Testing for benign prostatic hyperplasia is usually done before any other exams to make sure that the symptoms you are experiencing are not caused by BPH. The main test done to check for benign prostatic hyperplasia is a digital rectal exam.

Digital Rectal Exam (DRE)

This test, if done correctly, can determine if the prostate gland is an abnormal size by the way it feels when the doctor touches it. You will need to bend over a table or lie on your side holding your legs to your chest. The doctor will proceed to place a gloved, lubricated finger into the rectum and feel for the gland next to it. The exam may cause some discomfort at the time but that should pass shortly after the exam has finished.

An ultrasound may also be required to receive a more accurate depiction of the size of the prostate gland.

Prostate Specific Antigen – PSA

Prostate Specific Antigen (PSA) is a protein manufactured by the prostate gland. PSA is produced to liquefy semen and allow sperm to ‘swim’ freely during ejaculation. It’s also needed to dissolve the cervical mucous cap, letting in the sperm.

PSA is normally in the blood in low doses. High levels of PSA may mean the presence of prostate cancer. However, a male with normal levels of PSA could also have prostate cancer. PSA levels can also be abnormally high if suffering from a prostate infection, benign prostatic hyperplasia (BPH), or after intercourse or ejaculation.