Men's Health Flashcards

1
Q

Main leading cause of death for men all ages

A

Ischaemic heart disease - more than women

Esp age 50-64 - 3x more deaths than females

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2
Q

Causes of death in younger males

A

Suicide - including injury and poisoning of undetermined intent

(ages 10-34, 35-49)

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3
Q

Mens suicide vs women?

A

Men 3x more likely to die of suicide

Aged 45-49 = highest risk, but age 50-54 have highest rates

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4
Q

Health seeking behaviour of males - trends

A

Less likely to visit GP when unwell (except later years in life)

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

Men less likely to present with concerns regarding mental health

Men less likely to attend cancer screenings

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5
Q

Why men don’t talk about their mental health?

A

Learned to deal with it
Don’t want to be a burden
Too embarrassed
Negative stigma
Dont want to admit needs support
Don’t want to appear weak
Have no-one to talk to

  • would take suicidal/self harm thoughts for men to present and seek help
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6
Q

Biggest cause of mental health issues in mens lives

A

Work pressure
Financial issues
Their health

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7
Q

Men’s mental health risk factors

A

Societal expectations of masculinity
Stress - work, financial, relationship
Substance abuse - affects MH
Trauma - physical or sexual abuse more likely
Relationship breakdown
Lack of social support - fewer social connections
Socio-economic - unemployed
Mid-life - more unhappy

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8
Q

Common symptoms of depression in men

A

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

  • physical symptoms more common in men than women - eg headaches, sobs
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9
Q

Common causes of depression in men

A

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

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10
Q

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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11
Q

Common causes of anxiety in men

A

Genes
Traumatic experience
High stress
Health problems
Lifestyle factors

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12
Q

How to improve men’s mental health?

A

Raise awareness - reduce stigma

Address societal expectations of masculinity - reduce pressure on men

Improve access to mental health services

Promote health coping mechanisms - exercise, medication, hobbies

Develop targeted interventions - for men at high risk

Understanding - men can present with different symptoms such as aggression or violent behaviour

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13
Q

Men vs women with CVD

A

Men generally develop CVD at a younger age and have higher risk of coronary heart disease than women

Mortality from CHD and stroke remains higher in men than women

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14
Q

How can we assess someone’s risk of cardiovascular disease?

A

QRISK3

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15
Q

What does QRISK3 take into account?

A

Age
Sex
Ethnicity
Smoking status
Diabetes
CKD
Postcode
Severe mental illness?
Erectile dysfunction?
BMI
Systolic BP
Total and HDL cholesterol

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16
Q

What else is used to assess cardiovascular disease risk?

A

Waist measurement - does this pt have a hazardous waist
If more than 37 inches = high risk
If more than 40 = very high risk

17
Q

What is QRISK?

A

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

18
Q

NICE guidance using QRISK

A

Regardless of score - offer lifestyle advice
- smoking cessation
- weight loss
- eat healthy diet
- low alcohol consumption
- stay physically active

Statin if over 10% risk or more if lifestyle has not wored

19
Q

Physical causes of erectile dysfunction

A

Atherosclerosis
Smoking
Diabetes
Alcohol
Spinal cord injury
Medication
Prostate gland surgery

20
Q

Two types of causes of erectile dysfunction

A

Physical
Psychological

21
Q

Psychological causes of erectile dysfunction

A

Stress/anxiety
Depression
Relationship conflict
Sexual boredom
Unresolved sexual orientation

22
Q

Management (non medication) for erectile dysfunction

A

CVD screening needed - and modify risk factors if present as these have close association

Therapy

23
Q

Medication treatment for erectile dysfunction first line with examples

A

PDE5 inhibitors (phosphodiesterase 5)
eg sildenafil, tadalafil, vardenafil aka viagra

Vacuum erection devices

24
Q

When are PDE5 inhibitors contraindicated?

A

Pts receiving nitrate preparations, can cause headaches and flushing

25
Q

Vacuum erection devices adverse effects

A

Bruising
Local pain
Failure to ejaculate

26
Q

Second line treatment for erectile dysfunction

A

Intracavernous Alprostadil - synthetic prostaglandin E1 analogue

Or intraurethral Alprostadil

27
Q

Third line treatment for erectile dysfunction

A

Penile prostheses