Why do men avoid prostate exams?

Many men like Saunders avoid the PSA test because they're confused about it. Over the decades, PSA screening has led to more tests, more anxiety and treatment in men who may have not needed it because their tumors were slow growing. But, screening also finds those with life-threatening aggressive tumors.

abc7.com - Why do some men avoid prostate cancer screening? Local doctor ...

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Why do some men avoid prostate cancer screening? Local doctor says men fear losing control Prostate cancer is the most common type of cancer in the U.S. So why do so many men avoid getting screened? One local doctor says part of it may be the fear of losing control. Prostate cancer is the most common type of cancer in the United States and is the second-most common cause of cancer deaths American men after lung cancer. The National Cancer Institute says about one in five men will be diagnosed with prostate cancer at some point in their lives. So why do so many men avoid getting screened? One local doctor says part of it may be the fear of losing control.

Mike Saunders, 63, says he lived in denial.

"I don't like coming every two months to have blood tests but you know that's what I have to do," he said. The tests are to make sure Saunder's prostate cancer doesn't return. He used to think he was invincible. But seven years ago, his brother convinced him to get screened because it runs in the family. "I denied that I had prostate cancer. It wasn't going to happen to me," he said. Despite removing his prostate, Saunders is still not out of the woods. Urologist Dr. Herb Ruckle, Chair of the Department of Urology at Loma Linda University Medical Center, keeps a close eye on his disease. "Active surveillance means that you periodically query the cancer to see if its growing or becoming more aggressive or becoming a threat," Ruckle said. "Had I done it earlier maybe I would have been in a better position right now. I'm convinced of that," Saunders said. Many men like Saunders avoid the PSA test because they're confused about it. Over the decades, PSA screening has led to more tests, more anxiety and treatment in men who may have not needed it because their tumors were slow growing. But, screening also finds those with life-threatening aggressive tumors. Given this spectrum, Ruckle said doctors today are much more methodical in their approach. "What you're trying to do with prostate cancer treatment is trying to make a man's life longer and better," Ruckle said. The most current guidelines from the American Urological Association recommends men start PSA screening at age 55 and continue up to age 69. For high risk men, experts recommend an earlier start. "High risk men which would mean first degree relatives, African American ancestry," Ruckle said, "Would be prudent to start screening or at least have a first PSA at age 40." And just because you get screened doesn't mean you have to have more tests. Ruckle said even during treatment, men must remember they're in control. Saunders and his doctor are partners in his care. Their message? Knowledge is power. Saunders said, "To live in denial and avoid the consequences, avoid the process of getting checked is just stupid."

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Is it normal for a guy to release quickly?

Most men orgasm sooner than they would like from time to time; that's normal. If you ejaculate too quickly most of the times you have sex, and it's a problem for you and your partner, there's treatments that can help. Some men ejaculate as soon as foreplay starts.

betterhealth.vic.gov.au - Premature ejaculation - Better Health Channel

Premature ejaculation is the most common sexual problem in in the world.

Most men orgasm sooner than they would like from time to time; that’s normal. If you ejaculate too quickly most of the times you have sex, and it’s a problem for you and your partner, there’s treatments that can help. Some men ejaculate as soon as foreplay starts. Others ejaculate during penetration or very soon after. Some men will have premature ejaculation from the time of their first sexual experience (lifelong), while in others, it will develop after a period of having a longer, satisfactory time to ejacualtion (acquired).

Causes of premature ejaculation

Genetic causes related to the molecules that signal between nerves

Psychological causes (e.g. anxiety , stress , relationship problems )

, , ) Other health problems (e.g. abnormal hormone levels)

One-third to one-quarter of men with premature ejaculation also have problems with getting or keeping an erection.

Treatment for premature ejaculation

Seeking help for premature ejaculation from a GP (doctor) or sex therapist is a good idea. Treatments for premature ejaculation vary depending on the cause and whether it is lifelong or acquired.

Treatments include:

‘The stop-start technique’. If you feel close to ejaculating during sexual activity, stop and rest until the feeling has gone, and then start again. ‘The squeeze technique’. If you feel close to ejaculating, squeezing your penis just below the glans (the ‘head’ of the penis) can make the feeling go away

Acupuncture or pelvic floor exercises

or Masturbation before sex

before sex Reducing sensitivity of your penis (e.g. wearing a condom )

) Medication (e.g. antidepressants can slow the time to ejaculation)

(e.g. antidepressants can slow the time to ejaculation) Treatment of the underlying problem (e.g. medication for erectile dysfunction, hormone treatment)

Where to get help

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