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Prostate Cancer Treatment Choices

A new study followed more than 1500 men with prostate cancer for ten years (New England Journal of Medicine, September 14, 2016). This is the first study to compare treatment with surgery or radiation to no treatment at all ("watchful waiting").

Lifestyle Changes to Treat and Prevent Prostate Cancer

Extensive data show that the typical western diet, obesity, and lack of exercise are associated with increased risk for prostate cancer. Recent studies now show that intense exercise and an anti-inflammatory diet help to reduce markers for prostate cancer progression in men who already have prostate cancer.

Permanent Birth Control Methods: Vasectomy or Tubal Ligation?

Will a vasectomy increase risk of prostate cancer? Whether the husband gets a vasectomy or the wife gets a tubal ligation is usually decided by who has the strongest will. Vasectomies and tubal ligations are safe surgeries, but the operation on a man is a simple cutting under the skin in an office, while the operation on a woman requires going into her belly in an operating room. Over the long haul, they both are safe and effective in preventing pregnancies.

Head Injuries Increase Risk for Impotence

A study of more than 3,400 former National Football League players, average age 52, found that those who had had a concussion were at increased risk for low testosterone and erectile dysfunction, regardless how young or old they were.

Fitness Prevents Impotence

A study in the Annals of Internal Medicine (August 2003) showed that lack of physical fitness is a major cause of impotence. Dr. Eric Rimm of the Harvard School of Public Health showed that men who run for three or more hours per week, or play tennis five hours a week, have a 30...

Healthful Lifestyle Reduces Risk of Dying from Prostate Cancer

Almost all North American men will develop prostate cancer if they live long enough. However, fewer than five percent of men diagnosed with prostate cancer will die from that disease and the 15-year survival rate is 96 percent.

Testosterone Replacement for Older Men?

As men age from 50 to 70, their testosterone levels drop more than 40 percent, causing them to become fatter, and less sexual, muscular and assertive and have smaller, weaker bones (7,11). Twenty percent of men aged 60-80 years have testosterone levels below the lower limit of normal.

Testosterone for Older Men

Medical journals have reported trials that examine the benefits and harms of taking testosterone for men over 65 with low blood levels of testosterone (less than 275 ng/dL). At 12 study sites across the country, a total of 790 participants were given testosterone gel or a placebo applied daily to the skin.

Impotence is a Major Risk Factor for Heart Attacks

A review of published studies shows that the world-wide incidence of inability to achieve an erection varies widely from three percent to 76.5 percent, and the geographical incidence of impotence is associated with all the same risk factors as those for heart attacks, dementia and having an enlarged prostate (BJU International, July 3, 2019)....

Chronic Prostatitis Can Be Cured

Prostate infections are extremely difficult to diagnose and treat because many doctors do not order the right tests and even when they make the correct diagnosis, they often fail to treat the condition long enough or they fail to treat infected partners.

More Benefits of Mid-Life Fitness for Men

A study that followed 13,000 men from 1971 to 2009 shows that men who keep a high level of fitness from their forties onward have a one third lower risk overall of dying from certain cancers after age 65 (JAMA Oncology, March 27, 2015). Fitness was measured by their ability to keep on running...

Testosterone to Prevent Heart Attacks?

We have no data to show that testosterone helps to prevent heart attacks in older men. In an effort to find out if taking testosterone could help to prevent heart attacks, doctors gave injections of testosterone to 45 men and placebo to 43 men for 40 weeks. Those treated with testosterone showed a reduction in the cardiac biomarker NT-proBNP, but no reduction in another biomarker, hs-cTnT.

Prostate Cancer and Heart Attacks Share Lifestyle Factors

A study of 90,494 U.S. veterans with prostate cancer found that more than half suffered from uncontrolled risk factors for heart attacks. Men who suffer from prostate cancer have a very high rate of heart attack risk factors and heart disease.

Swollen Testicles: Varicoceles and Hydroceles

Research has shown that most cases of swollen testicles do not need to be corrected by surgery. Swollen, painless testicles are usually caused by varicoceles, large veins full of blood on the outside of the testicles; or hydroceles, a sac of fluid around the testicles. Less common causes include infection or a tumor.

Preventing Prostate Cancer

High blood sugar levels, particularly fructose, turn on a man's immunity that is supposed to attack and kill invading germs. Instead his immunity attacks his own normal cells to damage the genetic DNA material and turn normal prostate cells into cancer cells.

