Treatment GuideJust DiagnosedSex & DatingAfrican AmericanStigmaAsk the HIV DocPrEP En EspañolNewsVoicesPrint IssueVideoOut 100
CONTACTCAREER OPPORTUNITIESADVERTISE WITH USPRIVACY POLICYPRIVACY PREFERENCESTERMS OF USELEGAL NOTICE
© 2025 Pride Publishing Inc.
All Rights reserved
All Rights reserved
Scroll To Top
By continuing to use our site, you agree to our Privacy Policy and Terms of Use.
One in six American men will be diagnosed with prostate cancer in his lifetime. Nearly 30,000 men in the United States die from this cancer ever year. African-American men have nearly twice the risk of dying from prostate cancer as all other ethnicities.
[ WELLNESS WEDNESDAY ]
Michael Haynes, NFL hall of famer, points to a lack of education as the reason why many men avoid screening, risking a cancer diagnosis late in the game. As a spokesman for the American Urological Association, Haynes and his surgeon, Christopher Kane, MD, chief of urology at the University of California, San Diego, Medical Center, offer a playbook of four strategies for men's urologic health.Know Your Stats
"For me, learning about prostate cancer started with a free screening event hosted by the NFL and the American Urological Association," says Haynes. "One of the doctor's first questions to me was about my previous PSA scores. I was surprised, since that was the first time I had even heard of a PSA. I'd never tracked my blood pressure much less a PSA level."
PSA stands for prostate specific antigen a fluid that is present normally in the semen. Elevated levels of PSA in blood serum are associated with benign prostatic hyperplasia (prostate enlargement) and prostate cancer. A test for PSA may be used to screen for prostate cancer and to monitor treatment of the disease.
"I recommend that every man know his health stats. Be proactive and track your PSA, cholesterol, and blood pressure every year," says Kane. "One of the popular misconceptions is that a normal PSA is anything under four. This is not true for everyone. PSA must be used in the context of age and ethnicity. An average PSA for a man in his 40s is 0.8. An average PSA for a man in his 50s is 0.9 to one and really should be under 2.5."
After reviewing his PSA scores, Haynes learned that he had an elevated PSA, which had spiked over a two-year period. His primary care physician referred him to a urologist who performed a biopsy, which revealed cancer in nine of 12 places on his prostate gland.
"PSA velocity, the rate of change of PSA, is a very strong predictor of prostate cancer," says Kane. "PSA velocity is also correlated with grade and severity of cancer. A PSA history that suddenly changes is a more valuable indicator of disease than a single elevated PSA. Know your numbers and create a benchmark to monitor your own health."
Jokes Aside: Get the Rectal Exam
"I remember fellow NFL players joking that I would not get screened because of the digital rectal exam," says Haynes. "It's definitely not something that guys look forward to. The doctor asked me, 'Did I mind getting the exam?' I thought, If it's going to save my life, of course I don't mind."
A digital rectal examination is done to evaluate the rectum and prostate. During the examination, a physician gently puts a gloved, lubricated finger into the rectum to check for growths or enlargement of the prostate gland, a walnut-sized gland in the middle of the pelvis that produces semenal fluid. The process takes less than 30 seconds.
"The toughest part is relaxing, but it's quick and painless," says Haynes. "As we talk about the exam, and normalize it, guys will start to realize it is part of life. If it's going to save your life, it's definitely worth it."
"The best argument in favor of screening is that there are more than 30,000 men dying from prostate cancer in America," says Kane, a nationally recognized robotics expert. "If you get screened, you can get treatment if you need it. Screening is gaining information about whether or not a person has prostate cancer and, if they do, the stage of the cancer. Fortunately, most men who are diagnosed young are diagnosed at a stage where they can be cured, where there are fewer side effects of treatment, and they are more likely to benefit from treatment."
Kane strongly believes that doctors should actively screen, and then carefully evaluate the individual patient, his overall health, age, ethnicity, PSA pattern, and grade and extent of cancer, to make an informed decision about treatment.
"It's true that there are some men with very low risk, low grade prostate cancer who may not need to be aggressively treated. That's an important decision they need to make with their physician," says Kane." However, that's the minority -- 15% to 20% of newly diagnosed men -- who have that very low grade, low volume, low PSA, slow-growing form of prostate cancer. There are also men who are older or who are in poor health where it is less important to diagnose what is often a relatively slow growing cancer."
Open Dad's Playbook
Haynes did not know about his own family history of prostate cancer until after his diagnosis. He encourages men to ask their fathers, uncles, and grandfathers about their medical histories.
"After I was diagnosed with the disease, I found out that my grandfather died of prostate cancer," says Haynes. "I was 22 years old when he died. At that age, I definitely wasn't thinking about cancer and my mom didn't know to tell me to get screened later in life."
