The American Cancer Society recommends men at average risk for prostate cancer consider PSA screening beginning at age 50, according to Mayo Clinic. Men at higher risk should consider screening at age 40 or 45. The American Urological Association recommends a baseline screening for men at age 40.
The American Cancer Society recommends a discussion between men and their doctors before any screening takes place, as reported by WebMD. The discussion should include the benefits, risks and limitations of PSA screening. The American Urological Association recommends shared decision making on PSA screening between men and their doctors from ages 55 to 69, according to Mayo Clinic.
All professional organizations that have weighed in on the PSA test agree on three main points, as reported by Mayo Clinic. PSA screening should be an individualized decision. Doctors should help men make their own decision based on individualized factors, such as age and personal preference. Secondly, men who are not expected to live more than 10 years longer may not need PSA screening.
Men at high risk for prostate cancer need to discuss screening at earlier ages, according to Mayo Clinic. High risk groups include men with a family history of prostate cancer and African-American men.