Bicycling Does Not Raise PSA

A study from the University Hospital in Essen, Germany shows that riding a bicycle does not raise blood levels of PSA, the blood test used to screen for prostate cancer. Several studies suggest that ordinary bicycle seats can cause impotence which can become permanent with continued pressure on the nerves that control erection. Men who...

Premature Ejaculation

Premature ejaculation means that a man doesn't last as long as he wants to, regardless of time or strokes. Ninety percent of teenage boys suffer from this condition, while 90 percent of men over the age of 55 suffer from delayed ejaculation.

Male Hair Loss and Heart Attacks

A depressing study from Harvard School of Public Health showed that loss of hair on the top of the head markedly increases a man's chances of suffering a heart attack, and the more hair he loses, the more likely he is to suffer a heart attack (1). Men with male pattern baldness have higher than...

Night-Time Urination May Be Caused by Excess Salt

One in three North American adults have to get up to urinate more than twice a night, and a study presented at the European Society of Urology shows that the most common cause may be taking in too much salt.

PSA Test for Prostate Cancer

Many doctors recommend that every man over 40 get a blood test called Prostate Specific Antigen to check for prostate cancer. Prostate Specific Antigen is made by prostate cells and is released into the bloodstream. Large prostates have more PSA, so a rise in PSA means that the gland is enlarging rapidly, which can be a sign of cancer or that the prostate is irritated by infection.

Testosterone Increases Heart Attack Risk

Researchers reviewed the medical records of 55,593 men who were given testosterone for low testosterone levels and/or sexual dysfunction and compared them to men who received Viagra or Cialis but no testosterone. After three months, the risk for heart attacks was double in the testosterone group for all of the men older than 65,...

Prostate Cancer and Heart Attacks

Heart attacks are the main cause of death in men diagnosed with prostate cancer. More than 230,000 American men are newly diagnosed with prostate cancer each year. Because prostate cancer usually progresses so slowly, the more than three million living American men who are diagnosed with prostate cancer are at much higher risk for dying of heart attacks than they are of dying of their prostate cancer.

Benign Prostatic Hyperplasia

If you are a man who finds it difficult to start your stream, check with your doctor to see if you have an infection or a benign or cancerous enlargement of your prostate.

Taking Testosterone Increases Risk for Clots in Lungs

A study of 39,622 men who had blood clots in their veins shows that those who took testosterone (for legitimate medical reasons or not) suffered increased risk for forming potentially-fatal blood clots.

Should Men Take Testosterone?

Many men take testosterone because they think it will help them to function better sexually, increase muscle strength, raise bone density, and improve mood, behavior, and mental function. As of May 2022, the only FDA-approved indication for men to take testosterone is having low testosterone levels. Testosterone has not been approved for age-related drops in testosterone, and there is significant concern that testosterone use is associated with increased plaques in the arteries leading to the heart.

Prostate Biopsy Not So Benign

Doctors do not need to biopsy every man with a high PSA screening blood test for prostate cancer. Most patients become infected from the procedure, 20 percent suffer severe pain, 10 percent require strong pain medicines, and 15 percent of previously potent patients report that they can't get an erection one month later.

Prostate Supplements Not What They Claim to Be

It should bother you that the nutritional supplement industry is unregulated because there is no way to tell what a supplement contains. Several different studies have shown that at least one third of nutritional supplements do not supply what is on the label.

Mediterranean Diet Associated with Improved Sexuality in Men

A study of 21,469 U.S. male health professionals, ages 40 to 75, found that those who followed a Mediterranean diet had a markedly reduced rate of erectile dysfunction. The more closely they followed the dietary rules, the more likely they were to be able to achieve an erection.

Testosterone Warnings

The U.S. Food and Drug Administration (FDA) requires makers of prescription testosterone products to have a label stating that taking testosterone may cause heart attacks, strokes and death, and it is approved only for men who have low testosterone levels due to disorders of the testicles, pituitary gland, or brain,

Bent Penis: Peyronie’s Disease

Three of 100 men suffer from Peyronie's disease, a bending of the penis during erection. The penis contains balloons that fill with blood to cause an erection. These balloons can develop a scar that prevents them from expanding normally during an erection, causing the penis to bend toward the scar.