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Radiation: Another treatment choice for prostate cancer

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


 Image: BigStock

 

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.

Does taking progesterone reduce miscarriage risk?

A major controlled clinical trial indicates that taking progesterone doesn’t prevent miscarriage in women at elevated risk.

Hormones and your heart

Age-related drops in sex hormone levels sometimes cause undesirable symptoms. But is hormone therapy safe for the heart?


 Image: monkeybusinessimages/Thinkstock

A decline in sex hormones is a natural part of growing older. Still, it's only natural to want to feel robust, mentally sharp, and healthy as we age. So it's no surprise that hormone therapy—which has been touted by drug companies as a way to restore youthful vigor, first for women and more recently for men—has generated so much interest.

But hormone therapy has a long, controversial history, particularly with regard to how it may affect the risk for common, chronic health problems. The following is a summary of what we know—and don't know—about the cardiovascular effects of hormone therapy for women and men.

Depression in men: Getting the right treatment

Dr. Terry Schraeder talks with Dr. Michael Miller about the symptoms of depression in men and getting over the gender hurdles to find the right treatment.

“Superbugs” and the very real threat of untreatable infections

Doctors recently discovered a gene in E. coli bacteria that makes it resistant to an antibiotic that is typically used when other drugs fail. This new finding suggests that effectiveness of last-resort antibiotics is at risk. As more bacteria evolve to “outsmart” antibiotics, scientists are increasingly concerned about infections caused by “superbugs” that cannot be treated with existing antibiotics.

A bummer for kids: Nasal flu vaccine not effective

For years, many kids could skip the traditional flu “shot” — along with the tears — and still be protected by the nasal spray vaccine also known as the LAIV (live attenuated influenza vaccine). But not this year. Studies now show that the nasal vaccine is quite ineffective, and pediatricians are starting to change their flu recommendations from a nose squirt to a shot.

Progesterone supplements don’t help prevent miscarriage

Miscarriages can be devastating — especially for women who experience recurrent miscarriage, defined as three or more in a row. Doctors used to give these women supplements of progesterone, a hormone that helps maintain a healthy pregnancy. However, a recent study has confirmed that these supplements don’t improve pregnancy outcomes. For those who experience recurrent miscarriage, the best solution may be to simply keep trying.

How much weight loss is cause for concern?

It is normal to lose some weight as a person ages. In fact, an estimated 10% to 20% of men older than age 65 lose 5% or more of their body weight over the rest of their lifetime. However, losing 5% of total weight in one year or 10% over two years warrants some medical testing.

Are there any advantages to human growth hormone?

The hype around human growth hormone (HGH) comes from a few studies that showed HGH injections can increase lean body mass and shrink body fat, which led to claims of HGH as an “anti-aging” hormone. Yet, the benefits of HGH supplementation for older adults are unproven, and there are concerns about potential side effects.

What a therapist can do for you

Many men resist talking about their problems, but there are times when it's necessary.


Image: ArtemSam/Thinkstock

Men often like to think of themselves as the strong, problem-solver type who never needs help, especially when it comes to their emotional and mental issues. But men should never bottle up their feelings and tough it out, according to Dr. Darshan Mehta, medical director of the Benson-Henry Institute for Mind Body Medicine at Harvard-affiliated Massachusetts General Hospital.

"Your mental health is equally as important as your physical health and proper nutrition. Not addressing negative feelings can carry over to all aspects of your life and have a profound impact," he says.

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