Prostate Restored
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How do men feel with prostate cancer?

If you're dealing with a prostate cancer diagnosis or treatment, you might have feelings of anxiety, sadness, anger, fear, frustration and uncertainty. You are not alone. Many men, and those close to them, struggle with dealing with prostate cancer and will experience many of these feelings.

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Loss of identity

Being diagnosed and living with prostate cancer can change how you see yourself within the world. Some men find they have an increased awareness of their own identity. You may be questioning your identity as a man – thinking about previous masculine qualities or your masculine identity. Some men with prostate cancer try to hold onto their masculine identity and ideals, and experience distress if they are unable to. Over time you may begin to accept a new masculine identity and have a new awareness of vulnerability and acceptance of weakness. Some men try and balance showing and controlling emotions. Showing or communicating your emotions isn’t a weakness, and is important.

Self-image

Your prostate cancer treatment might change the way your body looks or works. Changes to your body can be difficult to come to terms with. They can include:

weight loss or weight gain

feeling weaker or less fit

urinary problems (incontinence)

changes in your sex drive (libido).

Some men struggle psychologically with dealing with these physical side effect. Common feelings include:

feeling “less of a man”

feeling like your body is letting you down

feeling shame or embarrassment

isolated or alone.

Managing these side effect can be hard. But there are treatments and support available to help manage side effects. If you find that side effects continue to impact your daily life, speak to your doctor or nurse. It might be possible to try a different treatment. Speaking to someone who understands what you are going through can be a great way to manage your feelings and rebuild your confidence. At support groups, men get together to share their experiences of living with prostate cancer. Some groups also hold meetings online. You can ask questions, share worries and know that someone understands what you’re going through.

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Cocoa has high levels of flavonols (e.g., epicatechin, catechin), which can cause antioxidant activity in the endothelium, vasodilation via increased nitrous oxide production, and inhibition of angiotensin-converting enzyme, all of which may lower blood pressure.

This Cochrane review combined data from 20 trials involving 856 patients. Patients using medications or other interventions to treat hypertension were included. Cocoa was consumed in several forms, including dark and milk chocolate, and cocoa powder. Overall, cocoa had a statistically significant effect of lowering systolic blood pressure by 2.8 mm Hg and diastolic blood pressure by 2.2 mm Hg. Results were more significant in shorter trials, which tended to use flavonol-free control products, and were not dose dependent. In the eight trials in which the control group used a low-flavonol product, blood pressure reduction was similar between the treatment and control groups. However, in the 12 trials in which the control group used a flavonol-free product, those in the treatment group had reductions in systolic blood pressure of 3.7 mm Hg and diastolic blood pressure of 2.7 mm Hg compared with the control group. None of the studies measured health outcomes (e.g., cardiovascular events, mortality).

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