Men’s Health – Centre for Family Health Initiative

MONDAY HEALTH BURST ON PROSTATE CANCER OVERVIEW-SYMPTOMS AND TREATMENT

Cancer, Men's Health, Monday Health Burst, WHO / cfhinitiative

In Nigeria, prostate cancer is the most commonly diagnosed malignancy among men and a hospital prevalence of 182.5 per 100,000 male admissions was recorded in 2010 in Osun State.1

Prostate cancer is a type of cancer that develops in the prostate. Males have a little gland called the prostate that resembles a walnut that secretes seminal fluid, which feeds and carries sperm.

In it’s early stage, prostate cancer may not show any symptoms, but may result in indications and symptoms like: difficulty urinating, a weaker stream of pee, blood in the urine, blood in the semen, bone pain, weight loss without attempting, and erectile dysfunction when the cancer becomes advanced.2

Options for treating prostate cancer rely on a number of variables, including how quickly the disease is developing, if it has spread, your general health, and the potential advantages or disadvantages of the treatment. Some of the treatment options include; surgery to remove the prostate, radiation therapy, freezing or heating prostate tissue, and hormone therapy.

Around 1 in 8 males will receive a diagnosis of prostate cancer at some point in their life. However, only 1 in 41 of these will die as a result. This is because treatment is effective, especially in the early stages. Routine screening enables doctors to detect many cases of prostate cancer before they spread.

Individuals and organizations are encouraged to create awareness of the need for routine check-ups to prevent advanced-stage prostate cancer.

Monday Health Burst is an initiative of CFHI to address issues of basic health concern. Join us every Monday on all our social media platforms for more episodes.

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Men’s Reproductive Health

Men, Men's Health, Reproductive Health / cfhinitiative

Reproductive health is an important component of men’s overall health and well-being. Too often, males have been overlooked in discussions of reproductive health, especially when reproductive issues such as contraception and infertility have been perceived as female-related. Every day, men, their partners, and health care providers can protect their reproductive health by ensuring effective contraception, avoiding sexually transmitted diseases (STDs), and preserving fertility (National Institute of Child Health and Human Development, 2016). The recognized most common issues of male’s reproductive health are Contraception, avoiding sexually transmitted diseases and Infertility/fertility. One may ask why Men’s Reproductive Health is a matter of concern. According to Cummings (2020), research shows that a man’s health before conception can damage sperm in such a way that it affects his offsprings’ health. This may include behaviours such as alcohol and drug use, smoking and lifestyle choices, medications or his exposure to chemicals at home, work, and in the environment. There is increasing evidence that damaged sperm can affect pregnancy outcomes, from miscarriage and birth weight to birth defects and childhood illnesses. There is a growing body of study which is focused on damage in spermatozoa and the effects of ageing on male reproductive health. According to Selvaratnam and Robaire (2019) Deoxyribonucleic acid (DNA)-damaged sperm is the cause of conditions ranging from spontaneous abortion to congenital malformations and genetic defects in children. it is important to pay more attention to men’s reproductive health because it has the potential to improve men’s lives and the lives of their children (Cummings, 2020). Men can boost their reproductive health by having a healthy lifestyle and maintaining a balanced diet. This may include among others exercising regularly, getting enough vitamin C & D, relaxing and minimizing stress, getting enough zinc, quitting smoking and excessive drinking etc. Society can foster an environment where men pay better attention to their health by raising awareness towards acknowledging first that men have certain reproductive health needs and secondly that these needs need to be catered to. Also, Federal health agencies and professional medical associations can develop Information, Education and Communication (IEC) materials to educate the public about men’s health and how it can potentially affect their children’s health. Truly as stated by Cummings, paying more attention to men’s reproductive health has the potential to improve life for this generation and for generations to come.

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MEN’S MENTAL HEALTH

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Men's Mental Health

Mental health refers to cognitive, behavioural, and emotional well-being. It is all about how people think, feel, and behave. People sometimes use the term “mental health” to mean the absence of a mental disorder. According to the World Health Organization (WHO): “Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively, and is able to make a contribution to his or her community.” Mental and behavioural disorders affect people of all countries and societies, regardless of age, gender and income and it is not uncommon in Nigeria, yet there is still considerable neglect of mental health, and those who visibly suffer from mental illness are largely stigmatized. With an estimated population of 200 million Nigerians, human resources for mental health are scant at best. The stigma and lack of awareness around mental health produce particularly marked results for men. It is an important yet overlooked health concern. According to Mental Health Foundation (2020), “Men are often expected to be the breadwinners and to be strong, dominant and in control. While these aren’t inherently bad things, they can make it harder for men to reach out for help and open up. Some research also suggests that men who can’t speak openly about their emotions may be less able to recognize symptoms of mental health problems in themselves, and less likely to reach out for support”. So, due to a number of factors including social norms, upbringing and the role models men are presented with, some men’s mental health issues have gone unrecognized for a long time. Worldwide, even though more women are reported to suffer depression than men, men are more likely to die by suicide compared to women. Nigerian men, like many across the world, often bottle up emotions that cause mental stress. These often lead to taking up unhealthy ways of dealing with stress such as smoking, drinking excessively or compulsive spending. (Nigeria Health Watch, 2020). According to a 2019 Mental Help publication, a range of factors can contribute to the development of mental health issues in men, such as:

Substance abuse: Men may be more likely to use drugs or alcohol as a means of coping with mental health issues, though such ‘self-medication’ can make things worse in the long run.
Poor working conditions or a high workload: Work stress and a lack of social support have been associated with a higher likelihood of mental health issues in men.
Traditional gender roles: This can include feeling pressure to be a provider or societal norms that discourage men from talking about their feelings.
Financial issues: Economic factors are a top cause of stress for many people and could play a role in the development of certain mental health disorders.
Loss of work: Unemployment and retirement are associated with an increased risk of depression in men. One in 7 men who lose their jobs become depressed.
Separation and divorce: Often, men tend to see themselves as being providers and the ones to keep the family happy. Depression is more prevalent and more severe among divorced men.

As a society, it is important that we increase awareness on mental health, especially for men-changing those traditional beliefs that come with mental health issues by breaking down the stigma around this topic. It is also critical to encourage men to be able to ask for help as it doesn’t in any way belittle their masculinity and the need for more safe spaces for men to talk about their mental health struggles be encouraged.

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