|
5 Questions Men Don't Ask Their Doctors
|
by Rich Maloof for MSN Health & Fitness
|
|
Everyone has questions that go unasked and unanswered at the doctor's office.
Whether out of embarrassment or the underlying fear that something may be
seriously wrong, men may try to avoid asking about unusual pains or irregular
symptoms. From hernia exams to tender testicles, here are answers to 5
questions you may have wondered about.
Q. Why do I have to turn my head and cough during a hernia
exam?
A. Notice that when you cough, the muscles in your abdomen tighten and
flex. That increase in abdominal pressure can make a hernia pop out, making it
easier for a doctor to detect. Though hernias usually present as a bulge, you
could easily have a hernia and not know it.
Another reason is to diagnose varicoceles, which are varicose veins of the
testicles. With a good cough, the veins will protrude much like the veins in
your neck do. Varicoceles are the most common cause of infertility in men.
The doctor asks patients to turn their heads to avoid being coughed on all day.
Q. Is it true that you never really get rid of herpes?
A. There is not a cure for herpes nor is there a vaccine to prevent it
yet.
The herpes simplex virus (HSV1 is oral herpes; HSV2 is genital) remains in
nerve cells for life. When active, which can be several times a year, HSV
travels along nerves to the skin, where sores become apparent. After a
recurrence, the virus travels to the bottom of the spine and remains dormant
there until the next outbreak.
But herpes is manageable. Controlling outbreaks is vital both for your comfort
and for preventing contagion. Talk to a health-care professional about taking
care of sores and the medications available to speed healing.
Women who have had genital herpes and intend to get pregnant should consult
their ob-gyn to learn what measures will ensure the baby’s safety and health.
Also, the annual Pap smear is a must.
Herpes is a sexually transmitted disease, and a popular one at that.
Government statistics from 2003 estimated that one out of five Americans over
the age of 12 was infected with genital herpes.
Q. Is it true that there is a male birth control pill?
A. No. There is no male birth control approved for use, and it’s
unlikely one will be developed. The best options for men are wearing a condom,
having a vasectomy, or abstinence.
Interestingly, testosterone—the hormone that gives men sex drive and
erections—has contraceptive side effects. When it’s taken as a hormone
supplement the testicles get the message that there’s already enough
testosterone in the bloodstream, and sperm production is halted. Long-term
testosterone therapy will lead to zero sperm count. (This is why steroids make
men sterile.)
Testosterone supplements, which come as a gel or by injection, are
FDA-approved only for hormone treatment—not for contraception.
Also note that the testosterone pills available outside the U.S. can damage
the liver and should not be used.
|
Q. Can stress cause body odor?
A. Indirectly, stress can contribute to BO. But don’t blame it all on
your boss, your bills or even your overactive sweat glands.
The body uses different sweat glands for stress than for physical exertion.
Anxiety stimulates the glands in the armpits, in the groin and on the scalp,
palms and feet. Unlike the salty sweat that covers our chest and back when we
need to cool down, stress sweat is fatty—which makes it an especially fine
meal for bacteria.
Perspiration is itself odorless. But when bacteria on skin and clothes begins
breaking down fatty sweat, that stinks.
The solution? Minimize the bacteria on your body by showering regularly and
wearing clean clothes. Use deodorant, which not only masks odor but makes the
skin acidic and therefore less inhabitable to bacteria.
It’s not complicated. Perhaps your co-workers will even chip in for soap.
Q. What causes tenderness in the testicles,
besides injury?
A. Any noticeable soreness or tenderness in the testes should be
brought to the attention of a urologist immediately. It may very well be
nothing, but here are some things that could be wrong:
Epididymitis is an infection of the epididymis, the long tube coiled up
behind each testicle that acts as a veritable “swimming school for
sperm”—sperm enter relatively immobile and exit the other end doing a flutter
kick. It’s the most common infection of the testicular area, and the usual
suspect is the sexually transmitted disease chlamydia.
Testicular cancer typically presents as a lump on a testicle. Though
usually painless, the area will sometimes be tender. TC is the most common but
also one of the most treatable cancers in males ages 15 to 45.
Torsion sounds a lot like “torture,” and that’s regretfully accurate.
Each testicle hangs on a thin stalk called the spermatic cord, and when no
ligaments attach the cord to the scrotum (a condition known as bell clapper
deformity), the testicle can spin freely. The cord gets twisted and cuts off
blood to the testicle. As you might guess, it’s accompanied by acute pain.
Torsion is a surgical emergency because the testicle can die within hours.
Gentlemen, you may be seated.
|
|
|