Movember warning: 1 in 16 South African men will develop prostate cancer

Every November, the global spotlight turns to men’s health, and Sanlam’s latest claims data delivers a sobering wake-up call for local men. In 2024, individual prostate cancer claims doubled, making it one of the group’s fastest-rising severe illness claims. This Movember, Sanlam is urging men to get screened.  

Prostate cancer is the most diagnosed cancer in South African men, accounting for almost a quarter of all male cancers. One in 16 men will develop it in their lifetime, and Black South African men are at higher risk. It is often slow-growing, which means early detection gives far more treatment options and better outcomes.

It’s the most prevalent cancer among men in over 100 countries and the leading cause of cancer-related deaths in approximately 50 nations. However, when detected early, prostate cancer has a five-year survival rate of more than 90%. Proactive screening is one of the simplest, most effective steps men can take. Yet, research shows that up to 50% of men are less likely to seek medical help compared to women.

The screening for prostate cancer is so simple, it’s just a quick prick! Unfortunately, too many men still think strength means ignoring symptoms or toughing it out. But knowing when to check in – before small issues become serious ones – is definitely a sign of strength.

What every man should be doing

While treatment for prostate, testicular, and penile cancers varies, early detection remains key. Following these simple actions regularly can be lifesaving.

1. Start self-examining from age 15. Testicular cancer affects young men aged 15 to 39. Monthly self-checks - looking for any lumps, swelling, or changes in the size, shape, or texture of the testicles - play a key role in early detection, which is linked to a 95% recovery rate. Men should also be aware of heaviness or discomfort in the scrotum, as these can be warning signs.
2. Get regular check-ups. Prostate cancer is often asymptomatic. Men over 40 - especially those with a family history - should get annual PSA blood tests and, from age 50, digital rectal exams. Those at higher risk, including men with BRCA2 gene mutations or a family history of prostate or breast cancer, should start screening even earlier.
3. Pay attention to changes. Shifts in bowel habits, rectal bleeding, or unexplained weight loss could signal a gastrointestinal issue. Early medical advice is essential.
4. Don’t let fear of treatment stop you. Radiation, surgery, and hormone therapy may temporarily affect sexual function, but effective support and solutions are available.
5. Talk to someone. Isolation can worsen outcomes or delay seeking treatment. Whether it’s a friend, family member or support group, sharing helps. Lifeline is available at 0861 322 322. Breaking stigma around “embarrassing” exams or topics is vital to saving lives.
6. Speak to a financial planner. The right risk cover can safeguard income and provide peace of mind during recovery.

Movember is a reminder that health and financial confidence go hand in hand. Through tailored solutions that protect today and prepare for life-changing events, we empower South Africans to take control, ask the hard questions, and move forward with strength.

Sanlam’s claims experience shows that prostate cancer now accounts for 41% of male cancer claims, up from 25% the previous year. Overall, cancer claims have risen by 26% for men, highlighting both a growing awareness and an urgent need for prevention.

Myths that stop men from screening

• Prostate cancer is caused by sexual promiscuity or a lack of sex; cultural beliefs that stop many men from seeking screening or help
• Fact: Sexual behaviour does not cause prostate cancer. 
• I don’t have symptoms, so why screen?
• Fact: Prostate cancer is often asymptomatic in early stages, so screenings are crucial for early detection.
• Prostate cancer is incurable.
• Fact: There are several treatment options, many with excellent outcomes when detected early.
• Screening tests do not help.
• Fact: Because early-stage cancer rarely causes symptoms, screening greatly improves survival rates. Always discuss risk factors and screening options with your healthcare provider.
• Screenings are embarrassing or painful.
• Fact: Modern methods are quick and minimally uncomfortable. One common screening is simply a blood test.
• Treatment always causes impotence or incontinence.
• Fact: While some treatments carry side effects, many men require only monitoring or less invasive care. Advances in therapy have significantly reduced long-term complications.

Whether avoiding the doctor or unsure where to start, now is the moment to regroup - without guilt. Book the test. Ask the awkward question. Because the bravest thing a man can do might just be the simplest: go to the doctor.

* Kerchhoff is the senior medical adviser at Sanlam.

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