male sex health Flashcards
why is male health important?
heart disease and cancer- males more likely
diabetes- middle aged men twice as likely
suicide- 75% of cases
worse lifestyle: smoke more, salt ,red and processed meat, alcohol
what are the top 5 health symptoms that shouldnt be ignored?
1) A lump on testicle
2) Moles
3) Feeling depressed
4) Trouble urinating
5) Erectile dysfunction
what are the signs and symptoms of testicular cancer?
- A lump in either testicle (refer)
- An enlarged (swollen) testicle/ difference between 2
- A dull ache in lower abdomen or groin
- A sudden gathering of fluid in the scrotum
- Feeling of heaviness in the scrotum
who does alopecia affect? what causes it?
– Male-pattern baldness (affects 50% of men over 50, and 50% of women over 65)
– Loss of self-confidence and self-esteem
* Cause: effect of DHT on over sensitive hair
follicles,any hair loss is irreversible
how do you manage alopecia?
– Finasteride 1mg tablets (Propecia) POM
– Minoxidil (Regaine) P
– Zinc supplements or surgery
what is the aim of alopecia treatment?
Treatment aims to slow down hair loss,
currently no treatment available on NHS
who does snoring affect? what are the causes?
- Affects 41% of middle aged men (28% of middle aged women)
- Causes:
– Obstruction
– Loss of muscle tone
what are the physical features of snoring?
- Fat deposits/ weak chin
- Small/ collapsing nostrils
- Deviated septum
- nasal congestion/catarrh or polyps
- large soft palate or uvula
how do you manage snoring?
- Change lifestyle (alcohol, smoking etc)
- Nasal spray and nasal dilators
- Oral shield and chin up strips
- Surgery (often if apnoea too), carried out as a
last resort following a sleep study, but is
available on the NHS
what is BPH?
Benign prostatic hyperplasia (BPH)
* Obstruction of urethra by enlarged prostate gland
* Cause: unknown
what are the urinary symptoms of BPH?
– Incomplete emptying
– Increased frequency
– Intermittent flow
– Urgency
– Weak stream and straining
– Nocturia
what is an OTC treatment for BPH?
Flomax MR Relief (P) 400mcg cap
* 45-75 years
* Symptoms present for 3 months or more
* 2-week initial supply to patients with BPH
* If improvement in urinary symptoms: can make a further 4 weeks OTC supply of tamsulosin.
* Need to see GP within 6 weeks of starting
when should you supply flomax?
– Patient has a symptom score of 8 or more…OR
– A symptom score of 1 PLUS a QOL score of 4 or more
how should you counsel someone with BPH?
- Reduce alcohol, caffeine and fluid intake,
especially before bedtime. - General lifestyle advice
when do you not supply tamsulosin OTC?
- Symptoms of less than 3 months duration
- The patient has had prostate surgery.
- There is unstable or potentially undiagnosed diabetes
- The patient has problems with their liver, kidney or heart
- Symptoms of postural hypotension
- Cataract surgery is planned
- The patient has recent blurred or cloudy vision that has not been examined
by a GP or optician (as cataracts may be indicated) - The patient has allergy or hypersensitivity to tamsulosin
- If any other BPH treatment has been prescribed or if the patient takes any
antihypertensive medicines with significant alphablocking activity
