Why you should protect your prostate
There’s no doubt the pandemic has offered us more time for introspection. Having to wear masks and socially distance from others to avoid infection, along with assessing every cough and sneeze, has made us more aware than ever of our own bodies. Beyond the obvious benefits—keeping the coronavirus at bay—this newly aroused focus may be the silver lining for men’s health in general. As we’ve all grown accustomed to hearing, men have traditionally been a little slow on the uptake when it comes to their own health.
Given a choice in a cheeky men’s health survey recently, 72 percent of men said they’d rather clean the toilet than go to the doctor. Most cited embarrassment or discomfort as reasons—especially when it came to “below-the-belt” issues.
So … let’s talk—about something you can’t see—and likely don’t even think about, unless, of course, it’s acting up. We’re talking prostate.
Your prostate is a gland, roughly the shape and size of a walnut and weighing about 3/4 oz (22 mL), that is part of the male reproductive system. It’s located between the bladder and urethra and in front of the rectum.
Your prostate’s main function is to make fluid, containing various enzymes, zinc, and citric acid, that makes up one third of semen. While semen (and urine, of course) are flowing through the urethra, they pass by the prostate where the fluid made within the prostate is released into the semen. This prostate fluid mixed with sperm is important to men’s fertility.
Because all men have prostates, all men are at risk of developing prostate problems. Good reason to pay attention to that tiny, out-of-sight gland.
With age, testosterone levels decrease, stimulating prostate growth. By age 40, the prostate gland begins to enlarge as benign tissue cells multiply, which may lead to a narrowing of the urethra and subsequent bladder problems, one of the chief symptoms of BPH. These symptoms can include waking often to urinate, an unusual smell or colour to the urine, or pain while urinating.
BPH is not linked to, and doesn’t increase risk of getting, prostate cancer—but BPH symptoms can be similar to those of prostate cancer, so don’t ignore them.
Most often affecting younger men, prostatitis is an inflammation, or swelling, of the prostate that may be caused by bacteria. It’s often thought of as a type of men’s urinary tract infection. Prostatitis may cause symptoms involving urinating and bladder control—going to the bathroom frequently or trouble urinating when you’re there.
Importantly, having prostatitis doesn’t increase your risk of developing prostate cancer.
The most common cancer in Canadian men, prostate cancer usually grows slowly and can often be completely removed or managed successfully when diagnosed. Many older men have this disease without even knowing it, and often die of other causes.
Digital rectal examination (DRE) to check the health of the prostate. A health care practitioner inserts a gloved finger into the rectum and feels the prostate for hard, lumpy, or abnormal areas. This test is usually recommended for men 50 and older. If there’s a family history of prostate cancer, a DRE may be recommended at a younger age.
PSA is a protein made by prostate gland cells that makes up part of the seminal fluid; testing PSA levels in the blood is used, along with other diagnostic tests like biopsies, to help detect prostate cancer and to monitor the recurrence or progression of cancer. But the presence of PSA in the blood does not necessarily mean there is a cancer: it could signal other issues such as BPH. It may also yield a false positive result.
Current guidelines for PSA testing suggest that men should consult their health care provider about the pros and cons of testing and about their age, overall health, and risk factors for prostate cancer before deciding on the benefits of being tested.
Unlike genetics, we may be able to control some of the environmental causes of prostate cancer.
Don’t procrastinate, men! You can advocate for your own prostate health. If you suspect you may have a problem “below the belt,” take charge of your health and visit your health care practitioner.
Studies have shown that these supplements may benefit prostate health or symptoms of prostate problems.