When it comes to men’s health, prostate cancer tends to fly under the radar—until it doesn’t. Prostate cancer is one of the most common cancers in American men, second only to skin cancer. And yet, myths and misunderstandings still cloud how we talk about it, test for it, and treat it. From the idea that it only affects “older guys” to the belief that early signs of prostate cancer always come with obvious symptoms (spoiler: they usually don’t), misinformation can be dangerous. Worse, it often leads to delays in diagnosis and prostate cancer treatment—and time matters when dealing with any cancer. Whether you’re in your 40s or your 70s, knowing the facts about prostate health is just smart self-care.
What is Prostate Cancer?
Prostate cancer starts in the prostate gland, a small, walnut-sized part of the male reproductive system that sits just below the bladder. But sometimes, the cells in the prostate start growing out of control. That’s when cancer kicks in. The tricky part is that prostate cancer symptoms often don’t show up early. Most guys feel totally fine, no pain, no warning signs, nothing. That’s why regular prostate cancer screening, including PSA tests and yes, the digital rectal exam, matter. In many cases, prostate cancer is highly treatable, especially when caught early. But if left undetected, it can spread to bones, lymph nodes, and other areas. That’s why keeping tabs on your prostate health, especially after age 50, is a game-changer. Think of it as part of long-term men’s cancer awareness—your future self will thank you.
Myth: “If I don’t have symptoms, I don’t have prostate cancer.”
Sorry, wish it were true! The sneaky thing about prostate cancer is that in the early stages, it usually has no symptoms at all. Nope, not even a twinge or a peep. When symptoms like trouble peeing or back pain do pop up, it usually means the cancer has already advanced. That’s why screening and talking to your doc (even when you feel perfectly fine) is so important, especially if you’re over 50, African-American, or have a family history of prostate cancer.
Myth: “Only old men get prostate cancer.”
Sure, risk increases as you get older—most cases happen in men over 65. But younger men can and do get prostate cancer, sometimes even in their forties or fifties. Bottom line: age is a big risk factor, but it’s not a guarantee. No matter your age, be aware of your personal risk and talk it over with your health provider.
Myth: “If my dad had it, I’m doomed.”
Having a father (or brother) with prostate cancer definitely bumps up your risk—about double, in fact. But it’s not destiny; plenty of men with a strong family history never get prostate cancer. And on the flip side, about 90% of prostate cancers pop up in men with no family history at all. Your family history is important to know, but it’s not a crystal ball.
Myth: “Screenings and PSA tests are pointless (or will always lead to unnecessary treatment).”
Screening is controversial, but it’s not pointless! The PSA (prostate-specific antigen) blood test can catch cancer before symptoms show up, but it’s not foolproof. Some cancers are slow, harmless guests; others need action, fast. If you have an elevated PSA, that’s just one piece of the puzzle, not an automatic cancer diagnosis or reason to rush into treatment. Decisions should always be personal, based on your age, health, and family history—and in conversation with your doctor.
Myth: “If I have prostate cancer, I need treatment right now.”
Not all prostate cancers are aggressive or dangerous. Some are so slow-growing that your doctor may recommend “active surveillance”—keep an eye on things with regular tests and only step in if the situation changes. For many men, avoiding or delaying treatment means fewer side effects, while still staying safe.
Myth: “Treatments always ruin your sex life and cause incontinence.”
Treatments can have side effects, including trouble with erections and urinary issues—you’ve probably heard this a lot. But not every guy who gets treated ends up with long-term problems. Side effects depend on many factors: your age, the specific treatment, and even the experience of your healthcare team. Plus, treatments and support to help manage side effects are better than ever.
Myth: “If you don’t eat sugar or take special vitamins, you won’t get prostate cancer.”
Let’s clear the air: eating sugar doesn’t cause prostate cancer, and there’s no magic diet or supplement that can prevent it. Obesity is linked to a higher risk of several cancers, including prostate, so eating healthy matters, but skipping sugar or popping vitamins won’t give you a get-out-of-cancer card.
