly, often over years
- Aggressive carcinoma: Can spread rapidly to adjacent structures or lymph nodes.
Who is particularly at risk?
Prostate cancer can affect any man, but the risk increases with age and certain pre-existing conditions.
Risk factors:
- Age over 50 (from 45 with family history)
- Genetic predisposition (e.g., father, brother with prostate cancer)
- Ethnic origin: e.g., men of African descent are at higher risk.
- Chronic inflammation of the prostate (prostatitis)
- Hormonal imbalance: For example, high DHT levels or low testosterone levels
- Unhealthy lifestyle : lack of exercise, belly fat, alcohol, lots of red meat
What symptoms does prostate cancer cause?
In its early stages, prostate cancer is rarely noticeable . Symptoms usually only appear when the tumor grows larger or presses into adjacent structures.
Possible signs:
- Frequent or difficult urination
- Weak or interrupted urine stream
- Nighttime urinary frequency
- Blood in urine or ejaculate
- Pain in the lower back, pelvis or thigh
- Unexplained weight loss
- Erection problems (less common)
Caution: These symptoms are not specific; they can also occur with BPH or prostatitis. Therefore, a targeted examination is essential.
How is prostate cancer diagnosed?
The most important measure for early detection is the combination of physical examination, laboratory diagnostics and imaging.
Common diagnostic steps:
- Digital rectal examination (DRE) : Palpation of the prostate
- PSA test (prostate-specific antigen) in the blood
- Ultrasound examination via the rectum
- MRI of the prostate (multiparametric) in suspected cases
- Tissue sampling (biopsy) may be necessary to confirm the diagnosis.
The PSA level is an important laboratory parameter. It often rises in prostate cancer, but can also be influenced by other factors (e.g., inflammation, cycling, ejaculation).
👉 View the PSA test at Adon Health here
What does an elevated PSA level mean?
An elevated PSA level is not proof of cancer, but a warning sign . The evaluation is carried out in combination with:
- Age (PSA normal values are age-dependent)
- Trend (PSA dynamics) : How quickly does the value rise?
- PSA density in relation to prostate volume
- Free PSA level: Low level can increase risk
Only targeted further diagnostic testing can provide clarity.
How is prostate cancer treated?
The therapy depends on the tumor stage, aggressiveness, age and general condition of the patient.
Possible options:
- Active surveillance during slow progression
- Surgery involving complete removal (radical prostatectomy)
- Radiation therapy (external or brachytherapy)
- Hormone deprivation therapy (ADT) in advanced cancer
- Chemotherapy or immunotherapy, in case of metastases or relapse
Additionally important:
- Nutrition, exercise, inflammation reduction
- Psychological support for anxiety and decision pressure
- Regular laboratory tests after therapy
How can you prevent prostate cancer?
There is no guarantee, but many factors can be influenced:
- Regular PSA checks from age 45 (earlier if there is a family history of PSA)
- Keep testosterone levels stable, monitor hormonal balance
- Reduce inflammation in the body (e.g., through Omega-3, exercise)
- Promote liver health for better hormone metabolism
- Mediterranean diet , little sugar and alcohol
- 2-3 times per week moderate strength and endurance training
Conclusion
Prostate cancer affects many, but no one should wait until it's too late. The earlier it's detected, the higher the chances of a cure. With regular checkups, such as the PSA test from Adon Health , you can proactively protect your health.
Prevention is not a risk, but a responsibility. For you, your life, and your performance.
