Men's Health Archive

"The brain is the body's most important sex organ." This well-known phrase bears more than a little truth. Functional sex organs, appropriate hormone levels, and the ability to become sexually aroused alone don't guarantee good sex. Other factors — brain factors — can get in the way.

Relationship issues

Tension and emotional distance can undermine a couple's sex life. Conflicts having nothing to do with sex, like finances or child-raising issues, can be at the root of a sexual problem. It works the other way, too: a sexual issue can strain a couple's ability to get along.

On call

Q. Do men have to worry about bone health, and if so, what are the best exercises to keep my bones strong?

A. Most men have the advantage of continuing to produce bone-protecting testosterone throughout life. But the level of the male hormone declines with age and therefore may not be sufficient to keep bones strong as a man hits his later years.

On call

Q. My breasts have begun to feel swollen and seem larger. What could cause this, and should I be worried about any potential health issues?

A. Swollen breasts in men are almost always caused by either one or both of two conditions: excess fat deposition in the breasts, or growth of actual glandular breast tissue (gynecomastia). Fatty deposition occurs in overweight men and is always present in both breasts. With gynecomastia, the breasts have a firm or rubbery consistency. While it usually affects both breasts, it can affect one breast much more than the other.

There's a lot you can do to improve your outcome if you're taking an active surveillance approach to your diagnosis.

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About 90% of men diagnosed with prostate cancer have the localized kind, which means the cancer is confined to the prostate gland. And for many, a reasonable approach is active surveillance, in which men choose to monitor their cancer instead of going straight into invasive treatments, such as surgery or radiation therapy.

Active surveillance includes a doctor visit about every six months, most often with a prostate-specific antigen (PSA) blood test and digital rectal exam.

These conditions are associated with a higher risk.

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Most men are familiar with the common strategies to reduce their heart disease risk: keep cholesterol in check, manage high blood pressure, follow a heart-healthy diet, and perform regular exercise. But there may be other preventive steps you can take.

"Some age-related conditions can further increase your risk without you knowing it, which is why it's important to be mindful about all aspects of your health," says Dr. Michael Gavin, a cardiologist with Harvard-affiliated Beth Israel Deaconess Medical Center. "Fortunately, once they are recognized, these other risk factors can be addressed and managed."

Although many older men enjoy active sex lives, most don't share sex-related questions and concerns with their doctor.

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While you discuss many subjects with your doctor, like proper blood pressure and cholesterol levels, your sex life probably doesn't make the list — but it should.

"Even though you may have an aging body, you can still feel healthy, vigorous, and full of life, and your sex life should be part of that," says Dr. Sharon Bober, director of the Sexual Health Program at Harvard-affiliated Dana-Farber Cancer Institute.

On call

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Q. What causes urinary tract infections and are men at risk for getting them?

A. Although urinary tract infections (UTIs) are more common in women, men can get them, too. They occur when bacteria build up somewhere along your urinary tract. In men, UTIs can develop in the urethra (the tube that runs from the opening at the tip of the penis to the bladder), the bladder, the prostate, or the kidney.

On call

Q. I was recently diagnosed with prostate cancer. Does the occurrence of one type of cancer indicate a greater risk of developing other kinds?

A. Prostate cancer is the most common cancer among men, and almost every man will get prostate cancer if he lives long enough. In general, prostate cancer that develops after age 60 probably does not increase the risk of getting a different kind of cancer. However, there are some exceptions.