“Men develop high blood pressure at younger ages and at higher rates than women through most of adulthood. Among adults aged 18 to 39, roughly 31% of men already have hypertension compared to 13% of women. That gap narrows with age but persists: between 40 and 59, about 59% of men have high blood pressure versus 50% of women. By age 60 and older, the rates nearly converge, with about 75% of both men and women affected.

This means a man in his 30s is more than twice as likely to have high blood pressure as a woman the same age. Many of these men have no symptoms and no idea their numbers are elevated, which is why routine checks matter even when you feel fine.”

Science Insights (What Is Considered High Blood Pressure in Men? – ScienceInsights)

American Heart Association-AHA states:

For men, high blood pressure (hypertension) is defined by the American Heart Association and American College of Cardiology as follows:

• Stage 1 Hypertension: Systolic 130–139 mm Hg or Diastolic 80–89 mm Hg
• Stage 2 Hypertension: Systolic ≥140 mm Hg or Diastolic ≥90 mm Hg

These ranges apply to most adult men, but guidelines can be adjusted for age, health conditions, and risk factors. For example, older men may have slightly different target ranges, and those with diabetes, kidney disease, or heart conditions may need treatment at lower thresholds, the Mayo Clinic states.

The signs and symptoms of high B/P=Hypertension could be:

Usually, high blood pressure causes no signs or symptoms. That’s why healthcare providers call it a “silent killer.” You could have high blood pressure for years and not know it. In fact, the World Health Organization estimates that 46% of adults with hypertension don’t know they have it.

When your blood pressure is 180/120 mmHg or higher, you may experience symptoms like headaches, heart palpitations or nosebleeds. Blood pressure this high is a hypertensive crisis that requires immediate medical care.

Remember this, for many High blood pressure is known as the “silent killer” and its given that nickname for a reason.  For those patients with high B/P they don’t feel ANY SIGNS OR SYMPTOMS OF HIGH B/P to go to the doctor!  So they let their B/P get so high, never going to the MD or regularly checking their B/P on their own and puff they die awake or in their sleep due to the high B/P that caused the death!

You may not feel that anything is wrong, but high blood pressure could be quietly causing damage that can threaten your health. The best prevention is knowing your numbers and making changes that matter in order to prevent and manage high blood pressure.

Why not just buy a blood pressure monitor from the pharmacy which will help you keep an eye on your B/P or even keeping your B/P therapeutic and have no HTN!

A BIG factor in helping to reduce or decrease high blood pressure for those with hypertension is DIET alone will impact greatly.  Less SODIUM=Salt in the diet will have an impact in lowering your B/P!

Your provider will diagnose you with one of two types of high blood pressure:

• Primary hypertension. Causes of this more common type of high blood pressure (about 90% of all adult cases in the U.S.) include aging and lifestyle factors like not getting enough exercise.
• Secondary hypertension. Causes of this type of high blood pressure include different medical conditions or a medication you’re taking.

Most people with high b/p are asked to eat less sodium. Sodium attracts water and makes the body hold fluid. To pump the added fluid the heart works harder. Also sodium in the body causes the arteries to vasoconstrict increasing pressure in the vessels causing the pressure to rise.

Most people with high b/p are asked to eat less sodium at 2000mg or less a day and this is to prevent water retention and vasoconstriction in which both actions increase the blood pressure. Follow your doctor’s advice about your sodium intake.

Many prepared foods and spices are high in sodium. But, the most common source of sodium is table salt. Table salt is 40% sodium and 60% chloride. One teaspoon of table salt contains 2000mg of sodium.  Get rid of your table salt period will help you in trying to lower your B/P or keeping your B/P therapeutic (in the norm).

HINTS IN HOW TO LOWER YOUR SODIUM IN YOUR DIET:

What is Sodium (NA+)?  One it’s an important substance in our body. It helps your body balance the level of fluid inside and outside of the cells; this prevents the cells from becoming dehydrated. To keep up this balance, the body needs about 2000mg of sodium a day or less. Yet most of us eat 3000 to 6000mg of sodium each day.  On average Americans eat 3400mg of sodium a day and now it is recommended to eat 1500 mg a day.  A major start is no salt shaker on the table and don’t add salt to your foods unless you know the amount in them already with not going over 1500 mg of salt a day or what your cardiologist recommends who is the expert!

Other tips could  be:

-Season foods with fresh or dried herbs, vegetables, fruits or no-salt seasonings.

-Do not cook with salt or add salt to foods after they are on the table.

-Make your own breads, rolls, sauces, salad dressings, vegetable dishes and desserts when you can.

-Stay away from fast foods. They are almost all high in salt.

-Eat fresh, not frozen or canned, and do eat unsalted vegetables. These have less sodium than most processed foods. Read the labels and if they don’t have a label DON’T EAT IT. Read the labels and eat the portioned size it says to for 1 portion with keeping a diary of what you ate with adding the sodium and when it reached 2000mg no more food that day with salt in it unless the doctor prescribes less.

Know this frozen meals are often high in sodium. In fact, it’s estimated that around 70% of the sodium people consume in the United States comes from prepackaged, processed, and restaurant foods = high in sodium.

-Buy water packed tuna and salmon. Break it up into a bowl of cold water, and let stand for 3 minutes. Rinse, drain and squeeze out water.

-Don’t buy convenience foods such as prepared or skillet dinners, deli foods, cold cuts, hot dogs-one of the worst foods to eat to begin, frozen entrees or canned soups. These have lots of salt. Be picky on what you eat.

-Again, read all labels for salt, sodium or sodium products (such as sodium benzoate, MSG). Ingredients are listed in the order of amount used. A low sodium label means 140mg of less per serving. Try to buy products labeled low sodium/serving. Do not eat products that have more sodium than this per serving.

