Thursday, August 14, 2014

Why Men Avoid Prostate Exams

The answer to the question of why  men avoid prostate exams isn't as simple as the obvious answer that no man in their right mind wants to feel a physician's finger go deeply into their rectum.  It's an uncomfortable and potentially embarrassing exam, but let's put that aside and look at other reasons.

Unfortunately,  men are less likely to seek out medical attention. According to The Center For Disease Control men are 80% LESS likely than a women to use a regular source of health care. It takes an illness to get the majority of men to visit a doctor and even then many men resist. Prostate cancer is a silent disease. By the time there are symptoms it's usually too late for a cure.

Thoughtful men who research the topic will find many powerful voices  stating that prostate exams will do more harm than good.The U.S. Preventative Task Force  and  the American Academy of Family Physicians came out against prostate cancer screening in men without symptoms. Even the American Urological Association came out against PSA screening in men under 40  and doesn't recommend screening between the ages of 40 and 54 for men at average risk. Visit Prostate Cancer Under 50 if you want to connect with a group of men whose lives were saved due to earlier than recommended prostate cancer screening.

It appears the medical profession wants to protect men from making bad decisions once they are given the news they have prostate cancer. According to the Mayo Clinic, somewhere between 17-50% of men who are diagnosed with prostate cancer over treat their cancer and end up suffering with a lifetime of symptoms such as the loss of urinary control or a lifetime of erectile dysfunction.

I don't understand how or why doctors would recommend that men be kept in the dark about a potentially fatal disease.  If men are making bad decisions after they are given the news they have prostate cancer, the right question to ask is: What can be done to help men make the best treatment decision based on their diagnosis rather than their fear of cancer?

Before men began to celebrate they can avoid a digital rectal exam and\or or a PSA test I believe men need to know there's been a significant jump in the number of YOUNG men dying of prostate cancer which means the Incidence of young men with aggressive prostate cancer is on the rise..

Here's  what needs to be done in order for men to do all they can so they won't die from prostate cancer. First, men need to overcome their resistance to avoid medical care when they are symptom free. Second, men need to cope with the discomfort, embarrassment, and/or  aversion to a digital rectal exam. Third, all of us lean toward  following advice you already agree with. So if you are against prostate exams you'll be glad to follow this advice:  Say Goodbye to Prostate Exams.

The only problem following that advice is that it's  possible  you could be one of those men who have an aggressive form of prostate cancer  early in your life. Therefore, skipping out on your prostate exam could be a fatal decision. That's why I believe all men should have their first PSA and prostate exam at age 30. If you are in a high risk group or have a history of prostate cancer in your family I suggest your first exam  and PSA  at age 20. I strongly prefer the adage "better safe than sorry" applies to prostate cancer screening. Here's the bottom line: Prostate Cancer Screening Saves Lives

If  you happen to be one of the 233,000 men who will receive a diagnosis of prostate cancer this year, use caution. Don't  panic and  rush into aggressive treatment. Take the time to find out whether or not your cancer is aggressive and whether you need aggressive treatment. For many men Active Surveillance is all the treatment you'll need.

Yearly Prostate  cancer screening saved my life. It could save yours.

If your cancer is aggressive and your considering surgery check out my award winning book:
I Left My Prostate in San Francisco-Where's Yours?