mens health

Question 1

causes of circumcision

Answer 1

reduces phimosis, balanitis and penile cancer, but can cause swelling/infection - refer after 3 weeks

Question 2

male pattern baldness

Answer 2

affects 50% of men by 50 y/o

Question 3

what causes male pattern baldness

Answer 3

hair follicles become sensitive to dihydrotestosterone

Question 4

treatment for male pattern baldness

Answer 4

hairpieces, transplant, finasteride or minoxidil (OTC/private)

Question 5

finasteride MOA

Answer 5

blocks conversion of testosterone to DHT, no effect on 1/100

Question 6

erectile dysfunction

Answer 6

10% of men, 50% of 50-70 y/o, 25% of cases are drug induced

Question 7

erectile dysfunction treatment

Answer 7

vacuum devices
caverject injections (alprostadil)
oral testosterone
phosphodiesterase 5 inhibitors (1st line - sildenafil)

Question 8

Phosphodiesterase type 5 inhibitors

Answer 8

prevents breakdown of cGMP to sustain an erection - 6 doses until classes as a non-responder

Question 9

benign prostate hyperplasia

Answer 9

impedes urine flow, prostate specific antigen can be measured. causes urinary retention, stones, damage to the bladder/kidney and UTIs

Question 10

benign prostate hyperplasia treatment

Answer 10

surgery
alpha blockers - tamsulosin, relaxes bladder muscles
finasteride - reduces prostate size

Question 11

mild IPS treatment

Answer 11

1-7 : watchful waiting

Question 12

moderate IPS treatment

Answer 12

8-19 : tamsulosin

Question 13

severe IPS treatment

Answer 13

20-35 : tamsulosin/surgery/finasteride