Common Health Issues in Men
Men's health encompasses both physical and mental well-being, influenced by a variety of factors such as psychological, age-related, and medical issues. Poor lifestyle habits, work-related or personal stress, fatigue, and hormonal imbalances can negatively impact not only mental health but also physical well-being.
To promote men's health and enhance vitality, it is essential to maintain a healthy lifestyle. This includes getting enough sleep, engaging in regular physical activity, following a balanced diet, and managing stress effectively. Additionally, regular health check-ups are recommended to detect and address potential health problems early, preventing them from affecting overall well-being.
There are also various effective treatments available today for common men's health issues, which can be conveniently accessed through platforms like SofortArzt. Taking a proactive approach to health can help men lead a more balanced and fulfilling life.
Erectile Dysfunction
Erectile dysfunction (ED) is diagnosed when, over a period of at least six months, a man is unable to achieve or maintain an erection sufficient for sexual intercourse in approximately two-thirds of attempts. ED can negatively impact a man's psychological well-being and may lead to depression. It is often associated with underlying conditions such as diabetes, high blood pressure, neurological disorders, and atherosclerosis.
Causes of Erectile Dysfunction
Men's sexual health depends on the proper functioning of the endocrine system, the condition of the blood’s micro- and macro-circulation, and the anatomical structure of the reproductive organs. A man's sexual performance is also influenced by his psycho-emotional state. Common causes of erectile dysfunction include:
- Stress;
- Urological conditions;
- Obesity;
- Sedentary lifestyle;
- High cholesterol levels;
- Endocrine disorders;
- Stroke;
- Medications (e.g., neuroleptics, certain antidepressants, sedatives, central adrenergic agonists, clemastine, etc.);
- Smoking and alcohol consumption;
- Chronic sleep disturbances.
Another significant cause of erectile dysfunction is inadequate blood flow to the penis due to poor vascular health. This issue can be caused by conditions such as atherosclerosis, diabetic microangiopathy, and high blood pressure. Given the numerous potential causes of reproductive system disorders, a comprehensive medical evaluation is recommended to accurately identify the underlying problem.
Diagnosis of Erectile Dysfunction
An andrologist is the primary specialist to consult for diagnosing erectile dysfunction (ED). The process typically starts with a physical examination and a detailed medical history. If needed, the andrologist may refer the patient to other specialists, such as urologists, endocrinologists, sexologists, or venereologists, for further evaluation.
The diagnostic process for erectile dysfunction may include:
- Laboratory tests of blood and urine;
- Ultrasound;
- Doppler ultrasound;
- Prostate imaging;
- Psychological assessments;
- Cavernosography.
It is important to avoid self-medication for persistent erectile dysfunction, as this can worsen the condition. In most cases, ED has physical causes that require proper medical treatment. An evaluation is recommended if there are symptoms such as periodic or consistent loss of erection during intercourse, low libido, premature ejaculation, or a complete lack of ejaculation.
Premature Ejaculation
Approximately 40% of men experience premature ejaculation during sexual activity more frequently than they would like. Research shows that the average intravaginal latency time (the duration between penetration and ejaculation) is around three minutes. Premature ejaculation is often associated with factors like prolonged abstinence, significant stress, or extended foreplay. Occasional occurrences are usually not a cause for concern.
When Should You See a Doctor?
Consult a doctor if there is a noticeable reduction in the duration of sexual intercourse. Signs that medical attention may be needed include painful sensations during ejaculation, general dissatisfaction with sexual life, or any accompanying symptoms like urinary pain or enuresis (involuntary urination). These additional symptoms could indicate chronic prostatitis or other infections and inflammatory conditions of the genitourinary system.
Delaying diagnosis and treatment may not only worsen the underlying condition but can also lead to depression due to sexual dissatisfaction.
Causes of Premature Ejaculation
Premature ejaculation can be classified as primary or secondary. Primary premature ejaculation is a lifelong condition that starts from the onset of sexual activity. Secondary premature ejaculation occurs later in life, often due to disorders in the genitourinary system or other health problems. The condition is frequently linked to chronic stress, lack of sleep, heightened anxiety, and other psychological factors. In many cases, both biological and psychological factors contribute, influencing each other.
Common causes of premature ejaculation include:
- Erectile dysfunction;
- Elevated thyroid hormone levels;
- Deficiencies in magnesium and zinc;
- Increased penile sensitivity.
Structural characteristics of the penis, such as a short frenulum, can also cause premature ejaculation. During intercourse, the tension in a short frenulum can result in additional stimulation of the glans, leading to uncontrolled rapid ejaculation.
Hair Loss
Hair loss (alopecia) is a common health issue among men, with many possible causes. The appropriate treatment depends on identifying the specific factors leading to hair loss in each case. Common causes include hormonal imbalances, chronic stress, nutritional deficiencies (especially in zinc, lysine, and iron), genetic predisposition, endocrine disorders, and certain chronic illnesses. Long-term use of medications such as antidepressants, hormone therapies, diuretics, and other drugs can also affect hair growth.
Signs of Alopecia
The progression of hair loss varies depending on the type of alopecia. Hair loss is typically diagnosed when hair continues to fall out without regrowth. It often begins with thinning hair, followed by a receding hairline. In the early stages, the issue can often be addressed with non-invasive treatments. However, in some cases, hair transplantation may be the only effective solution.
Common Types of Alopecia:
- Androgenetic Alopecia (Genetic Hair Loss).This is the most common form of hair loss, caused by increased sensitivity of hair follicles to male sex hormones. It is linked to dihydrotestosterone (DHT), a byproduct of testosterone that disrupts normal hair growth, leading to hair loss. The most effective treatment for androgenetic alopecia is hair transplantation, although medications such as finasteride may also be tried. Consultation with a doctor is advised before starting any medication.
- Diffuse Hair Loss (Alopecia Diffusa).This type is typically caused by hormonal imbalances, but can also result from vitamin deficiencies, stress, skin conditions, or infections. It is characterized by uniform hair thinning, and in severe cases, loss of eyelashes and eyebrows. The success of treatment depends on promptly identifying the underlying cause.
- Alopecia Areata (Patchy Hair Loss).Causes may include genetic factors, autoimmune disorders, or fungal infections. Bald patches can appear not only on the scalp but anywhere on the body. Consulting a trichologist is essential to determine the cause and find an effective treatment. If bald patches do not regrow, hair transplantation may be necessary.
- Congenital Alopecia.This rare form of hair loss is often associated with skin disorders and involves partial or complete absence of hair. Medical treatments are typically ineffective for congenital alopecia, and hair transplantation may be the only solution.
- Traction Alopecia (Mechanical Hair Loss).This occurs from tension on the hair roots due to tight hairstyles or constant pulling. It can damage hair follicles, leading to hair loss. In the early stages, symptoms include pain around the hair roots, scalp redness, and inflammation. Avoiding tight hairstyles can resolve the issue. If left untreated, hair follicles may become irreparably damaged.
Diagnostic Methods for Alopecia
A trichologist can determine the type and cause of alopecia using a trichogram. Additional tests such as a biochemical blood test, spectral analysis of hair, and blood tests for sex and thyroid hormones can provide further insights. It is recommended to seek diagnosis if you notice excessive hair loss or scalp pain.
