Men's Sexual Health Archive

Researchers have mapped patterns of prostate cancer recurrence following surgery, which may help doctors find the best way to treat men whose cancer has returned. About 30% of men who have prostate cancer surgery will have a recurrence, according to the study in the Journal of Urology. 

A new study found that men with low-risk prostate cancer may be able to undergo a shortened course of radiation therapy that cuts treatment by weeks and offers similar outcomes and quality-of-life results as longer treatment courses.

A majority of men do not talk about resuming their sex life after a heart attack, which may lead to sexual problems like lack of interest and erectile difficulties. Researchers say that before being discharged from the hospital, men should expect to have a conversation with their physician about when it’s okay to resume all regular activities, including sex. If the topic does not come up, men should take the initiative.

Frank discussions with a doctor can help heart attack survivors return to sexual activity.

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Few things shake your sense of well-being more than a sudden heart attack. When the initial shock wears off, an over-whelming need to get life back to normal as quickly as possible usually takes hold. "Patients always ask me when can they drive again, when can they start exercising, and when can they return to work," says Dr. Donna Polk, a cardiologist at Harvard-affiliated Brigham and Women's Hospital. A key issue that seldom gets mentioned, though, is the struggle many heart attack survivors encounter when trying to resume their sex lives.

The same physical changes involved in a heart attack can conspire to diminish sexual enjoyment. Faulty circulation throughout the body, a hallmark of cardiovascular disease, reduces the amount of blood that reaches the sex organs. Men may develop erectile difficulties, and women may not have the blood flow needed for vaginal arousal and lubrication.

Herbal supplements are sometimes advertised to improve a man’s sex life by increasing blood flow to the penis, but many are not proven effective for treating ED and may cause serious side effects.

A mindfulness-based stress reduction program (MBSR) can help control anxiety among men who follow active surveillance for prostate cancer. The wait-and-see approach can make men feel so uneasy about their condition that they opt for treatment with radiation therapy or surgery when it is unnecessary. MBSR not only eases anxiety levels, but also inspires men to be more proactive about their health and adopt lifestyle changes like a proper diet and exercise.

Knowing what to expect as you age can make intimacy more enjoyable for you and your partner.

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Your sex life doesn't end once you reach a certain age. Older people continue to enjoy active sex lives well into their 70s and 80s, according to a study in the January 2016 issue of Archives of Sexual Behavior. In fact, 54% of men over age 70 report they are still sexually active. Still, older men need to change their mindset when it comes to this next phase of their sex life.

"Our culture has a narrow perspective of what is considered good or 'normal' sex," says Dr. Sharon Bober, director of the Sexual Health Program at Harvard-affiliated Dana-Farber Cancer Center. "Your body and mind change as you age, which means your sex life does, too."

Used alone or with hormone therapy, radiation can be a viable option for men at any stage of prostate cancer.

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Nowadays, men diagnosed with prostate cancer are often given two treatment choices, on opposite ends of the spectrum. First is active surveillance, where you forgo immediate treatment and monitor the cancer's growth. The other is surgery to remove the cancerous prostate.

But an in-between option might be a better choice for men who do not want the anxiety of wait-and-see or the physical hardship of surgery: radiation therapy.

Low levels of vitamin D may help predict aggressive prostate cancer, according to new research. While it only showed an association, the researchers believe low D levels could be used as a valuable biomarker, and help men and their doctors decide whether to consider active surveillance, in which the cancer is monitored for changes.  

Declining testosterone is a normal part of aging, but is replacement therapy right for you? Here is what you need to know.

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Testosterone replacement therapy (TRT) has surged in popularity over the past decade. Millions of older men have turned to TRT to restore hormone levels in hopes of refueling energy and reigniting their sex drive.

Yet TRT remains controversial because of its uncertain benefits and potential health risks. Safety concerns were raised years ago when studies showed a possible association between TRT and an increased risk of cardiovascular disease.