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The health test most men don’t know they need (but should)

This article was reviewed by Felix Gussone, MD. 

What Is Biomarker Testing? How It Works and Why It Matters for Men’s Health

Key Takeaways:

  • Biomarker testing uses blood, saliva, or tissue to measure specific health metrics and provide insights into your body’s functioning. 
  • Testing can identify potential health issues early, track changes to levels over time, and inform personalized care. This can help you take more control of your well-being.
  • Combined with regular checkups and other medical care as needed, biomarker testing can support early detection, risk assessment, and ongoing management of health conditions.

It’s common to wait until something feels “off” before making an appointment to see a healthcare provider. But waiting for noticeable symptoms can mean missing the chance to catch health issues early. That’s where biomarker testing comes in. 

A biomarker test often takes the form of a routine blood draw, and it can provide important data about what’s going on in your body.

For instance, biomarker testing can include measurements of specific indicators like cholesterol, blood sugar, hormones, or inflammation levels. Testing can also evaluate genetic or protein markers that can inform cancer risk assessment or guide treatment planning.

Additionally, biomarker testing helps healthcare professionals detect abnormalities and diseases early, track changes over time, and provide personalized treatment plans.

Biomarker testing can be helpful for a number of reasons, including prevention, managing a chronic condition, or just better understanding your health.

What is Biomarker Testing?

Biomarker testing is a process of measuring specific biological markers (“biomarkers”), or measurable signs of health or disease, through samples of your blood, urine, saliva, or — less commonly — tissue. 

Testing collects data from your body and helps your healthcare provider evaluate risks, confirm or rule out conditions, and guide preventive or therapeutic care. It can also equip you with the information you need to pursue preventive habits. Tests check for genes, proteins, and other molecules that could indicate a disease or abnormality in the body.

The results can highlight whether a disease is getting better or worse, predict how you might respond to treatment options, or identify health risks before symptoms even appear. 

Common Biomarker Tests

While biomarker testing can cover a wide range of health indicators, certain tests are especially important for men at different stages of life. These go beyond the basics and can provide early insight into conditions that commonly affect men. 

Certain types of biomarkers can point to the potential presence of a disease, track how a condition changes over time, predict disease outcomes, predict how well a treatment may work, or identify the risk of developing a condition in the future.

Some examples of biomarker tests include: 

  • Prostate-specific antigen (PSA). Used to screen for prostate issues, including prostate cancer. Screening decisions are individualized, typically for men 55–69 (earlier if at higher risk). Elevated PSA doesn’t always mean cancer, but it can signal the need for closer monitoring.
  • Testosterone panel. Measures total and free testosterone levels, which can help evaluate energy, mood, fertility, and muscle health. Low testosterone may be associated with fatigue, decreased libido, or changes in body composition.
  • Thyroid function tests. Thyroid issues can influence weight, energy, and even heart health. Testing thyroid-stimulating hormone (TSH) and other related markers as needed helps catch dysfunction early.
  • C-reactive protein (CRP) and other inflammatory markers. Chronic, low-grade inflammation is tied to heart disease, diabetes, and even some cancers. Checking CRP, a protein your liver makes in response to inflammation, can serve as a general marker of inflammation in your body.
  • Liver and kidney panels. These tests measure how well your body processes waste and uses nutrients. The panels provide insights into organ health and might be particularly useful for men who drink alcohol regularly, use certain medications, or have a history of high blood pressure (hypertension).
  • Genetic and cancer risk markers. Specialized biomarker testing can check for inherited risks that might otherwise go unnoticed until later in life. It may be most impactful for men with a family history of cancer or cardiovascular disease.

By targeting these key areas, biomarker testing provides a fuller picture of health and spotlights potential issues before they become larger problems.

Benefits of Biomarker Testing 

Biomarker testing offers more than just numbers on a lab report that only you and your provider will see. The results function as a window into how your body is currently operating and the direction your health may be heading.  

Reasons biomarker testing is so important include:  

  • Tests can help you detect potential health issues early. Many conditions, like high cholesterol or diabetes, can develop without noticeable early-stage symptoms. Biomarker testing can give you a heads-up about how well your body is using and responding to insulin, for example, before you have more significant symptoms.  
  • They allow for personalized care. Instead of taking a one-size-fits-all approach to your health, biomarker results give you and your healthcare provider information that can guide tailored prevention and treatment strategies.  
  • They help you monitor progress over time. Whether you’re changing your everyday habits, starting a new medication, or managing an ongoing health condition, biomarker testing tracks how your body responds so you can adjust as needed.
  • They encourage proactivity. Biomarker testing can illuminate your health risk factors, such as whether you have hormonal imbalances or dyslipidemia (blood fats that are higher or lower than normal). This can help you take medical and lifestyle steps to optimize risk factors before they turn into more serious issues.
  • They can be empowering. Having objective data about your health helps you make informed decisions and feel more in control, instead of guessing about what’s happening inside your body. Knowing exactly what’s going on can also provide peace of mind. 

