What to expect during a prostate screening?
A prostate screening test can help to detect early signs of prostate cancer . Knowing what to expect can help you feel prepared and reduce any concerns about the process. Here, I’ll explain what happens during a prostate screening appointment, so you can be prepared.
What happens during a prostate screening?
A prostate screening may involve two processes. They are outlined below.
Prostate specific antigen test
You are most likely to have a blood test known as a prostate specific antigen (PSA) test. This looks at the levels of PSA in your blood. Higher levels can indicate prostate cancer, but this isn’t always a reliable test.
This is because some men have raised PSA levels for other reasons, and false – positives can occur. Researchers are currently looking for new, more reliable tests.
Digital rectal exam
This test is not routinely offered if you don’t have any symptoms. But some clinicians may still offer it. For this test, your doctor will put a finger into your back passage (rectum). They will be able to feel your prostate and will check to see if it feels:
- larger than it should be
- hard or lumpy
How uncomfortable is a prostate screening?
You are more likely to have a blood test than a digital rectal exam for your prostate screening. But if you do need one, you shouldn’t feel any pain. It might be a little bit uncomfortable for a short time. Your doctor will do their best to make you comfortable. They will explain the process to you and will use lubrication to reduce any discomfort. You have the option to:
- ask for a male or female doctor
- ask for a family member or health professional to be in the room
How long does a prostate screening take?
A blood test will be very quick. If you do need a prostate examination, it only takes a few minutes to complete. Once you’re dressed, your doctor will share any results with you. If they feel anything unusual, they may refer you for other tests. You can carry on with your normal activities after the screening.
How do I prepare for a prostate screening?
There are a few things to avoid in the 48 hours before your PSA blood test. These include:
- ejaculating
- doing intense exercise
These things can sometimes alter your PSA levels and make the test inaccurate, so it may need to be repeated.
Who can have a prostate screening?
Routine prostate screening is not offered on the NHS. But men (or anyone with a prostate) over 50, or over 45 with higher risk can ask for one. You’re at higher risk of prostate cancer if:
- you’re black
- you have a family history of prostate cancer
You will also likely be offered one if you have symptoms of prostate cancer, such as:
- difficulty weeing
- feeling that your bladder hasn’t emptied properly
- weeing more, especially at night
A prostate screening may help to detect cancer – so if you need to have one, know it won’t last long. The test will be made as comfortable as possible for you. See your doctor if you’re worried about your prostate health or want more information on getting screened.
If you’re showing symptoms of cancer, our direct access service aims to help you see someone as quickly as possible. If you’re covered by your health insurance, and depending on your symptoms, you may not need a GP referral to see a consultant. Learn more today.
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Sources Sources
- PSA blood test. Prostate cancer UK. Prostatecanceruk.org, updated January 2025.
- What are the signs and symptoms of prostate cancer? Prostate cancer UK. Prostatecanceruk.org, updated January 2024.
- What is the PSA test? Cancer research UK. Cancerresearchuk.org, last reviewed May 2025.
- Examination of your prostate. Cancer research UK. Cancerresearchuk.org, last updated May 2025.
- Raised PSA levels. The British association of urological surgeons limited. Baus.org.uk, last updated July 2024.
- Rectal exam is a poor test for prostate cancer. Prostate cancer UK. Prostatecanceruk.org, accessed November 2025
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