S3 L2 Trends in Male Health Flashcards
What is the difference in life expectancy for males across the country?
Highest life expectancy 83.3 in Chelsea and lowest in Glasgow 73.3
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What is the cancer risk for males?
- Men more likely to die of common cancers than female
- More men die of breast cancer than testicular cancer
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What is the male risk of diabetes compared to females?
- Men more likely to be overweight than women at every age
- Men more likely to suffer complications of diabetes e.g foot ulcers and twice as likely to die prematurely
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What are the statistics of male mental health and suicide?
- Suicide is the biggest cause of death in men under 45
- Peak age for male suicide deaths is 45-49
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What are some risk factors for males that may lead them to having poor mental health?
- Relationship breakdowns
- Viewing talking therapies badly
- Responding to stress with risk taking behaviour (misusing alcohol)
- Unemployed men
- Being midlife
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Why do males undergo health seeking behaviour much less than women, especially for mental health?
- Embarrassed or ashamed to take time off like they would for a physical injury
- Worried their employer might think worse of them
- Most don’t feel comfortable speaking to their GP as they feel they are wasting their time
- Main stress is often financial concerns and work related stress
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What are some factors that increase your CVD risk?
Monitor patients on schizophrenic drugs and if they have ED
What are some common causes of erectile dysfunction?
- Diabetes
- Atherosclerosis
- Smoking cigarettes
- Side effect of prescribed drugs
- Spinal cord injury
- Regular heavy drinking
- Following prostate or pelvic surgery
- Cycling
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What are some questions you should ask a patient if they present with ED?
- Determine the duration of the problem and whether it is related to time, place or partner
- Ask about loss of sex drive
- Ask about physical problems like pain
- Explore sources of stress, anxiety, guilt or anger
- Exclude illness that may affect sexual performance e.g CVD, testosterone or thyroid deficiency, pelvic or spinal trauma/surgery, arthritis
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If a male presents with ED what other risk should you consider?
They have a higher risk of CVD (especially MI and angina) if they present with ED!!!
What are some drugs that have the side effect of ED?
- Anti-hypertensives
- Heart disease drugs
- Antidepressants
- Peptic ulcer drugs
- Cancer drugs
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What are some treatments for erectile dysdfunction?
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What are risk factors for elderly males developing LUTS?
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What are some filling and voiding LUTS?
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When should you refer a male for specialist assessment with their LUTS?
- If they have LUTS complication by UTIs or retention or if you suspect urological cancer
- Men with stress incontinence
- Bothersome LUTS that have not responded to drug treatment