How is BPH diagnosed?

A doctor typically takes a detailed medical history, conducts a physical exam and discusses any changes in the patterns of urination or urinary habits. To evaluate the severity of symptoms, the American Urological Association (AUA) BPH Symptom Score Index may be used. A physician may also administer simple tests that measure urine flow and evaluate the size and health of the prostate.


The doctor may order a Prostate-Specific Antigen (PSA) blood test to help rule out prostate cancer. The doctor may also perform a digital rectal exam (DRE) to determine the size of the prostate and to find any abnormalities. While this exam may be uncomfortable, it is an essential part of maintaining good health.

To determine if you have BPH, you can take a seven-question quiz developed by the American Urological Association. This simple quiz will help assess the severity of your BPH symptoms. When you have completed the quiz, you can print out the results to share with your physician.

Whether your symptoms are mild, moderate or severe, it is recommended that you schedule an appointment with a physician to discuss your condition and appropriate treatment options.  This quiz cannot diagnose an enlarged prostate and is not meant to replace the expert care and advice of a qualified physician.

Click here to take the AUA Symptom Score quiz.

If a man thinks he has BPH, what should he do?

A man who thinks he may be experiencing the symptoms of an enlarged prostate should consult with a physician. With several treatments now available, there is no reason to suffer in silence. BPH can usually be managed with medication; surgery can almost always be avoided.

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Please note: Men’s Health Network does not provide medical services. Rather, this information is provided to encourage you to begin a knowledgeable dialogue with your physician. Check with your healthcare provider about your need for specific health screenings.