Men's health

Question 1

Androgenic Alopecia

Answer 1

most common

Male pattern baldness

Affects 50% of men
* Highest in white men

Potentially hereditary

Onset normally occurs at age 40

Begins at the crown, temples, and hairline

Hair transitions from large, thick pigmented hair to short, wispy, nonpigmented hair

Question 2

Alopecia areata

Answer 2

Autoimmune disease

Small round patches of baldness

Question 3

Alopecia universalis

Answer 3

Complete hair loss on scalp and body

Question 4

Traction alopecia

Answer 4

Constant tension on hair (bun, ponytail, etc)

Question 5

Drug-induced

Answer 5

Anabolic steroids or chemotherapy

Question 6

ED Treatment

Answer 6

1. Eliminate known cause
2. Oral PDE-5 inhibitors (Sildenafil and Tadalafil)
3. Intraurethral
4. combined therapy
5. penis prosthesis

Question 7

Vacuum erection devices

Answer 7

used for patients that aren’t eligible for any other therapy
slow onset: 3-20 minutes
300-500 dollars
bruising
numbness
cool penis
AVOID SICKLE CELL PATIENTS

Question 8

Peyronie’s disease

Answer 8

Cause: palpable penile plaques
Symptoms: bent erections at a 30 degree angle, penis pain
Treatment: Xiaflex
Collagenase clostridium histolyticum injection: works to dissolve the
plaque
Must be administered in urologist office
2 treatments over 3 days; repeat up to 4 cycles
Very expensive

Question 9

Moderate BPH

Answer 9

AUA: 8-19
Alpha blockers: (Tamsulosin, Terazosin, Doxazosin, Alfuzosin, Silodosin)
does not reduce size of prostate

Hormone therapy
BEST WITH PATIENTS OF PROSTATE > 40 GRAMS
FINASTERIDE 5 MG, DUTASTERIDE 0.5 MG

PDE INHIBITORS
FOR PATIENTS ALSO WITH ED
TADALAFIL 5 MG DAILY