Prostate cancer is the most commonly diagnosed cancer in Australian men, and one in six men will be diagnosed by the age of 85. Despite its prevalence, there is ongoing debate about the benefits and limitations of prostate cancer screening.
The main test used is the prostate specific antigen (PSA) blood test. This test can detect changes that may indicate cancer, but it can also return false positives or identify cancers that may never cause harm. For this reason, screening is not automatically recommended for all men. Instead, it should be a shared decision made with your GP or specialist.
Prostate Cancer Screening: RACGP Summary
The Royal Australian College of General Practitioners (RACGP) advises that PSA screening is not for everyone. Instead, men should make an informed decision with their doctor based on age, risk factors and overall health.
Men aged 50 to 69 at average risk may choose PSA testing every two years if they understand both the benefits and the risks.
Men with a family history of prostate cancer may consider starting earlier, from age 40 to 45, and testing every two years.
Men aged 70 and over are generally advised that the harms of screening may outweigh the benefits.
Men with limited life expectancy (less than seven years) are not recommended to undergo PSA screening.
Digital rectal examination (DRE) is not recommended as a routine screening tool for men without symptoms.
Source: RACGP Guidelines for Preventative Activities
The EHS Approach to Men’s Preventive Health
At Executive Health Solutions, we take an individualised, evidence-based approach. For men in the recommended age group, prostate cancer screening may be offered as part of an Executive Health Assessment. This always follows a discussion about your personal risk factors, family history, and lifestyle.
For executives, screening decisions are not just about statistics. They are about protecting long-term health, ensuring peace of mind, and maintaining the resilience needed to perform at your best in work and in life.
Take the Next Step
If you are considering prostate cancer screening, the best place to start is with a conversation. Book an assessment and our doctors will guide you through your risk profile, explain your options, and help you make an informed decision that supports your long-term health.
