3.2 Men's Health Flashcards

1
Q

What is the leading cause for death in men?

A

Ischaemic heart disease

Especially between 50-64, 3x more likely than women

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2
Q

What is the leading cause of death in younger men?

A

Suicide, including injury and poisoning of undetermined intent

10-34 and 35-49

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3
Q

What is the likelihood of suicide in men vs women to comit suicide?

A

Men are 3 more likely to die of suicide
45-49 have highest suicide risk
50-54 have highest suicide rate

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4
Q

Outline the trends of health seeking in men

A

Less likel to visit GP when ill, except very late years of life

Men tend to present at later illness stage or when disease has reached more critical stages

Men less likely to present with mental health concerns

Less likely to attend cancer screenings

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5
Q

Why don’t men talk about their mental health?

A

Learned to deal with it

Don’t want to be a burden

Embarssment

Negative stigma

Don’t want to admit they need support

Don’t want to appear weak

Have no-one to talk to

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6
Q

What are the biggest causes of mental health issues in men?

A

Work pressure
Financial issues
Their health

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7
Q

What are the risk factors of men’s mental health?

A

Societal expectations of masculinity
Stress
Substance abuse
Trauma- physical or sexual abuse
Relationship breakdowns
Lack of social support
Socio-economic- unemployment
Mid-life- experience greater unhappiness than younger and older people

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8
Q

What are the common symptoms of depression in men?

A

Anger and agitation
Recklessness
Substance abuse
Working obsessively
Core symptoms of depression

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9
Q

What are the physical symptoms of depression?

A

More common in men than women

Headaches
Shortness of breath

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10
Q

Common causes of depression in men

A

Difficult life events
Family or personal history
Abuse
Personality traits
Physical health issues

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11
Q

What are the common symptoms of anxiety in men?

A

Alcohol abuse
Drug abuse
Difficulty sleeping
Core anxiety symptoms

Men more likely to self-medicate with alcohol or drugs

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12
Q

What are the common causes of anxiety in men?

A

Genes
Traumatic experience
High stress
Health problems
Lifestyle factors

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13
Q

How can men’s mental health be improved?

A

Raising awareness
- To reduce stigma

Addressing societal expectations of masculinity
- Reduces pressure men feel

Improving access to mental health services

Promoting healthy coping mechanisms
- Exercise
- Meditation
- Hobbies

Developing targeted interventions
- For men at high risk of poor mental health outcomes

Understanding that men can present with different
symptoms to women

- Such as aggressive or violent
behavior.

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14
Q

CVD men vs women

A

Men generalyl develop CVD at a younger age and have higher risk of CHD than women

Mortality from CHD and stroke remain higher in men than women until old age

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15
Q

How can CVD risk be assessed?

A

QRISK3

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16
Q

What are the main things QRISK3 takes into account

A

Age (25-84)
Sex
Ethnicity
Smoking status
Diabetes
BMI
SBP
Cholesterol
Postcode

17
Q

What is QRISK?

A

Asses how likely someone is to have a major cardiovascular event in the next 10 years

18
Q

What else can be used to assess CVD risk?

A

Waist measurement
37 < inches, high risk
40 < inches, very high risk

19
Q

What is NICE guidance on using QRISK?

A

Always offer lifestyle advice irrespective of score:
- Smoking cessation
- Weight loss
- Healthy diet
- Alcohol
- Active

Statin should be offered if greater than 10% risk or if lifestyle not worked

20
Q

What are some causes of erectile dysfunction?

A

Physical
- Atherosclerosis
- Smoking
- Diabetes
- Alcohol
- Spinal cord injury
- Medication
- Prostate gland surgery

Psychological
- Stress/anxiety
- Depression
- Relationship conflict
- Sexual boredom
- Unresolved sexual orientation

21
Q

How can erectile dysfunction be managed?

A

Non-medication route
- CVD screening, modify risk factors if present, closely associated with ED
- Therapy

Medication route
- Phosphodiesterase 5 inhibitors e.g. Sildenafil (viagra)
- Vacuum erection devices

22
Q

When can PDE5 inhibitors not be given?

A

Patients recieving nitrate preparations

Can cause headaches and flushing

23
Q

What is the second line treatment of ED?

A

Intracavernous Alprostadil (synthetic prostaglandin EI analogue) injection

or

Intraurethra Alprostadil

24
Q

What is the third linfe treatment of ED?

A

Penile prosthese