Men's Health

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    AHarry Fisch, MD, Urology, answered
    What can men do to feel happier, less stressed out and less anxious?
    Getting more sleep, eating a healthy diet, getting into shape, and enjoying your sex life are all ways men can reduce stress and feel happier. Watch as urologist Harry Fisch, MD, discusses the lifestyle changes men should make to combat anxiety.
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    AScripps Health answered

    The average life expectancy for men is 76 years. If you’re a man who wants to push that number as high as possible -- or a woman who wants the same for your husband, father or brother -- you may be interested in the leading causes of death for men.

    • Heart disease tops the list. Heart disease includes heart failure, arrhythmia and coronary artery disease.
    • The leading causes of cancer death in men are lung, prostate and colorectal.
    • Accidents are a leading cause of death, including falls, sports injuries, fires and car accidents.
    • Strokes are a common cause of death. A stroke occurs when blood flow to the brain is disrupted, either from a blood clot or a blood vessel tearing.
    • Chronic obstructive pulmonary disease (COPD) is also on the list. COPD refers to two lung diseases: chronic bronchitis and emphysema.
    • Rounding out the list is diabetes. Now considered an epidemic, diabetes affects the body’s ability to produce or use insulin, a hormone made by the pancreas that helps cells take in glucose (blood sugar) for energy.
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    AArthur Perry, MD, Plastic/reconstructive Surgery, answered
    Many drugs cause male breast growth, technically called gynecomastia: hormones for prostate cancer, prescription drugs such as spironolactone and Propecia (finasteride), the antifungal ketoconazole, digoxin, lovastatin, verapamil, cimetidine, respirodone, methyldopa, melatonin, and the acquired immunodeficiency syndrome (AIDS) drug efavirenz. Marijuana and anabolic steroids are notorious for causing breast growth; half of steroid users develop gynecomastia.
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    AArthur Perry, MD, Plastic/reconstructive Surgery, answered
    Male breast growth, technically called gynecomastia, occurs in half of men at the time of puberty. It can be humiliating and prompt teasing. At a time when teenagers are beginning to grow beards, the last thing a boy wants to grow is a breast. The condition is due to an imbalance between estrogen and testosterone, the female and male hormones.

    Most men's breasts spontaneously disappear in time for college. But they can start up again. Breast growth can occur with declining testosterone levels in aging men. And many drugs cause breast growth: hormones for prostate cancer, prescription drugs such as spironolactone and Propecia (finasteride), the antifungal ketoconazole, digoxin, lovastatin, verapamil, cimetidine, respirodone, methyldopa, melatonin, and the acquired immunodeficiency syndrome (AIDS) drug efavirenz. Marijuana and anabolic steroids are notorious for causing breast growth; half of steroid users develop gynecomastia. Thyroid disease, liver disease, alcoholism, AIDS, and kidney failure are associated with male breast growth. Overall, a third of adult men have some degree of breast growth.
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    AArthur Perry, MD, Plastic/reconstructive Surgery, answered
    Breast growth in men is more common than one might expect. It is a hidden, embarrassing deformity. Men with large breasts wear shirts all the time, even on the beach. About 18,000 men underwent surgery to reduce the size of their breasts in 2005.
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    ANatan Bar-Chama, MD, Urology, answered on behalf of The Mount Sinai Health System
    Physicians will administer a physical to determine if you have symptoms indicative of andropause. Blood tests determine hormonal levels, but they need to be done right and do demand expertise in interpretation, as well as a good lab.
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    ANatan Bar-Chama, MD, Urology, answered on behalf of The Mount Sinai Health System

    When it comes to healthcare, men often find themselves short-changed: They die more often of cardiovascular disease and cancer. Men are also less likely to approach a physician with their concerns than women. It is therefore not at all surprising that men live on average about 6 years less than women.

    The novel concept of men's wellness intends to reach beyond the classic definition of men's health and views the male patient as a whole. Breaking from the tradition where a urologist treated a man solely for urological conditions, we have realized that problems such as erectile dysfunction or low testosterone are related to matters that affect the entire body. Patients with heart attacks, for instance, report that they started noticing erectile dysfunction about three years before they started having chest pain. Patients with low testosterone find themselves at high risk for developing diabetes, heart disease and brittle bones.

    Looking beyond a list of symptoms and ailments, our physicians individualize your health care treatment, taking into account a man’s physical and emotional wellbeing before prescribing any treatment.

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    AMarina Johnson, Endocrinology/diabetes/metabolism, answered

    Many factors can cause testosterone levels to decline. Before starting long-term testosterone replacement, a man should be carefully evaluated to determine the cause of his low testosterone. Pituitary or brain tumors can result in low testosterone and these may require surgery or other drugs. Failure to recognize this serious condition could be life threatening.

    Prescription drugs may interfere with sexual function and reduce testosterone levels. Other less serious but treatable causes can include nutritional factors, stress, insomnia and other life-style issues. However, the good news is that when these are recognized and treated, testosterone may normalize without the need for testosterone treatment. The goal should be to enable a man to produce his own testosterone.

    Viagra is a useful drug, which offers men an effective way to treat erectile dysfunction. However, erectile dysfunction is one of the key symptoms for low testosterone. Taking Viagra without undergoing endocrine evaluation could delay detection of a potentially treatable condition. Appropriate hormone treatment could eliminate the need for Viagra and enable the man to have normal sexual function.

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    AMarc Garnick, MD, Oncology, answered
    Male menopause is sometimes called andropause.

    Aging men complaining of fatigue, low libido, and mood swings have increasingly been given prescriptions for testosterone supplements. But researchers now say that only a handful of symptoms are actually associated with low testosterone, narrowing the definition of "male menopause."

    Researchers measured testosterone levels in more than 3,200 European men between the ages of 40 and 79 and asked the men for details about their physical, sexual, and psychological health. Of 32 potential "male menopause" symptoms, only three -- fewer morning erections, decreased frequency of sexual thoughts, and erectile dysfunction -- were consistently related to low testosterone levels.

    Six psychological and physical symptoms, including fatigue, sadness, and difficulty walking and bending, had weak associations with testosterone levels. Symptoms such as anxiety, poor concentration, and erratic sleeping patterns were not linked to hormone levels.