Prostate Cancer: 5 Early Signs Indian Men Often Overlook!
REVIEWED BY DR. Shoket Ali (MD MEDICINE) on 4Th March 2025.
Prostate cancer is one of the most common cancers in men, but many people don’t realize they have it until it reaches an advanced stage. Why? Because the early symptoms are often ignored or mistaken for regular aging problems. Many Indian men avoid talking about health issues, especially when it comes to topics related to the prostate. But ignoring the warning signs can lead to serious complications.
Good news? If diagnosed early, prostate cancer is highly treatable! Ignoring warning signs may lead to complications, so it is essential to understand them and have regular checkups.
In this blog, we explain prostate cancer in plain terms: what it is, how it develops, first warning signs, risk factors, ways of diagnosis and treatment, plus how to minimize one’s risk. Let’s start from the beginning.
What is Prostate Cancer?

Prostate cancer is cancer of the prostate. The prostate itself is rather small and shaped like a walnut, sitting below the bladder and in front of the rectum. Its purpose is to manufacture seminal fluid that allows the transport of sperm.
Most of the time, prostate cancer grows slowly, but in some cases, it can grow aggressively and spread to other areas of the body, including the bones or lymph nodes. Thus, early detection and diagnosis are very important, as that would mean treatment options are more varied and chances of a full recovery increase.
How Does Prostate Cancer Develop?

Like all cancers, prostate cancer comes from a specific mutation in normal cells, which begins to grow uncontrollably. These abnormal cells are grouped into one structure tumor which, if left untreated, can invade beyond the prostate.
Development Process:
- Cell Mutation – Normal prostate cells stop mutating and begin to grow wildly.
- Tumor Formation – These abnormal cells form a lump inside the prostate.
- Local Tumor Growth – Advances up into the prostate, invading neighboring tissue.
- Metastasis – In general metastasis, cancer may spread to nearby bones, lymph nodes, and other organs.
What Increases the Risk of Prostate Cancer?

Doctors don’t know exactly what causes prostate cancer, but certain factors can increase the risk.
Common Risk Factors:
- Age: The risk increases after 50. Most cases occur in men over 65.
- Family History: If your father or brother had prostate cancer, your risk is higher.
- Diet: Eating a lot of red meat and fatty foods may contribute to cancer growth.
- Obesity: Being overweight increases the chances of developing aggressive prostate cancer.
- Smoking: Long-term smoking has been linked to an increased risk of prostate cancer.
- Hormonal Changes: High testosterone levels might contribute to uncontrolled prostate cell growth.
What DOESN’T Cause Prostate Cancer? (Common Myths)
- Frequent sexual activity – No scientific proof links this to prostate cancer.
- Vasectomy – Having a vasectomy does not increase the risk.
- Spicy food – It may cause heartburn but not prostate cancer.
- Masturbation – No research shows a link between masturbation and prostate cancer.
5 Early Warning Signs of Prostate Cancer

Most men do not have symptoms in the early stage, hence the significance of screening. But there are some warning signals that shouldn’t be disregarded.
1. Frequent Urination, Most Especially at Night
Do you wake up quite several times at night to urinate? Probably it is a growing prostate; an early sign of prostate cancer.
2. Difficulty Beginning or Stopping Urination
“Inability to start or stop urine flow suddenly”, can be a signal that someone may probably have a problem in the prostate.
3. Flow of Weak or Intermittent Urine
To have a slow and weak urine stream could mean that something is blocking the normal passage of urine.
4. Blood in Urine or Semen
Blood in either urine or semen is abnormal and should be referred to a physician immediately.
5. Weight Loss and Fatigue, Not Well Explained
Sudden weight loss without cause, or constant feelings of exhaustion, suggest that cancer is active in the body.
Other Symptoms That May Develop:
- Pain in lower back, across hips, or down thighs
- Burning sensation when passing urine
- Erectile inability or difficulty in maintaining arousal
- Having the feeling of not completely empty bladder even after urinating
When Should You See a Doctor?

Many men tend to think that prostate problems are just part of getting old. However, if you really have some of the above-mentioned symptoms, don’t ignore them.
See the doctor if:
- The symptoms appear for more than two or three weeks.
- Blood is noticed in urine or semen.
- Family history of prostate cancer.
- Pain felt in the lower back or pelvis.
Why Early Detection is Important
Prostate cancer can be completely cured if detected early; otherwise, aggressive treatment must be initiated.
Advantages of Early Detection:
- Increased odds of treating successfully
- Less aggressive treatment
- Lesser chances of spread
- Improved post-treatment quality of life
How is Prostate Cancer Diagnosed?

Doctors use several tests to check for prostate cancer:
- PSA Test (Prostate-Specific Antigen Test) – A blood test that checks PSA levels. Higher levels might indicate prostate cancer.
- Digital Rectal Exam (DRE) – A doctor inserts a finger into the rectum to check for abnormalities.
- MRI or CT Scan – Imaging tests that help detect unusual growth in the prostate.
- Biopsy – A small tissue sample is taken and examined under a microscope.
Prostate Cancer Treatment Options Available in India

The treatment provided varies according to the stage and severity of the cancer.
1. Surgical Procedure (Prostatectomy)
Surgical removal of the prostate gland. Robot-assisted surgery is being performed in India to achieve better accuracy and faster recovery.
2. Radiation Therapy
Radiation kills the cancer cells using high-energy rays. The side effects may include fatigue, bladder issues, and erectile dysfunction.
3. Hormone Therapy
To slow down the growth of cancers, testosterone is lowered.
4. Chemotherapy
Applied in cases of advanced prostate cancer. Side effects include nausea, hair loss, and fatigue.
5. New therapies by India:
Targeted Therapy – It targets cancer cells but does not harm normal ones.
Immunotherapy – It enhances the immune system so that it fights cancer.
Can Prostate Cancer Be Prevented?
You can’t completely prevent prostate cancer, but making healthy choices can lower your risk.
- Eat a diet rich in fruits and vegetables.
- Exercise regularly and maintain a healthy weight.
- Cut down on red meat and processed foods.
- Avoid smoking and limit alcohol consumption.
- Get regular checkups, especially after age 50.
Frequently Asked Questions
Is prostate cancer always fatal?
No! Many cases of prostate cancer grow slowly and can be successfully treated if caught early.
Can young men get prostate cancer?
It’s rare but possible, especially if there’s a family history.
Does prostate cancer affect sexual health?
Some treatments may cause erectile dysfunction, but there are medical options to manage it.
What’s the success rate of prostate cancer treatment in India?
Early-stage prostate cancer has a survival rate of over 90% with proper treatment.
Conclusion
Prostate cancer is tricky—it starts quietly, with mild symptoms that are easy to ignore. Most men don’t realize something’s wrong until it’s too late and cancer has already spread. As men may often ignore early symptoms like burning of urination, weak urinary stream, or blood in urine thinking it’s just another tick of old age.
The fact is that, when caught early, it makes all the difference. Early treatment options become more readily available, survival rates skyrocket, and with early diagnosis, one can avoid all nasty complications associated with late-stage cancer. This really is a lifestyle disease that can be kept in check by maintaining a fit and healthy lifestyle, with regular check-ups and careful observation.
The bottom line is, however, never to wait for the alarm bell to ring. Pay heed to your body, get yourself checked, and take serious charge of your health-caution exercised today can afford extra years to your life.