When it comes to health, the prostate probably isn't top of most men's mind. However, taking steps to keep this small gland healthy can have a significant impact on their urinary and sexual health. It can also help catch a problem, including prostate cancer, early, when it's easiest to treat.
"Men tend to procrastinate quite a bit," Dr. Gabriel Rodriguez, a urologist at Houston Methodist. "They don't think about their prostate until there's an issue, and the symptoms have become very bothersome — sometimes even to the point where they're having to wear a urinary pad, or it's affecting their sex life."
But it doesn't have to be this way. In fact, men are never "too young" to consider their prostate health.
What does the prostate do?
The main function of the prostate is to produce seminal fluid, which nourishes and transports sperm, combining with it to create semen. This makes the gland crucial for reproductive health, but it also helps control urine flow.
As men age, the prostate undergoes natural changes. For instance, its size increases over time, which can sometimes affect urinary and sexual health. (Related: What Are the Warning Signs of Enlarged Prostate?)
Additionally, like other glands, the prostate is susceptible to cancer. If prostate cells mutate and begin to grow uncontrollably, cancer develops. Most prostate cancers grow slowly, which is why they so often lack early warning signs. But some forms of prostate cancer can be aggressive and spread to other parts of the body.
Where is the prostate located?
The prostate sits just below the bladder and surrounds the urethra. If it becomes enlarged, irritated or swollen, it can affect the function of surrounding organs, affecting urinary function, blood flow and nerve signaling.
"You might not feel the effects immediately, but left unchecked, this can cause problems down the road, leading to issues like trouble urinating or erectile dysfunction," explains Dr. Rodriguez. "It's like untreated high blood pressure — just because you 'feel fine' doesn't mean everything is healthy. The same goes for your prostate."
This is why regular prostate checks and prompt examination of symptoms are so important.
"For instance, swelling or enlargement of the prostate places pressure on the bladder, ultimately leading to bladder damage over time," says Dr. Rodriguez. "With routine care and check-ups, there's no reason it should get to that point. Through blood testing and physical exams, we can detect prostate problems before they lead to bigger issues with significant symptoms."
How to prevent prostate problems
Dr. Rodriguez says that men often assume urinary and sexual issues are a normal part of aging. "And that's when I say, 'No, on the contrary, it's not normal at all," he adds.
The good news is that preventive steps can help support your prostate health and taking action before symptoms develop makes a difference. Here are Dr. Rodriguez's tips for maintaining a healthy prostate.
Start an open dialogue with your doctor early
While it may be too early for a prostate check, Dr. Rodriguez points out that you're never too young to start an open a dialogue with a primary care physician.
"I think men should initiate a partnership with a doctor in their 20s and 30s," explains Dr. Rodriguez. "You want someone who knows your health history, family history and is keeping tabs on your well-being over time."
A primary care physician can not only address questions or concerns you may have, but they can also refer you to a specialist and recommend screenings when appropriate. (Related: 5 Reasons You Need a Primary Care Doctor in Your 20s & 30s)
Eat a healthy diet and exercise routinely
Nutritious foods and regular exercise are good for your overall health of course — but studies also show that both benefit the prostate specifically. Dr. Rodriguez recommends limiting fatty foods and alcohol, and avoiding smoking altogether. These are known to irritate the prostate. (Related: How Does Diet Affect Prostate Health?)
"If a prostate issue already exists, reducing caffeine and spicy food intake may help ease bladder irritation and reduce urinary symptoms," Dr. Rodriguez adds.
Know your prostate cancer risk and when to get screened
Prostate cancer is one of the most common cancers affecting men, particularly as they age. For this reason, annual prostate cancer screening is typically recommended for men between the ages of 50 and 70.
"However, men with a family history of prostate cancer may need to start screening as early as age 40," says Dr. Rodriguez. "This is why it's essential to work with you doctor to understand when and how frequently you need to be screened."
Screening includes both PSA testing and a digital rectal exam. "Not all prostate cancers raise PSA levels," says Dr. Rodriguez. "While uncomfortable, the digital rectal exam is a crucial part of screening. It can also help detect other issues like enlarged prostate or rectal cancer."
Report urinary symptoms as soon as they arise
More frequent trips to the bathroom might seem like just a reality of getting older, but changes like this can indicate an underlying health issue. Don't delay consulting your doctor about new or unusual urinary symptoms.
"When there is concern, we can assess the issue and help you understand the implications — what you're at risk for, what you can do about it, what will happen if it's left untreated," says Dr. Rodriguez. "This information helps you make the best decisions for your health."
Treatments for prostate problems range from over-the-counter or prescription medications to surgery, with many minimally invasive options available. Find a doctor you can talk openly with, and who will help you understand your treatment options.
"Prostate health doesn't have to be intimidating or something men put off," adds Dr. Rodriguez. "Taking proactive steps and staying informed can make a world of difference, allowing men to enjoy better health and peace of mind well into the future."
(Related: 6 Signs to See a Men's Health Specialist)