Prostate Health: What Every Man Over 35 Should Know

For most men, the prostate is something you do not think about until it starts causing problems. Yet from the age of 35 onwards, prostate health becomes increasingly important to pay attention to. Knowing what the prostate does, what can go wrong, and when to seek help can make a real difference to your quality of life and, in some cases, your survival.

The prostate is a small gland, about the size of a walnut, sitting just below the bladder. It plays a key role in male fertility by producing fluid that helps nourish and transport sperm. As men get older, the prostate naturally changes, and those changes can affect both urination and sexual function.

One of the most common conditions is benign prostatic enlargement. This is not cancer, but it can cause frustrating symptoms such as needing to urinate more often, especially at night, a weak urine stream, difficulty starting or stopping, and the feeling that the bladder never fully empties. While it is not dangerous in itself, it can significantly affect daily life and should not be ignored.

Then there is prostate cancer, one of the most common cancers in men. The risk increases with age, family history, and certain genetic factors. What makes prostate cancer particularly dangerous is that early stages often cause no symptoms at all. When symptoms do appear, they may include urinary problems, blood in urine or semen, pelvic or lower back pain, and erectile difficulties. The encouraging part is that when detected early, prostate cancer is highly treatable.

From around 35 to 40 years of age, men should start thinking proactively about prostate health. That means knowing your family history, having regular medical check ups, and having an honest conversation with your healthcare provider about screening. For men at higher risk, a baseline PSA test may be recommended.

Lifestyle matters too. A balanced diet rich in fruits, vegetables, whole grains, and healthy fats supports overall and prostate health. Reducing red and processed meats, staying physically active, maintaining a healthy weight, avoiding smoking, and limiting alcohol all play a role.

Perhaps the most important step is breaking the silence. Many men delay seeking help because of embarrassment or fear. Urinary changes, sexual difficulties, or pelvic discomfort are medical issues, not personal failures. Early consultation can prevent complications and often brings peace of mind.

Prostate health is not just an older man’s issue. From 35 onwards, it becomes part of responsible self care. Paying attention to your body, staying informed, and being willing to speak to a doctor can protect not only your health, but your future.

 by Dr. Joe Shivute - Medical Doctor