Haynes realized that he needed to talk with other men about the disease to aid his own treatment process. In doing so, he learned that many men, himself included, needed a better understanding of the male urologic system.
"When I was first diagnosed, I didn't talk to anybody. I didn't want to involve other people or for them to feel sorry for me," says Haynes. "The moment I started talking to my doctor and friends, the diagnosis started to be a normal thing. I remember going to Dr. Kane for a 'man-to-man talk' on what the prostate actually did."
The more Haynes engaged others in conversation he learned of men who had multiple family members with prostate cancer.
"The only thing my friends knew is that they were getting their PSA test done because their dad told them to. As men, we have to do more. We can learn from the women's health movement," says Haynes. "The Susan G. Komen Foundation has done such a good job of raising awareness of breast cancer that there is not a man or woman adult who doesn't know about the importance of feeling for lumps in the breast. We need to do something similar to ensure that men know and monitor their PSA score, so that if they catch something early, it is a nonevent in their lives."
Draft Your Offensive Line
Any person who learns of a cancer diagnosis needs a team to help navigate their treatment process. Gigi, Haynes's wife, took a proactive role in helping her husband.
"I think it's a given that wives or partners become involved in the decision process, especially because of the potential sexual side effects of treatment. It's not like we're talking about tonsils here. There can be complications with a man's ability to maintain an erection as well as problems with continence."
Gigi described the cancer diagnosis as overwhelming and she responded by taking on a role as an information analyst. In addition to interviewing doctors, Gigi performed extensive web research.
"Maybe I went a little over board. I created a PowerPoint presentation of treatment options and even put an anatomical model of the urologic system in the kitchen and asked visitors, 'Do you know the location of the prostate? Do you know what it does?'"
In addition to his wife, Haynes relied on his physician, and other men to formulate his own treatment plan.
"I started talking to other men and asked questions about their Gleason score, why they chose a particular therapy, and their research findings," said, Haynes. "Every guy I talked to loved their own method and was an advocate for his particular strategy. I had to look through their experiences to develop my own plan. The more I talked, the better I felt about my own decisions."
From our Sponsors
Most Popular
Lexi Love comes out as HIV+ after Trump deletes federal resources
January 23 2025 11:23 AM
Grindr is reminding us why jockstraps are so sexy and iconic
May 02 2025 5:36 PM
BREAKING NEWS: Trump admin moves to end federal HIV prevention programs
March 18 2025 6:10 PM
Trump's orders prompt CDC to erase HIV resources
January 31 2025 5:29 PM
Celebrating Black History Month with our annual African American issue
February 01 2025 3:28 PM
Tyler TerMeer vows to continue to fight for health care for all
January 28 2025 3:00 PM
Discover the power of Wellness in your life
March 26 2025 12:41 PM
Plus: Featured Video
Latest Stories
Dancer. Healer. Survivor. DéShaun Armbrister is all of the above
July 02 2025 8:23 PM
Two right-wing Supreme Court justices signal they may uphold access to PrEP and more
April 21 2025 4:10 PM
Broadway's best raise over $1 million for LGBTQ+ and HIV causes
April 03 2025 7:15 PM
Plus nominated for 2025 GLAAD Media Award
January 22 2025 12:42 PM
'RuPaul's Drag Race' star Trinity K Bonet quietly comes out trans
December 15 2024 6:27 PM
AIDS Memorial Quilt displayed at White House for the first time
December 02 2024 1:21 PM
BREAKING: Supreme Court rules to save free access to preventive care, including PrEP
June 27 2025 10:32 AM
1985: the year the AIDS crisis finally broke through the silence
June 26 2025 11:24 AM
Trump admin guts $258 million in funding for HIV vaccine research
June 03 2025 3:47 PM
500,000 Children at Risk: PEPFAR Funding Crisis
April 08 2025 3:51 PM
The Talk Season 5 premieres this spring with HIV guidance for the newly diagnosed
March 26 2025 1:00 PM
Jess King is here to help you live your happiest, healthiest life yet
March 24 2025 4:35 PM
A camp for HIV-positive kids is for sale. Here's why its founder is celebrating
January 02 2025 12:21 PM
VIDEO: A man living with HIV discusses his journey to fatherhood
June 10 2025 4:58 PM
HRC holds 'die-in' to protest Trump health care cuts
April 28 2025 2:11 PM
Season 4 of The Switch on resilience & radical self-love returns this spring
March 26 2025 12:20 PM
Gerald Garth is keeping people of color happy and healthy through trying times
March 11 2025 3:38 PM
This long-term HIV survivor says testosterone therapy helped save his life.
December 16 2024 8:00 PM
Ricky Martin delivers showstopping performance for 2024 World AIDS Day
December 05 2024 12:08 PM