Men’s Health Management

Men, particularly Australian men, are notoriously poor at looking after their own health, or going to the doctor for regular checkups.

Unfortunately men are more prone to some illnesses than women, and this is probably due to genetic factors, but lifestyle decisions like smoking, poor diet and obesity, risk-taking behaviour, long-working hours, and not being prepared to “talk about problems”, all contribute to a greater rate of some cancers, cardiac disease, strokes, depression and suicide.

As an urologist dealing with more specific men’s health issues like erection problems, Peyronie’s disease, prostate disease etc., Dr. Love is very interested in dealing with the “whole man” and only to happy to discuss and investigate these other men’s health issues as well and, where necessary, direct his patients onto other appropriate specialists for help.

For example, the American Urological association, of which Dr. Love is a member, recommends the following checklist of things to be considered by an urologist / Men’s health specialist for patients aged 50 - 69

Urology Specific

LUTS/BPH assessment
Prostate cancer screening / PSA
Check for Haematuria (blood in the urine)
Check for UTI
Urolithiasis (urinary stone disease)
Genitourinary pain
Dysuria (painful urination)/discharge
Contraception issues
STDs/HIV
Symptomatic Androgen (testosterone) Deficiency
Sexual activity/erectile function
Testosterone
Peyronie’s disease
Full genitourinary exam including DRE
Urologic cancer awareness
Instruction in male hygiene/self-examination of testicles

General Men’s Health Issues

Weight and blood pressure
BMI/Waist circumference
Physical activity/nutrition
Over The Counter medications/supplements and stimulants
Tobacco/alcohol/substance abuse
Sports and recreational safety/trauma
Review family history /risk factors
Mental health (suicide, depression, PTSD)
Cardio Vascular risk factors
Thyroid screening
Skin examination
Lipid and cholesterol profile
Hypertension
Diabetes screening
Colorectal disease/Fecal occult blood / Colorectal cancer screening
GORD (indigestion etc)
STD preventative measures
Metabolic assessment
? Vascular ultrasound to exclude AAA and CXR if history of smoking (from age 65)
Eye examination (intra-ocular pressure)
Immunizations

Testosterone deficiency / Replacement

The exact issues surrounding low testosterone and its relevance, and the confusion and safety concerns about testosterone replacement therapy, have made this a controversial topic in recent years.

Testosterone is a very important hormone in men, responsible not only for normal sex drive and sexual function, but also for energy levels, psychological well-being, muscle and bone strength, cognitive (brain) function, weight management, and involved in cholesterol, lipid and blodd sugar control.

Testosterone does decline with age, but there is no dramatic decline like a female menopause. At any age however, about 10% of men will have a testosterone level significantly lower than it should be at that age, and many of these will have symptoms or health issues related to that.

Appropriate testing and counseling is important, as is correct decisions on the prescribing and monitoring of the various forms of testosterone replacement.

Urologists, like Dr. Love, with an interest in Men’s Health, can advise on testosterone related problems.