Who Should Be Screened — Prostate Cancer Screening Pathway

Part 1 of 2

Risk Stratification Questionnaire

Your baseline risk determines the recommended age to begin screening and how frequently you should be tested. Answer each question honestly — there are no wrong answers.

What is your current age? Enter a whole number between 30 and 100.

Do you identify as Black or of African descent?

Men of Black ancestry have a statistically higher risk of prostate cancer and are more likely to develop aggressive disease at a younger age. This information helps determine the appropriate screening timeline for you.

Yes, I identify as Black or of African descent No Unsure / Prefer not to say

Do you have a family history of prostate cancer?

Yes — strong family history: One or more first-degree relatives (father, brother, or son) diagnosed with prostate cancer before age 65, OR two or more relatives on the same side of the family diagnosed at any age Yes — limited family history: A relative was diagnosed but it does not meet the above criteria No — no known family history of prostate cancer I don't know my family history

Genetic Risk Factors

Is there a personal or family history of breast or ovarian cancer, especially at a young age?

Families carrying BRCA1 or BRCA2 mutations can have increased risk of prostate cancer as well as breast and ovarian cancer.

Yes No Unknown

Have you or any close family member been found to carry any of the following high-risk gene mutations: BRCA, ATM, CHEK2, HOXB13, or Lynch Syndrome?

Yes No / Not tested

Part 2 of 2

Is Screening Right for Me?

PSA screening is a personal decision. Even for men who are candidates based on age and risk, your values and preferences matter. This short quiz helps you reflect on what screening would mean for you.

Please answer each question honestly.

Screening may not be right for you if you answer YES to either:

Question 1: Are you concerned that you would feel deeply uncomfortable knowing you have a "low-risk" cancer and not treating it, even if your doctor recommends monitoring over treatment?

Question 2: If you were found to have prostate cancer, would you definitely refuse treatment (surgery or radiation) even if your doctor recommends it?

🩺 Talk to Your Doctor

As with all medical decisions, you are encouraged to speak with your physician about PSA prostate cancer screening and whether it may be right for you. This quiz is a tool for reflection, not a substitute for professional medical advice.

Reference Guide

Recommended Screening Start Age & Frequency

Based on AUA/SUO Guidelines

Risk Category	Recommended Start Age	Screening Frequency	Notes
Standard Risk	Ages 45–50 (baseline PSA)	Every 2–4 years if PSA <1.0 ng/mL Annually if PSA 1–3 ng/mL	No Black ancestry, no strong family history, no known high-risk gene mutations
Intermediate Risk	Ages 40–45	Every 1–2 years	Black ancestry without other high-risk factors — screening should be strongly considered
High Risk	Ages 40–45	Annually	Strong family history of prostate cancer, OR known BRCA/ATM/CHEK2/HOXB13/Lynch Syndrome mutation
Age 70–75+ / PSA <3.0	Individualized	Shared decision-making	Screening past age 70–75 should be individualized based on a life expectancy >10 years and prior PSA trends.

Baseline PSA at Age 40

For men in the High Risk or Intermediate Risk category, a baseline PSA >1.0 ng/mL at age 40 is a significant predictor of future life-threatening prostate cancer and warrants closer monitoring. (Ref: Lilja et al., Nat Rev Cancer, 2008)

Screening past age 70–75 should be individualized based on a life expectancy >10 years and prior PSA trends.
Men aged 60 or older with PSA <1.0 ng/mL have very low risk of developing metastatic or fatal prostate cancer and may not benefit from continued routine screening.

Next Steps

Ready to Interpret a PSA Result?

If you've already had a PSA test and want to understand what your number means — including age-adjusted thresholds, secondary biomarkers, and what questions to bring to your doctor — head to the next section.

Go to PSA Results Calculator →

Who Should Be Screened?

Risk Stratification Questionnaire

Your Risk Stratification Result

Is Screening Right for Me?

Recommended Screening Start Age & Frequency

Ready to Interpret a PSA Result?