Session 3: Key Trends in Men's Health

Question 1

Most common cancer in men.

Answer 1

Prostate

Question 2

Mortality of testicular cancer vs breast cancer in men.

Answer 2

Last year more died of breast cancer (74) than of testicular cancer (55)

Question 3

Diabetes in men vs. women.

Answer 3

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.

Question 4

Obesity in men vs women.

Answer 4

Men and boys are more likely to be overweigh or obese than women.

Question 5

Peak age of suicide in men.

Answer 5

45-49 years of age.

Question 6

Biggest cause of death for men under 45.

Answer 6

Suicide

Question 7

Men’s mental health risk factors.

Answer 7

Isolation

More likely to respond to stress by risk-taking behaviour such as abusing alcohol.

Suicide due to relationship breakdowns (associated with isolation)

Emotional factors where men are less likely to have a positive view of talking to therapists.

Men less likely to access psychological therapies.

Socio-economic factors

Mid-life crisis.

Question 8

Health-seeking behaviour in men.

Answer 8

Men less likely to see their GP than women

Men more embarrassed or ashamed to take time off due to mental health issue than physical injury.

Men more likely to be concerned that their employer would think worse of them if they have mental health problems.

Question 9

Common physical causes of ED.

Answer 9

Diabetes

Atherosclerosis

Smoking cigarettes

Cycling

Spinal cord injury

Drugs

Prostate gland surgery

Radical prostatectomy

Heavy drinking

Question 10

Common psychological causes of ED.

Answer 10

Stress and anxiety

Depression

Relationship conflicts

Sexual boredom

Unresolved sexual orientation

Question 11

Drugs causing ED.

Answer 11

To treat high blood pressure, heart disease, depression, peptic ulcers, cancer.

Additionally also 5ARIs.

Question 12

Explain how heavy drinking can cause ED.

Answer 12

Alcohol can damage the nerves leading to the penis.

Can also reduce testosterone levels

Increase levels of the female hormone oestrogen.

Question 13

Tx of ED.

Answer 13

Oral drugs

Injection therapy

MUSE (medicated urethral system for erection)

Vacuum pumps

Penile implants

Therapy

Question 14

Give common risk factors for LUTS.

Answer 14

Increased DHTs levels

Obesity

Elevated fasting glucose

Diabetes

Fat and red meat intake

Inflammation

Question 15

Filling symptoms of LUTS.

Answer 15

Urinary frequency

Urgency

Dysuria

Nocturia

Question 16

Voiding symptoms of LUTS.

Answer 16

Poor stream

Hesitancy

Terminal dribbling

Incomplete voiding

Overflow incontinence