If you have signs or symptoms that worry you, start by seeing your family doctor or a general practitioner. If your doctor suspects you may have a problem with your prostate, you may be referred to a urinary tract specialist (urologist). If you're diagnosed with prostate cancer, you may be referred to a cancer specialist (oncologist) or a specialist who uses radiation therapy to treat cancer (radiation oncologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be prepared. Here's some information to help you get ready and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, vitamins or supplements that you're taking.
- Consider taking a family member or friend along. Sometimes it can be difficult to remember all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. List your questions from most important to least important in case time runs out. For prostate cancer, some basic questions to ask your doctor include:
- Do I have prostate cancer?
- How large is my prostate cancer?
- Has my prostate cancer spread beyond my prostate?
- What is my Gleason score?
- What is my PSA level?
- Will I need more tests?
- What are my treatment options?
- Is there one treatment option you think is best for me?
- Do I need cancer treatment right away, or is it possible to wait and see if the cancer grows?
- What are the potential side effects of each treatment?
- What is the chance that my prostate cancer will be cured with treatment?
- If you had a friend or family member in my situation, what would you recommend?
- Should I see a specialist? What will that cost, and will my insurance cover it?
- Are there brochures or other printed material that I can take with me? What websites do you recommend?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions during your appointment.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may allow more time later to cover other points you want to address. Your doctor may ask:
Aug. 13, 2013
- When did you first begin experiencing symptoms?
- Have your symptoms been continuous or occasional?
- How severe are your symptoms?
- What, if anything, seems to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
- Prostate cancer. American Cancer Society. http://www.cancer.org/cancer/prostatecancer/detailedguide/index. Accessed May 30, 2013.
- Ilic D, et al. Screening for prostate cancer. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004720.pub3/abstract. Accessed March 4, 2013.
- Prostate cancer screening. Centers for Disease Control and Prevention. http://www.cdc.gov/cancer/prostate/basic_info/screening.htm. Accessed March 4, 2013.
- Moyer VA. Screening for prostate cancer: U.S. Preventive Services Task Force
Recommendation Statement. Annals of Internal Medicine. 2012;157:120.
- Hoffman RM. Screening for prostate cancer. http://www.uptodate.com/home. Accessed May 30, 2013.
- Prostate cancer. Urology Care Foundation. http://www.urologyhealth.org/urology/index.cfm?article=146. Accessed June 2, 2013.
- Advanced prostate cancer. Urology Care Foundation. http://www.urologyhealth.org/urology/index.cfm?article=149. Accessed June 2, 2013.
- Mohler J, et al. Prostate cancer — Clinical practice guidelines in oncology. The Journal of the National Comprehensive Cancer Network. 2010;8:162.
- Crawford ED. Chemoprevention strategies in prostate cancer. http://www.uptodate.com/home. Accessed June 2, 2013.
- Moynihan TJ (expert opinion). Mayo Clinic, Rochester, Minn. June 9, 2013.
- Castle EP (expert opinion). Mayo Clinic, Scottsdale, AZ. June 17, 2013.
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