Well, this must of course be a personal decision but an increasing number of men are now asking to be tested at quite young ages (typically when they reach 40) to provide a benchmark and then decide on the frequency of follow-up testing depending on their initial result. For example, if a 40 year old man has a normal initial PSA score of 4 then he may decide to leave further testing for 2 or 3 years. However, if his initial test score comes in at 8, he may decide to have a follow-up after six months and, if it remains the same or has fallen, to then have tests annually.
When you start testing and how often you have follow-up testing is very much a personal decision to be taken in consultation with your physician. What is important is that every man should be tested regularly and you should not put off testing for too long.
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