Olympic cycling champion Sir Chris Hoy is urging men with a family history of prostate cancer to see their GP for a blood test even if they are under 50.
Sir Chris, who has terminal prostate cancer, said more men needed to come forward for the prostate-specific antigen (PSA) blood test to check for the disease.
Both his grandfather and father had prostate cancer, which can run in families.
“If you’ve got family history of it like I have, if you’re over the age of 45, go and ask your doctor,” Sir Chris told the BBC.
“I’ve got a friend who, when I told him my news early on confidentially, he went and got a PSA test and it turned out he had cancer. He’s had treatment and he’s been given the all-clear.”
He said men should be able to get a screening test when they are younger, with no barriers to accessing one.
“Catch it before you need to have any major treatment. To me it seems a no-brainer. Reduce the age, allow more men to just go in and get a blood test.
In the long term this will save potentially millions of lives
“Maybe people seeing this or hearing about my story – just by them asking their GP – will create enough of a surge of interest that people that make the decisions will go ‘you know what, we need to address this’. And in the long term this will save potentially millions of lives.”
NHS guidelines for England say anyone can request a PSA test if they are over the age of 50.
The charity Prostate Cancer UK also advises that black people or those with a family history of prostate cancer may want to speak to their GP about having a PSA test from the age of 45.
Men with symptoms of any age can request a test.
It's been the toughest year of our lives so far by some stretch
Data shows that men who have a brother or father with prostate cancer are 2.5 times more likely to develop the disease and the risk increases even further if they were under 60 when diagnosed.
Elsewhere in the BBC interview, Sir Chris told of the “absolute shock and horror” he felt at his initial diagnosis, the “nightmare” of learning wife Sarra had multiple sclerosis, and having to break the news to their two young children.
“It’s been the toughest year of our lives so far by some stretch,” he said, adding the diagnosis came “out of the blue”.
He added: “No symptoms, no warnings, nothing. All I had was a pain in my shoulder and a little bit of pain in my ribs…
“I assumed it was going to be tendonitis or something, and it was just going to be lay off weights or lay off cycling for a wee while and get some treatment and it’ll be fine.”
But a scan revealed a tumour, and Sir Chris said: “It was the biggest shock of my life. I remember the feeling of just absolute horror and shock.
“I just basically walked back in a daze. I couldn’t believe the news and I was just trying to process it, I don’t remember walking.
“I just remember sort of halfway home thinking ‘where am I?’ And then I was thinking ‘how am I going to tell Sarra? What am I going to say?’.”
When he was given the news that his cancer was terminal, Sir Chris explained his emotions.
“Suddenly, everything, all your thoughts, everything rushes. It’s almost like your life is flashing before your eyes in that moment.
“It does feel like this isn’t real. You feel that you want to get out, you feel like you’re a caged animal, you want to get out of that consulting room and get away from the hospital and run away from it all.
“But you realise you can’t outrun this, this is within you and this is just the first step of the process of acceptance.”
He said his first thought was how he would break the news to his two young children.
He said: “How on earth are we going to tell the kids? It’s just this absolute horror, it is a waking nightmare, living nightmare.
“We just tried to be positive and tried to say ‘do you know what, this is what we’re doing and you can help because when I’m not feeling well, you can come and give me cuddles, you can be supportive, you can be happy, you can be kind to each other.’
“I’m sure lots of families do it in different ways and I think there’s no one right approach for anyone. There’s no one-size-fits-all, but for us I think that was the best way to do it.”
On his Olympic wins and his career, Sir Chris said: “The stakes are much higher now. It felt like life and death in the moment when you were battling it out for an Olympic gold medal but the stakes have changed dramatically and it is life and death.
“But the principle is the same, it’s about focusing on what you have control over and not worrying about the stuff that you can’t control.
“You don’t just suddenly have a leap forward and one day you wake up and everything’s OK. It takes time and you’ve got to be disciplined with how you approach it, and you’ve got to nip things in the bud before these negative thoughts start to take hold.”
