Managing Men's health

Question 1

Physically what kind of risks do men have?

Answer 1

• higher cancer risk and higher likelihood of death from cancer. prostate cancer being the most common!
• higher likelihood of diabetes complications like foot ulcers, amputation, premature death.
• more likely to be overweight or obese.

Question 2

mentally what consequences can be seen in men’s health?

Answer 2

suicide common in middle aged me from 45 to 50’s.
- barrier to health seeking behaviours seen in men. due to embarrassment and negative view on therapy, socioeconomic factors such as being the breadwinner, leading to risk-taking behaviours like alcohol abuse.

Question 3

how can we improve men’s health?

Answer 3

• communication, signposting, supporting through MIND/CALM/SHOUT.
• exercise, healthy diet.

Question 4

how might we approach the conversation about men’s mental health?

Answer 4

• establish a rapport.
• take full history and get accurate information.
• initiate the conversation.
• provide realistic time frame to make changes.
• have a shared decision making process.

Question 5

what are your clinical priorities in approaching mental health in men?

Answer 5

• consider lifestyle factors,
• 10 year CVS risk.
• establish treatment targets to get clinical benefit.
• set clear followup and provide support and information.

*calculate BMI, communicate with them, be non-judgemental, empathetic, motivational interviewing technique.

Question 6

what are the physical causes behind erectile dysfucntion?

Answer 6

• atherosclerosis, smoking cigarettes, cycling.
• heavy drinking damages nerves to penis and reduces testosterone and increases oestrogen.
• spinal cord injury.
• prostate gland surgery, radical prostatectomy.
• side effect of BP, heart disease, depression, peptic ulcer drugs could cause.

*viagra increases CVS risk.

Question 7

what psychological reasons could cause it?

Answer 7

• stress and anxiety,
• depression.
• relationship conflicts.
• sexual boredom.
• unresolved sexual orientation.

Question 8

how could you treat ED?

Answer 8

• oral drugs like viagra with headaches and facial flushing being the common side effects.
• injection therapy to relax blood vessels to increase blood flow.
• MUSE with alprostadil.
• therapy/ counselling, wider CVS risk screening and prophylaxis!