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Dr. Dean

The Prostate Self-Exam

Posting Date: 12/15/2003

How you reach the prostate, of course, is up to you. Some men may do the exam in the shower, where soap can be used as a lubricant. This can be a little tricky, because you need to get the palm surface of your finger in contact with the prostate, although the fingernail surface can be used for a cursory examination. You may feel more comfortable if you wear a thin latex glove.



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Self-Exam With Partner

Occasionally, you see hospitals welcoming husbands and boyfriends into their breast self-examination classes. The idea is that perhaps the woman is more likely to get her breast examined if her partner is doing it. The same goes here.

It's not difficult to teach your partner how to examine your prostate gland. Aesthetics aside, this is something every individual couple has to decide if they want to do.

Many men can tell when their prostate is being touched because it's very sensitive. If you're having someone else do it, you'll know immediately when they reach paydirt. If you're doing it yourself, it will also be obvious.

Most folks are surprised by how deep they have to reach. You'd have to have long fingers, indeed, to reach completely to the far end of the prostate gland, but in medicine we are content to touch as much of the surface as possible.

As with breast self-examination, you want to cover all surfaces, and you should be consistent in how you approach it. Use a sweeping motion of the finger on one side, and then switch to the other side, to make sure that you cover as much of the surface as possible.

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If you're doing this on someone else, the man can tell you when you've touched the prostate. At that point, feel for the rounded shape and the borders of the prostate, which, as I've mentioned, shouldn't be much larger than a walnut. If it is larger, the man could have enlargement of the prostate gland, which should be brought to a doctor's attention.





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