Playful illustration of a worried man in a hospital gown holding a PSA test report, while a cartoon prostate sneaks into the background holding a stopwatch.

Prostate Cancer Rates Are Rising: Time to Update Testing Recommendations

🚨 Newsflash for men everywhere: prostate cancer rates are creeping up again, and not in the fun “my mustache is creeping back after Movember” kind of way. 🍒 

After years of decline, prostate cancer diagnoses are now climbing 📈 — especially the late-stage, more dangerous kind. Even men as young as 55 are getting caught in the stats, which has experts calling for a fresh look at prostate-specific antigen (PSA) screening recommendations.


📊 The Stats That’ll Make You Cross Your Legs

According to the American Cancer Society (ACS), prostate cancer cases rose 3% annually between 2014 and 2021, reversing a previous freefall of -6.4% per year in the 2000s.

  • Advanced prostate cancer grew even faster — up to 6.2% annually.

  • Prostate cancer is now the #2 cancer killer for men in the U.S., right after lung cancer.

  • In 2025, the ACS estimates 313,780 new cases and 35,770 deaths.

And while mortality used to decline at a healthy clip (-3.5% per year from 1993 to 2012), those declines have slowed to a depressing crawl — just -0.6% per year in the past decade.

Translation: we’re slipping.


🧪 PSA Screening: Why the Rollercoaster?

PSA screening is a simple blood test that can detect prostate cancer up to 7 years before symptoms appear. Sounds like a no-brainer, right? Well…

In the early 2010s, the U.S. Preventive Services Task Force (USPSTF) decided PSA screening wasn’t all sunshine and rainbows. They slapped it with a “D” rating for men over 70 and a wishy-washy “C” for men 55–59.

Why? Because screening can lead to overdiagnosis — treating tumors that may never have caused harm. That can bring its own set of nasty side effects.

But now, with prostate cancer rising again, experts say the pendulum may have swung too far. 🕰️ It may be time to rethink the recommendations, strike a balance, and avoid a future where late-stage diagnoses become the norm.


⚖️ The Disparity Problem

Not all groups are affected equally:

  • Black men face a 67% higher incidence than white men and are twice as likely to die from prostate cancer.

  • American Indian and Alaska Native men have a 12% higher mortality rate than white men despite lower incidence.

  • Geographic hotspots like Washington, DC and Mississippi (both with higher proportions of Black residents) show the highest death rates.

Factors include later-stage diagnoses, barriers to treatment, and systemic inequities. 🏥💸

Fixing this means better access to early detection and high-quality care. In other words: no man left behind.


🩺 Should You Get Tested?

Guidelines vary, but here’s the rough sketch:

  • 40 years old: Start thinking PSA if you’re high-risk (family history, Black race).

  • 45–55 years old: Most men should begin the conversation here.

  • 55–69 years old: PSA testing is a “maybe, maybe not” — doctors encourage shared decision-making.

  • 70+ years old: Recommendations remain against routine testing, though individual health should guide choices.

Bottom line: If you’ve got 10+ years of expected life ahead of you, a PSA test might buy you more of those years. 🎂


🕺 Fun With Prostates (Yes, We Said It)

👉 PSA screening isn’t just a test. It’s a conversation starter. (And no, not the kind of conversation you want to have at Thanksgiving dinner.)

👉 Prostate cancer is not picky — but it is preventable when caught early.

👉 The risks of not testing may now outweigh the risks of over-testing.


🔗 Need More Info?

  1. “Prostate cancer statistics, 2025” —  American Cancer Society, CA: A Cancer Journal for Clinicians:
    According to the latest prostate cancer statistics, 2025, cases are once again climbing — proving that ignoring your prostate isn’t a winning strategy.

  2. “PSA Screening: To Test or Not to Test?” 
    The National Cancer Institute reminds us that PSA testing is controversial — but hey, so are pineapple pizzas, and people still swear by them. 🍍🍕


⚡ In Summary

  • 📈 Prostate cancer is back on the rise.

  • 🧪 PSA testing could help, but guidelines need a refresh.

  • ⚖️ Racial disparities make early screening even more critical.

  • 🤷 Men: talk to your doctor before you talk to Dr. Google.


⚠️ Disclaimer

This article is for educational and entertainment purposes only. It is not medical advice. Always talk to your healthcare provider (even if he’s not funny). 

Let's become the smartest possible patients or, even better, increase our chances of never becoming one by preventing disease (whenever possible).

Still, consult a professional before experimenting with your body clock. ⏰🧬


🧭 Want More Like This?

💌 Browse our Health & Longevity Hub 🧬
✈️ Or take a break and clear your mind with our Humor + Travel Section 
👉 Check out “Long Live the Liver!” 🏋️♀️
💪 Strength and Cardio: The Two Surprising Keys to Living Longer
🧬 Consult our upcoming guide to biohacking without becoming a cyborg (yes, exactly, it's still upcoming.)

 

Got a thought? A tip? A tale? We’re all ears — drop it below.:

Please note, comments must be approved before they are published