Sexually transmitted infections (STIs) Archive

Whether or not to continue PSA testing after age 70 depends on many factors, but especially a man's family history of prostate cancer and how comfortable he is about getting a biopsy or treatment if the test results suggest possible cancer.

Benign prostatic hyperplasia, also known as an enlarged prostate, occurs in about 50% of men by age 60. It can lead to urination problems like a hesitant, interrupted, or weak urine stream; dribbling after urinating; a feeling that the bladder does not completely empty; and more frequent urination, especially at night. Medication and lifestyle changes are the first-line treatments, but if these don't work, men can choose from several types of surgery or less-invasive procedures to help manage symptoms.

High blood levels of synthetic chemicals known as PFAS (some of which are found in much of the nation's drinking water) have been linked to a greater risk of high blood pressure in middle-aged women.

People with high triglyceride levels may be candidates for icosapent ethyl (Vascepa), a drug made from highly purified fish oil. It lowers triglycerides and, when taken with a statin, lowers the risk of heart attack, stroke, and death from cardiac causes.

Around menopause, a decline in estrogen can trigger low-grade inflammation that leads to unexpected symptoms from head to toe. Symptoms can affect the digestive tract, skin, joints, eyes, ears, and heart, among other areas. A 2022 study found that estrogen loss can even fuel the jaw pain known as temporomandibular disorder. A year or longer can pass before many women connect symptoms with menopause. Women can take lifestyle measures to lower inflammation, such as eating more fruits and vegetables, avoiding processed foods, and exercising.

For some people, the effects of the influenza (flu) virus can lead to a heart attack or cardiac arrest (sudden death). These people typically have reduced blood flow to the heart due to atherosclerosis (narrowed arteries). Because the flu can cause blood oxygen levels to drop to dangerously low levels, it can further reduce the supply of oxygen to the heart, causing a heart attack or cardiac arrest. Fortunately, getting an annual flu shot is associated with reduced risks of a heart attack and related cardiac events.

Recent news reports about cases of polio have some parents concerned about the illness. The vaccine is safe and remarkably effective, and widespread vaccination builds herd immunity.

For men with erectile problems, taking one of the four medications available can produce an erection 70% of the time.

An estimated 7% of Americans have an autoimmune disorder, and these tend to disproportionately affect women. Expert guidelines can help with questions about the best birth control options for people with lupus and other autoimmune diseases.