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Men's Health
Topics
Impotence
Most men occasionally experience problems achieving
an erection. However, for one in ten, impotence
becomes a chronic condition. It has been estimated
that 10 million men in the US are impotent. Erection
problems can be caused by illness, drugs, depression,
or a vicious cycle of stress and anxiety. Whatever the
cause, erection problems can undermine a man's self
confidence and erode his relationship with his
partner. The first step a couple can take to restoring
a pleasurable sex life is to seek professional help.
Diagnosis begins with a thorough history, physical
examination, and laboratory tests. They physical
causes of impotence are numerous. Medically prescribed
drugs are the most common physical cause and include
cardiac medications, antihypertensives, sedatives, and
peptic ulcer drugs. There are common medical
conditions that often cause impotence. These are blood
flow abnormalities (such as hardening of the arteries
and high blood pressure), nerve abnormalities (such as
diabetes, stroke, spinal cord injury and pelvic
surgery), and hormonal abnormalities (such as kidney
disease, liver disease, thyroid problems, and
diminished hormone production by the testicle). About
have of impotence is cause by or aggravated by
psychological problems, including depression, stress,
and performance anxiety. It is important to realize
that almost all impotence can be treated successfully
If the cause is psychological, sex and or marriage
counseling re indicated. If the cause is physical,
treatment may be either medical or surgical.
General Impotence is the inability to obtain or
keep an erection of the penis to complete intercourse.
There are several forms of impotence, depending on the
cause. Psychological causes of impotence can include
stress, depression or fear of failure. Physical causes
of impotence can be alcoholism, diabetes, drug
addition, poor circulation, or damage to the urethra.
Various drugs may also cause impotence including
certain anti-hypertension drugs, anit-depressants and
tranquilizers. Treatment of impotence depends on the
underlying cause, severity of the impotence and the
individual. Forms of treatment may include medication,
surgery or the combination of the two. It is important
for you to know impotence is a common condition and
help is available. For further information about
impotence, please consult a physician.
Prostate Cancer
Beginning at about age 40, hormonal changes may
result in enlargement of the prostate, a condition
called benign prostatic hyperplasia or BPH. Problems
with urination start when the enlarged prostate grows
into the urinary tube, producing an obstruction. The
symptoms of obstruction include, hesitation in
starting to urinate, low urinary pressure and flow, a
feeling of incomplete bladder emptying, and the need
to urinate several times at night. Cancer of the
prostate usually developed in the outer part of the
prostate, and does not usually cause any symptoms
until it has spread outside the gland. It is important
to realize that cancer of the prostate does not
usually cause any disturbance in urination and can
only be detected early by having a regular physical
examination. Every man over the age of 50 should have
an annual examination to make sure the prostate is not
cancerous. The annual examination includes a digital
rectal examination and PSA blood test. Both are
accomplished quickly with little or not discomfort.
While most problems can successfully be treated,
cancer of the prostate can only be cured it if is
detected very early, at a time before any symptoms
have developed.
As a result of aging, prostate enlargement is very
common in men over age 45. The enlarge prostate may
also be caused by infection or by small noncancerous
tumors that grow inside the gland. Enlargement of the
prostate gland can obstruct the normal passage of
urine. Consequently, the symptoms of prostate
enlargement include difficult urination, dripping
after urination and the urge to urinate frequently. If
these symptoms appear, a doctor should be consulted
and a physical exam scheduled. Because prostate cancer
is the most common type of cancer among American men,
the National Cancer Institute and the American Cancer
Society recommend a digital rectum exam for all men
over 40. This is especially important if you are black
or if anyone in your family have had prostate cancer.
You may be at a higher risk for the disease. Prostate
cancer can be treated at all stages, however, the
earlier it is detected, the more that can be done.
Vasectomy
Vasectomy is the surgical
sterilization of a man. It's a 20-minute outpatient
procedure that's nearly 100% successful. After a local
anesthetic is injected in the scrotum (SKRO-tum), an
incision is made in each side of the penis. The vas
deferens, which carries sperm is snipped
in two places and tied. Then the incision is sutured.
The suture material dissolves, so the stitches do not
need to be removed. The doctor may advise a day's bed
rest following the procedure. Since live sperm can
still be ejaculated for a number of months, other
birth control is necessary until it's medically
confirmed that the ejaculate is free
of sperm. After vasectomy, there's usually not change
in sexual functioning. Ejaculation still occurs, and
sex glands continue to function as usual. Since
reversal operations are difficult. Costly, and often
don't success in restoring fertility, sterilization
should be considered permanent.
Every year, about ½ million men in the United
States choose to have a vasectomy. A vasectomy is a
simple and safe outpatient surgical procedure in which
the tubes that carry sperm are cut and tied to make a
man sterile. Using a local anesthesia, a small
incision is made in the scrotum. A vasectomy is
commonly done as an office procedure, and takes about
twenty minutes. Potency or sexual activity is not
affected by the procedure. Male hormone production
from the testicles will remain the same as will the
amount of fluid ejaculated during an orgasm. By and
large, the only aspect of a many's lie that will
change, will be his ability to father a child. Some
urologists are currently using a new method to perform
the vasectomy called the no scaple technique. Because
the procedure is relatively new, men should
specifically ask about this type of vasectomy. After
the operation, a couple is instructed to use a
reliable form of birth control for about six weeks
until tests show that all sperm has been cleared from
the tube. For more information about vasectomy, please
consult a physician. |