Men's Health Flashcards
Describe the trends in men’s health
1/5 men die before 65
Also inequalities:
Life expectancy for baby boys in 2012-2014 was 83.3 in Kensington and Chelsea where in Glasgow it was only 73.3yrs
How does cancer risk differ in men to women?
Men are 67% more likely to due from the common cancers that affect both sexes.
Men are 37% more likely to die from cancer overall
Last year more men died form breast cancer (74) than testicular cancer (55)
How does diabetes differ in men and women?
Men are twice as likely to suffer complications such as foot ulcers, more likely to require an amputation and twice as likely to die prematurely.
How does the prevalence of obesity differ in men and women?
Men and boys are now more likely to be overweight or obese than women and girls at every age - from reception year at school to adulthood
What is the mea age for suicide in men?
45-49yrs old.
It is also the biggest cause of death for men under 45
There are almost as many deaths from suicide from men over 50 as there are for men under 45
What are the risk factors for men’s mental health?
More likely to respond to stress by risk-taking behaviour
Relationship breakdown - marriage breakdown is more likely to lead men to suicide
Emotional factors: men are less likely to have a positive Wien of talking therapies.
Describe the health seeking trends in men
Only 37% of men had seen GP in past 3 months compared to 53% of women.
34% of working aged men would be embarrassed or ashamed to take time off work for a mental health issue such as anxiety or depression compared to only 13% for a physical injury.
52% of men with mental health issues were concerned that their employer would think worse of them.
What things have an increased CV risk?
Age / gender Smoking status Diabetes Angina or heart attach in a first-degree relative <60 Existing treatment with BP agent Postcode of geographical measure of deprivation BMI Systolic BP Total and HDL cholestrol Self-assigned ethnicity Rheumatoid Arthritis CKD Atrial Fibrilation
How do you take a psychosexual history?
Establish how the patient sees the problem and what the consider the cause to be
Determine the duration of the problem and whether it is related to the time, place or partner
Ask about potential loss of sex drive or dislike of sexual contact
Explore sources of stress, anxiety, guilt or anger
Ask about physical problems e.g. pain
Carefully exclude illnesses that may affect sexual performance e.g. CVD, testosterone or thyroid deficiency, pelvic or spinal trauma / surgery, arthritis
What are the physical causes of ED?`
Atherosclerosis - Causes 40% of ED cases in men aged 50+
Smoking cigarettes - which is implicated in 80% of ED cases
One little-known cause of damage to key blood vessels is cycling
Side effects of prescribed drugs - (+BP, CHD, Depression, peptic ulcer, cancer) -up to 25% cases.
Prostate glad surgery / radical prostatectomy.
Regular heavy drinking - can damage the nerves leading to the penis
Spinal cord injury - 25% are affected by ED
What are psychological causes of ED?
Stress and anxiety Depression Relationship conflicts Sexual boredom Unresolved sexual orientation
How do you treat ED?
Oral drugs
Injection therapy
MUSE
Vacuum pumps
Penile implants
Therapy
Describe some risk factors for LUTS
Increased serum testosterone Obesity Elevated fasting glucose Diabetes Fat and red meat intake Inflammation, which increases the risk
What is maximum capacity of a bladder?
400-600ml
WHen do you feel the first desire to void?
300ml
