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This article was co-written by Erik Kramer, DO, MPH. Dr. Kramer is a primary care physician at the University of Cporado, specializing in weight management, diabetes, and internal medicine. He received his DO degree from Touro University College of Osteopathic Medicine in 2012.
There are 11 references cited in this article that you can view at the bottom of the page.
This article has been viewed 2,259 times.
The prostate is a walnut-sized organ in the male body that plays an important role in the production of semen. The best way to access the prostate is to carefully insert the index finger into the rectum. Prostate palpation is part of an examination (performed by a doctor) or for pleasure and should be treated with equal care. You should also look out for signs of a prostate problem and contact your doctor if necessary.
Steps
Feel the prostate with your finger
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See your doctor if you want to have your prostate checked. Health professionals do not recommend self-examination of the prostate. Untrained people often cannot accurately recognize abnormalities, and the risk of damage to the rectum or prostate is small but possible. [1] X Research Source
- Ask your primary care physician if you should have a digital rectal exam to examine your prostate gland.
- Get a prostate exam if you’re over 40 years old, at high risk for prostate cancer, or if you have symptoms of an enlarged prostate or prostatitis.
- If you want to feel your prostate for pleasure, take the safety measures described in this article and do it slowly and gently.
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Shower and rinse thoroughly the crevice between the buttocks. Use soap, water and soft cotton towel to rub thoroughly and rinse thoroughly with the shower. The cleaner you feel, the less apprehensive you will be when inserting your finger into your rectum.
- Do not use abrasive cloths or brushes, scrub too vigorously or attempt to wash deep into the rectum to avoid damaging sensitive tissues. You must accept that it is not possible to do a 100% cleaning in this area.
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Keep fingernails short and wear sterile medical gloves. Clip your nails and file to make sure they don’t have sharp or rough edges – especially the index finger you’ll be using to feel your prostate. Wash and dry hands after trimming nails, put sterile medical gloves on the hand that will find the prostate. [2] X Research Source
- Even if it’s just your rectal contact, it’s best to stay safe by wearing gloves.
- If you have a ring on your index finger that will be inserted into your rectum, remove it.
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Apply plenty of petroleum jelly or personal lubricant to your index finger. Doctors often use petroleum jelly (like Vaseline cream), but personal lubricants (like KY Gel) also work. Whatever product you use, don’t be afraid to apply a lot on your index finger! [3] X Research Sources
- The lubricant should cover the entire index finger from the tip of the finger to at least the middle knuckle of the finger.
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Get into a comfortable position for easy access to the rectum and prostate. In the clinic, the doctor will place you on your side with your knees bent to your chest. However, this position will be difficult for you to do a prostate self-exam. You can stand and lean forward so your hips come out. [4] X Research Sources
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Relax the rectum as much as possible. Try to stay calm and relaxed, as the rectum will automatically strain when the finger is inserted, especially if you’re new to this. You will have difficulty accessing the prostate gland and it may be uncomfortable if your rectum spasms. [5] X Research Sources
- If you’re at home, try playing soothing music or practice taking a few deep breaths before you begin.
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Insert the gloved and lubricated index finger into the rectum. Move slowly and gently, keep calm and relax. Pause when the finger reaches the end of the first knuckle – the one near the tip of the finger. [6] X Research Source
- Although there are prostate stimulators designed to be pleasurable, it’s a good idea to use your fingers the first few times until you’re comfortable with it.
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Point your fingers (do not bend them) to the area between the navel and the penis. Instead of going straight up into the rectum, you need to point your finger forward to reach the prostate. Do not bend your finger, just adjust the angle of the whole finger to the right direction. [7] X Research Sources
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Insert your finger deeper until it touches the prostate. The middle knuckle of the finger will probably enter the rectum before the tip of the finger reaches the prostate. On contact, you will notice that the prostate is soft and smooth, and you may feel the need to urinate. [8] X Research Sources
- During a rectal exam, your doctor will gently touch your prostate for about 5-10 seconds, checking for nodules, tumors, or other abnormalities.
- For pleasure, you can try gently massaging the prostate with your fingertips. This can take a few seconds, minutes or longer until it’s satisfying – and you’ll know when it happens!
- In some cases, your finger is not long enough to reach the prostate gland – this also happens when the doctor examines it in about 6% of cases. [9] X Trusted Source PubMed Central Go to Source
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Slowly remove your finger and discard the glove. After the test is complete, slowly remove your finger from the rectum. Use one hand to hold the edge of the other glove and peel it off to turn it upside down. Throw gloves in the trash and wash your hands. [10] X Research Source
Identify prostate problems
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Pay attention to urinary-related symptoms of an enlarged prostate. Many men, especially those aged 50 and over, have an enlarged prostate. In most cases, the disease is not caused by cancer, and many men have no symptoms. If you have the following symptoms, contact your doctor: [11] X Research Source
- Weak urine flow
- Feeling like the bladder is not emptying
- Having trouble starting to urinate
- Urine is still dripping after urinating
- The need to urinate more often, especially at night
- Feeling of urgent need to urinate, which can cause urinary leakage before going to the toilet
- Try the screening test to assess symptoms here: https://www.bostonscientific.com/content/dam/bostonscientific-anz/patients/downloads/Enlarged_Prostate_Symptom_Score_Questionnaire.pdf.
Warning: Seek emergency medical attention if you have difficulty urinating or if you have urinary retention, as you will need urgent intervention to manage the blockage.
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Watch out for other symptoms of prostate problems. In some cases, symptoms associated with an enlarged prostate may indicate other problems, such as infection, chronic prostatitis, or cancer. These conditions are often more serious than just an enlarged prostate, so be on the lookout for the following symptoms (in addition to the symptoms of an enlarged prostate): [12] X Research Sources
- Blood in urine or semen
- Painful or burning urination
- Pain during ejaculation
- Frequent pain or stiffness in the lower back, hips, rectal area, or upper thighs
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Do tests and treatment as advised by your doctor. If you have prostate problems, especially if you have symptoms of prostate cancer, your doctor will usually perform a rectal exam or a PSA blood test, or both. They may then recommend a diagnostic ultrasound, CT scan, and/or prostate biopsy to diagnose the disease. While you need to actively make medical treatment decisions, don’t take the advice of experts lightly. [13] X Trusted Source American Cancer Society Go to Source
- Some studies have shown that rectal examination is not very effective in diagnosing cancer because of the difficulty of accessing the front of the prostate, but many experts say it is still valuable. [14] X Research Source
- In some cases, even if you’re diagnosed with prostate cancer, your doctor may still recommend “wait and see.” This is because some types of prostate cancer progress very slowly, and the risk of side effects from treatments (such as problems with the urinary tract and sexual function) is quite high. . [15] X Research Source
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This article was co-written by Erik Kramer, DO, MPH. Dr. Kramer is a primary care physician at the University of Cporado, specializing in weight management, diabetes, and internal medicine. He received his DO degree from Touro University College of Osteopathic Medicine in 2012.
There are 11 references cited in this article that you can view at the bottom of the page.
This article has been viewed 2,259 times.
The prostate is a walnut-sized organ in the male body that plays an important role in the production of semen. The best way to access the prostate is to carefully insert the index finger into the rectum. Prostate palpation is part of an examination (performed by a doctor) or for pleasure and should be treated with equal care. You should also look out for signs of a prostate problem and contact your doctor if necessary.
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