A Checkup on Men's Health

When it comes to their health, men are not always the greatest advocates for themselves. Even at a time when access to health care is easier than ever and information is as close as the fingertips, men are not paying as close attention to their health as they should. Why? "Guys tend to stay away from health care unless they're hurt or they don't feel well," says J. Jacques Carter, MD, MPH, of the Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center. "Women and children connect with physicians early in life, but culture and attitude often keep men from doing the same."

"In some ways, men are taught culturally to be tough and there's something about going to the doctor or admitting that something isn't right that diminishes that in their minds," says Abraham Morgentaler, MD, from the Division of Urology and the Director of Men's Health Boston. "But many of the issues that men 'live with' are treatable and staying healthy may be a matter of changing habits and lifestyle."

So, let's get a "checkup" for men.

Health Concerns

Despite all the warnings, many men still smoke, drink too much, have a poor diet and carry around unhealthy, extra pounds. All of these behaviors can cause problems now and can lead to even bigger issues as men age. Kicking the tobacco habit and limiting alcohol consumption to no more than two drinks a day are good for starters. A healthier diet, exercise and little weight loss will pay dividends down the road, especially when it comes to brain and heart health

Pain – chest, back, neck, head, eye – is a symptom that men tend to ignore the most. "But, pain means something is going on and it's a symptom that can be dangerous to ignore," says Dr. Carter. "Visiting a physician sooner, rather than later can either rule out a bigger issue, or help you get treatment for a problem much quicker."

Depression among men is also a concern. Because of the stigma surrounding mental health conditions, and because men tend not to talk with their peers like women do, they can feel isolated and alone with their problems. Men don't always come to see a physician or specialist on their own. It is often someone else, a spouse, partner, or family member, who makes the office visit happen. "Depression is very treatable and new therapies can help make it easier to manage," says Dr. Carter. "The harder part is to encouraging men to open up and seek help."

Something else men don't pay enough attention to is their skin. Dermatologists recommend sunscreen and once a month skin checks at home to get to get to know your baseline skin. Any changes should be discussed with your health care provider. Skin cancer can affect anyone, but redheads, blondes, and fair skinned people are especially susceptible.

Age Matters

It's true! Certain health issues become more frequent as men age. Family history plays a big part in what a physician will focus on, but there are key issues and screenings that are age-related for any man.

Sexual Problems

"One of the most difficult things for men to deal with are sexual problems," says Dr. Morgentaler. "Problems with sex are extremely common." He points out that many of these issues, like erectile dysfunction and low testosterone are very treatable and that men should talk to their doctors about them.

"I think that men have been unfairly characterized as overly sexual," states Dr. Morgentaler. "In fact, sexuality is a normal, healthy part of who we are and when it isn't going well, men don't feel good." In his book,"The Truth About Men and Sex" Dr. Morgentaler talks about the importance of confidence for men and the importance of feeling like a good sexual provider as keys to a man's sense of masculinity. "It's not all about the men and what they get for themselves. It's at least equally important for men to feel like they're doing a better than adequate job in the bedroom for their partner. When they do, they feel good about themselves as men. And, when men feel good about themselves as men, that's when they are best at being a partner."

A Little Push from the Other Side

A significant other can play a huge role in the health of a man. "I refer to it as the 'nag factor,' " chuckles Dr. Carter. Despite his humor, Dr. Carter is very serious about how important a role that other person plays in a man's life. Whether the issue is big or small, the other person may be the deciding factor about whether or not a man sees a physician. "I think those relationships are key. Eventually the message sinks in and a lot of guys will go and get checked out."

Pay Attention

Ignoring symptoms and ignoring recommendations by a physician are two big and potentially dangerous habits for men. "Men need to take some responsibility for their health and, not only get to the doctor, but develop a trusting relationship with their doctor," says Dr. Morgentaler. "Our body is an amazing vessel. If we take good care of it and pay attention to it, we can live well and for a very long time."

A Place Just For Men

Men's Health Boston, which is affiliated with Beth Israel Deaconess Medical Center and its Department of Surgery, opened in 1999 under the direction of Dr. Morgentaler. Men's Health Boston pioneered the concept of creating a single center where men could comfortably undergo evaluation and management of sensitive issues that are specific for men, including sexual problems, infertility, prostate concerns, urination problems, testosterone deficiency, and vasectomy and vasectomy reversal.

Above content provided by Beth Israel Deaconess Medical Center. For advice about your medical care, consult your doctor.

Posted October 2015