Concerns about Biomarker Testing: Helpful but Not Perfect

While biomarker testing is a powerful tool, it’s not a crystal ball, and a provider must always interpret results in a clinical context. Understanding the limits of testing can help with setting realistic expectations. Potential drawbacks of biomarker testing include:

  • Not always definitive. A single biomarker result can’t diagnose every (or any!) condition. Most tests require a provider’s interpretation in the context of your medical history, symptoms, and sometimes additional testing.
  • False positives and negatives are possible. Results can occasionally suggest a problem when there isn’t one, or miss an issue that does exist. This is why a provider may recommend follow-up testing.
  • Context matters. While there are accepted reference ranges for biomarkers, what’s truly normal for you may not be the same as for someone else. This is why it’s important to have an established personalized baseline, and you can monitor trends over time. 
  • They have a limited scope. Biomarkers can point to risk or the presence of disease, but they don’t necessarily explain why a change is happening. Lifestyle factors, medications, or even temporary stress can affect biomarker testing results.
  • Access and cost. Some advanced biomarker tests may not be widely available or covered by insurance, which can limit how often they’re used in routine care.

Overall, biomarker testing is a helpful tool, but it’s only one piece of the larger puzzle in assessing (and monitoring) your wellness. It complements, but does not replace, professional medical evaluation and ongoing clinical care.

Can Biomarker Testing Detect Cancer? 

Biomarker testing plays an important role in modern cancer care, helping healthcare providers diagnose certain cancers, assess prognosis, and guide treatment choices at the cellular and molecular level. 

Certain biomarkers can signal abnormal activity, such as elevated prostate-specific antigen (PSA) levels that may point to prostate cancer. (Elevated PSA levels can also occur with benign prostate enlargement or inflammation.) Other biomarkers may detect gene mutations linked to specific cancer types, suggesting whether a tumor might respond to targeted therapy. 

In cancers involving solid tumors or affected lymph nodes, biomarker testing can help guide treatment decisions, track the effectiveness of therapies, and monitor whether cancer cells are responding as expected. 

However, it’s important to remember that biomarker testing doesn’t replace other effective testing tools, like imaging and biopsies. Instead, it provides additional context about how cancer is behaving and interacting with otherwise healthy cells. 

In addition to PSA, which we mentioned above, some other cancer biomarkers can include: 

  • HER2. A protein receptor that can drive aggressive breast cancer growth, helping to determine if targeted therapy is appropriate. While it’s more commonly tested in women, sometimes it’s used for men.
  • EGFR mutations. Commonly found in non-small cell lung cancer, this biomarker guides the use of EGFR-targeted drugs. EGFR is a protein that helps cancer cells grow and divide. 
  • KRAS mutations. Often detected in colorectal cancer, this genetic marker helps doctors rule out therapies that are unlikely to be effective. KRAS is a gene that makes a protein involved in signaling pathways that control cell growth. 
  • BRCA1 and BRCA2 gene mutations. Linked to higher risks of breast, ovarian, and prostate cancers. 

These biomarkers don’t act alone, but when paired with imaging, biopsies, and other diagnostic tools, they provide information that guides individualized cancer treatment. Research is ongoing to identify more biomarkers that can be helpful and effective in this space.

What to Expect During Biomarker Testing 

Biomarker testing is generally quick and straightforward, but knowing what to expect can help you feel more comfortable throughout the process.

Before the Test

Depending on the biomarkers being measured, you might be asked to fast for several hours or overnight before the test, to avoid alcohol, or to temporarily pause certain medications. Your provider will give you specific instructions, which are important to follow so the results are accurate and reliable.

During the Test 

Most biomarker tests involve a simple blood draw from your arm, though some may use a urine sample, a swab of saliva from your cheek, or (less commonly) a tissue sample. 

After the Test

Samples are sent to a lab for analysis, which may take anywhere from a day to a few weeks, depending on the complexity of the test and the specific lab. Your provider will then review results and interpret them in the context of your health history and current symptoms.

Follow-Up

Your provider will contact you to discuss your biomarker testing results, particularly if any came back abnormal. If that’s the case, the provider might recommend further testing, medical treatments, or adjustments in lifestyle habits. 

Even if the results of one biomarker test are normal, they’re not meant to be a one-and-done thing. It’s important to repeat biomarker testing periodically to track trends over time. Have a discussion with your provider about the right cadence of biomarker testing for you.

The Bottom Line on Biomarker Testing

Biomarker testing gives men of all ages a clearer view of their health by measuring what’s happening inside the body, often before symptoms of issues materialize. 

Biomarker testing can function as a valuable tool for spotting risks early. This can, in turn, help your healthcare team recommend treatment for existing conditions and track your progress over time. 

FAQs about Biomarker Testing 

Below are some answers to common questions about biomarker tests. 

Are biomarker tests the same as blood tests?

Not always. Many biomarker tests use blood samples, but some use urine, saliva, or even tissue. A biomarker blood test is just one type of biomarker testing. Some specialized biomarker tests involve genetic analysis to capture deeper molecular data.

How often should men get biomarker testing?

It depends. There is no formal “annual biomarker testing” recommendation for healthy men who don’t have risk factors. 

The typical recommendation for routine biomarker testing (like cholesterol and blood sugar) is every one to five years in younger, healthy men and annually for men older than 40 or those who have risk factors. A provider may suggest other, more specialized tests if you have symptoms or family members with certain conditions.

Does insurance cover biomarker tests?

Many standard biomarker tests are considered routine care and covered by insurance. More advanced or specialized biomarker testing may require out-of-pocket costs. If you’re unsure about what your insurance covers, it’s best to contact them directly about specific testing.

What’s the difference between biomarker testing and genetic testing?

Biomarker testing examines current health indicators, like your lipid panel, while genetic testing focuses on inherited DNA changes (genetic changes or mutations) that may increase risk for certain diseases. Both can provide valuable information but serve different purposes.

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This article originally appeared on Hims.com and was syndicated by MediaFeed.org.

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