Key Trends In Men's Health

Question 1

What is the biggest cause of death for men under 45yrs?

Answer 1

Suicide

Peak age group 45-49yrs

Question 2

Why do more men commit suicide?

Answer 2

Mor eliekly respond stress with risk taking behaviour

Relationship breakdowns more likely to lead men to suicide

Men less likely to have positive view of talking therapies

Only 36% referrals to IAPT (psychological therapies) are men

Unemployed ppl 2-3 times more likely suicide

Mid-life lowest happiness

Men less likely visit GP, take time off work for mental illness

Question 3

Risk factors that increases chances of CVS event

Answer 3

• older
• Male
• smoker
• diabetes
• angina/ MI first degree relative <60yrs
• on BP agent
• postcode/ geographical deprivation
• High BMI
• systolic BP high
• total and HdL cholesterol
• ethnicity
• rheumatoid arthritis
• CKD
• atrial fibrillation
• migraines
• corticosteroids
• systemic lupus Erythematosus
• atypical antipsychotics
• severe mental illness
• erectile dysfunction

Question 4

Physical/ psychosexual Causes of erectile dysfunction

Answer 4

Diabetes up to 25% on men aged 30-34,

75% of men aged 60-64

Affect sexual performances:

• CVD
• testosterone or thyroid deficiency
• pelvic/ spinal trauma/ surgery
• arthritis
• atherosclerosis 40% men >50yrs
• smoking 80%
• damage BVs extreme cycling
• 1/3 men post radical prostatectomy
• regular heavy drinking (damage nerves, reduced testosterone, increase oestrogen)

Relationship problems
Stress/ anxiety/ gutting/ anger

Painful

Side effects of prescribed drugs (BP, heart disease, depression, peptic ulcers, cancer)

Question 5

Treatments for erectile dysfunction

Answer 5

✅ oral curbs
✅ injection therapy (e.g. alprostadil/ Cabernet/ viridal) erection in 15mins
- Medicated urethral system for erection (alprostadil, small pellet inserted)
- vacuum pumps
- penile implants
- therapy

Question 6

Risk factors for Male LUTs

Answer 6

Increased serum dihydrotestosterone

Obesity

Elevated fasting glucose

Diabetes

Fat and red meat intake

Inflammation

Question 7

Micturiaiton cycle

Answer 7

Storage phase:

• bladder filling
• first sensation to void (300ml)

Emptying phase:
- normal desire to void