When should a prostate examination be performed for men?

The recommendation for performing a prostate examination, specifically a digital rectal examination (DRE) or prostate-specific antigen (PSA) testing, is generally advised to start at age 50 for average-risk men. Men who are at increased risk for prostate cancer, such as African American men or those with a family history of prostate cancer, may start discussions about screening and examinations earlier, often beginning at age 45.

The rationale for starting examinations at age 50 for most men is based on the statistical risk of prostate cancer increasing after this age, where proactive screening can aid in early detection, which is crucial for effective treatment. Annual examinations for men starting at age 50 allow for monitoring of prostate health and can help in identifying any early signs of prostate cancer or other related conditions.

Screening less frequently, such as every two years after age 40 or only when symptoms arise, misses the opportunity for early detection, which can significantly alter the prognosis and management of prostate health issues. Therefore, the timing and frequency outlined for option B align with current guidelines for prostate examinations in the male population.