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Men's Health Archive

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Treatment versus monitoring of prostate cancer: Survival rates the same after 10 years

Two new studies add to the evidence that for many men with prostate cancer, if it is detected early and has not metastasized beyond the prostate gland, monitoring the cancer will lead to the same chance of survival after 10 as choosing surgery or radiation. Men treated with surgery or radiation often experience significant side effects. The rates of depression and anxiety were the same in men who opted for monitoring and those who opted for treatment.

HDL cholesterol: How much is enough?

Research suggests that raising good cholesterol beyond a certain point doesn't offer any extra benefit for the heart.


Image: designer491/Thinkstock

When it comes to cholesterol, it's mostly about the numbers. You want less of the "bad" low-density lipoprotein (LDL) cholesterol and more of the "good" high-density lipoprotein (HDL) kind. This combination is often associated with a lower risk of cardiovascular disease. Sounds simple—and it is, for the most part. But while most attention is spent on driving down bad LDL, you still have to keep your eyes on the good HDL, as some research suggests that after a certain threshold, higher levels don't offer extra protection.

The role of cholesterol

Balancing act

One reason higher HDL may not always be effective is that it needs help to do its job. Another study found that HDL's protective role depends in part on the levels of both LDL and triglycerides (another type of blood fat that helps make up your total cholesterol).

The research, published online May 10, 2016, by Circulation: Cardiovascular Quality and Outcomes, analyzed data over 25 years on about 3,500 people. Researchers looked at people with both low and high HDL levels and those with normal and high levels of LDL and triglycerides.

They found that for optimal protection against cardiovascular disease, there needs to be a balance among all three. Higher HDL (40 mg/dL or higher) helped to reduce cardiovascular disease only when LDL and triglycerides were low (100 mg/dL or less). When LDL and triglycerides rose above 100 mg/dL or 150 mg/DL, respectively, higher HDL had no effect.

The ideal numbers

Men: talk with your doctor about resuming sex after a heart attack

A majority of men do not talk about resuming their sex life after a heart attack, which may lead to sexual problems like lack of interest and erectile difficulties. Researchers say that before being discharged from the hospital, men should expect to have a conversation with their physician about when it’s okay to resume all regular activities, including sex. If the topic does not come up, men should take the initiative.

Throughout life, heart attacks are twice as common in men than women

Throughout life, men seem to be twice as likely to have a heart attack as women. This risk appears to persist even after accounting for risk factors such as high cholesterol, high blood pressure, and diabetes. 

Ask the doctor: Herbal supplements to treat erectile dysfunction?

Herbal supplements are sometimes advertised to improve a man’s sex life by increasing blood flow to the penis, but many are not proven effective for treating ED and may cause serious side effects.

Treatment versus monitoring of prostate cancer: Survival rates the same after 10 years

Charles Schmidt A pair of new studies provides useful information to men facing challenging decisions about what to do after being diagnosed with early prostate cancer. Researchers tracked men for 10 years and found that virtually none died of the illness, even if they decided against treating it. Early prostate tumors confined to the prostate […]

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