What are the frequently asked questions about men’s health?

Among the patients who usually come into contact with men's departments and general clinics, common men's health problems are far more than the stereotypical reproductive-related problems. The proportion of metabolic diseases, emotional and psychological distress, and chronic strain has increased very rapidly in recent years, and nearly 70% of patients will come to see a doctor because they are "embarrassed" or "think it is not a big deal" until their symptoms are severe.

A while ago, I just saw a 36-year-old middle-level man with a big belly who came in. He said that in the past six months, he has always felt weak in his back and was not in good condition during sex. He secretly bought several imported tonics and took them for two months, but they were of no use. He also kept getting nosebleeds. After a blood uric acid test, he It had reached 580 μmol/L, and his blood lipids and transaminases were also above the standard. He was aggrieved by the typical associated problems caused by metabolic syndrome. He said that he would inevitably drink and stay up late when socializing. He thought it was just "tiredness and kidney deficiency", and he never thought that there was a metabolic problem. In fact, nearly 40% of young and middle-aged men aged 25 to 45 have various degrees of metabolic abnormalities. Fatty liver, high uric acid, and high blood pressure are all high incidences. There are no obvious symptoms in the early stages, and many people do not take it seriously. It will be much more troublesome to intervene when gout, liver function damage, and vascular plaques appear.

Of course, reproductive-related issues, which everyone is most curious about and most shy about talking about, have always been at the forefront of consultations. Young men in their early twenties are always afraid that frequent masturbation will affect future fertility. When men in their thirties and forties encounter problems such as decreased erectile function and premature ejaculation, their first reaction is to seek home remedies instead of going to the hospital. There are also many middle-aged men who always think that frequent urination and urgent urination are kidney deficiency, and they refuse to check it out. Regarding the prostate, I met a 48-year-old man before. He had been urinating frequently for almost a year. He took a lot of kidney-tonifying health products. Finally, he was found to have prostatic hyperplasia, which was almost blocking the urethral opening. Surgery was needed to solve it. If he had come here three months earlier, he could have controlled it with some medicine. To be fair here, many comments on the Internet either make prostate problems very scary, or attribute the decline in sexual function to "kidney deficiency", which is actually too one-sided. For example, everyone always says that "sitting for a long time will lead to prostatitis." The clinical consensus is that sitting for a long time is only a high-risk inducement, not an inevitable disease. People with tight pelvic floor muscles and a history of urinary tract infections are more likely to be affected. Getting up and moving for two minutes every 40 minutes can reduce most of the risk of the disease. There is no need to scare yourself.

Another issue that is ignored by most people is men's emotional and psychological distress. Society's stereotypes of men are always labeled as "strong" and "cannot show weakness". Many people hold back their anxiety and depression and refuse to talk about it. There used to be a 29-year-old programmer who suffered from insomnia for four consecutive months and had no interest in e-sports or playing basketball, which he was previously addicted to. He even felt tired when going out with his girlfriend. It took him almost half a year to go to see a doctor accompanied by his family. He was already moderately depressed. In fact, he was just under pressure to finish the project at the beginning. If he had sought treatment from a doctor a month or two earlier, he would not have needed to take medication.

To put it bluntly, men’s health is really not a shameful topic. Whether it is pain in the body or discomfort in the heart, it is better to ask a professional in time than to guess and take supplements blindly. After all, the body is your own, and it is not a real skill to carry it hard, right?