Men's Health - Patient Care
Thursday, Aug 28, 2008
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Men's Health
  • Coronary heart disease and gender: Lessons from Eastern Europe


    Why do men die at a younger age than women, and what can be done about it?



    New statistics suggest that the gender gap in life expectancy between men and women is narrowing, but the disparity continues to be significant. Men lag behind women for reasons linked to biology, hormonal influences, and psychosocial and lifestyle factors. The consultants for this article offer strategies that can be implemented to better men's health.

    Symposium: When PSA levels rise after prostatectomy



    Twenty to thirty percent of men experience a rising PSA level after radical prostatectomy for prostate cancer, and much controversy exists about how best to manage these patients. In this symposium, an outstanding panel of experts discusses various approaches for different clinical scenarios involving this diverse population of men.

    VIEWPOINT: What's the best way to evaluate and treat male infertility?



    The basic semen analysis may still be the cheapest and most effective means of evaluating the male for infertility. By separating the evidence from the myths about treating male infertility, we can help prevent patients from wasting time on worthless approaches.

    Treatment strategies for the patient with chronic prostatitis



    Abnormal inflammatory, autoimmune, and neuropathic responses may account for symptom severity and chronicity. If a primary course of antibiotic therapy fails, consider second-line therapies to alleviate symptoms based on these pathophysiologic mechanisms.

    Enhancing Your Practice: How to explain risk to patients: Screening for prostate cancer



    How you describe the risks and benefits of prostate cancer screening will influence your patient's decisions.

    Men's Health: Premature ejaculation: Management in primary care


    The epidemiologic burden of premature ejaculation is substantial, and treatment can produce favorable results. If no remediable change has precipitated this common problem, physicians can reasonably consider pharmacotherapy, unless the patient prefers counseling.

    Men's Health: Controversies in testosterone replacement therapy



    Testosterone, classically used to treat hypogonadism, is rapidly gaining popularity as an elixir for youth and virility. The perception that testosterone can counter the symptoms of aging, which seems to have taken hold in the public consciousness, is subject to controversy because the evidence for such claims has not been substantiated in the scientific literature. While it is readily accepted that testosterone levels naturally decline as men age, the inverse implication, that adding testosterone will reverse aging, has yet to be demonstrated.

    Men's Health: Selecting long-term medical therapy for BPH


    While the mainstay of medical treatment for BPH continues to be alpha-adrenergic blockers and 5alpha-reductase inhibitors, combination therapy provides expanded options and can result in a delay in the time to clinical progression.

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