-AHA states, “If you drink, limit your alcohol consumption to no more than two drinks per day for men and no more than one drink per day for women. A drink is one 12 oz. beer, 4 oz. of wine, 1.5 oz. of 80-proof spirits or 1 oz. of 100-proof spirits.

I’ve read that red wine is heart healthy — can I drink as much as I’d like?
Unfortunately, red wine as a miracle drink for heart heath is a myth. The linkage reported in many of these studies may be due to other lifestyle factors rather than alcohol. Like any other dietary or lifestyle choice, it’s a matter of moderation and disciplining yourself in almost anything especially junk food, processed foods, foods high in fat or fried should once in awhile in aiding yourself in controlling your blood pressure.  Don’t only do moderation when the B/P goes high instead make the moderate eating of bad foods a regular part of your life and high odds it will only aid in helping your B/P to stay normal or to get in a therapeutic range.  The other way is only a high potential to aid in getting hypertension or increasing your b/p.

If you need help–
If cutting back on alcohol is hard for you to do on your own, ask your healthcare provider about getting help.

The AHA says your lifestyle plays an important role in treating your high blood pressure. If you successfully control your blood pressure with a healthy lifestyle, you might avoid, delay or reduce the need for medication.

Foods to keep out of your diet or ever have on a regular basis and have maybe have once every 3 months or less

-Canned Vegetables, sauerkraut. Self rising flour and corn meal. Prepared mixes (waffle, pancake, muffin, cornbread, etc…)

-Dairy Products high in fat- like buttermilk (store-bought), canned milks unless diluted and used as regular milk).  I personally switched to skim milk and drink it every day and with other things taken in my life in moderation with trying to watch my weight still keeps my b/p under 120/80.   Egg substitute limit to ½ cup/day. Eggnog (store bought) and salted butter or margarine do not buy everyday but have eggnog around holiday time is what I do and that’s it.  I limit my butter intake where it is on bread and never add it to cooking or have extra on the table for like mashed potatoes.  Trust me processed foods have plenty in them and bakery goods without question.

-Soups: Boullon (all kinds), canned broth, dry soup mixes, canned soups are severely high in sodium especially the noodles you add water to.  Just have one of them and your already over 1000mg of salt.  Surprise, Dietary Guidelines for Americans recommends adults limit sodium intake to less than 2,300 mg per day—that’s equal to about 1 teaspoon of table salt! Salt is in the majority of foods so look on the back of the food and read the amount of fat,carbohydrates and salt is in a serving with seeing what the food’s size of a serving is.  It may make you fall in the chair.

-Meats and meat substitutes not to buy=Canned meats, canned fish, cured meats, all types of sausages, sandwich meats, peanut butter, salted nuts.  High in sodium again.

-Prepared mixes (pie, pudding, cake) or store bought pies, cakes, muffins.

-Cooking ingredients to use low sodium type or limit to 2 tbsp/day=ketchsup, chili sauce, barbecue   sauce, mustard, salad dressing.  Read the label!

-Drinks to stay away from Athletic Drinks (such as energy drinks-caffeine/Gatorade), canned tomato or vegetable juice (unless unsalted).  Caffeine is a commonly used neurostimulant that also produces cerebral vasoconstriction by antagonizing adenosine receptors. Chronic caffeine use results in an adaptation of the vascular adenosine receptor system presumably to compensate for the vasoconstrictive effects of caffeine=vasoconstriction of all blood vessels=this increases your b/p.

NIH=The National Library of Meidicine found this with caffeine (https://www.ncbi.nlm.nih.gov/books/NBK202224/):

The West Florida Vein Center states this about caffeine:

“Caffeine is a drug found in coffee, soda and tea, doesn’t just wake you up. It sets your whole body into a different motion, stimulating the nervous system and constricting blood vessels. Caffeine is safe when ingested in moderation, but excessive consumption can lead to vascular complications like high blood pressure, poor circulation and narrow blood vessels.  I have 2 cups a day on average.  Being a night RN I have one in the morning to have one at night.  When off of work just one or two in the am.

Upon consumption, caffeine gives you your morning jolt of energy. It achieves this by attaching to your adenosine receptors, which ordinarily dilate your brain’s blood vessels. Instead, your blood vessels constrict, also known as vasoconstriction. When vasoconstriction of the brain occurs, the pituitary gland sounds an alarm and reacts as if in an emergency state. It then releases adrenaline, which leads to increased heart rate.“

Know adrenaline is released in fight or flight and adrenaline causes peripheral vasoconstriction which further increases the B/P due to pressure build up in the vessels away from the core or center of the body.  That is what peripheral means.

The West Florida Vein Center further states:

“With vasoconstriction comes faster heart rate but slower blood flow. A study by “Human Brain Mapping” found heavy caffeine users experienced “reduced cerebral blood flow by an average of 27 percent.” What this means? Excessive caffeine intake leads to unnecessary stress on your venous system. Because your brain receives an inadequate amount of blood, your whole venous system operates under stress to compensate for the blood flow changes.

When stressed, veins are at greater risk of disease. Venous conditions like varicose veins and deep vein thrombosis can occur with vasoconstriction. Narrow blood vessels can prevent sufficient blood flow, causing clotting and inflammation.  To avoid stressing your venous system, limit coffee intake to 24 ounces per day.” OR we say less if you can!  Even better is decaffeinated coffee and no venous constriction will occur or if you need the caffeine have one glass or 12 ounces of caffeinated and the rest of the day decaffeinated coffee.

So yes, long term caffeine heavy users do get overall VASOCONSTRICTION that increases your blood pressure in the body, including in the brain.  While there’s no broad percentage of caffeine dependence in the US population, smaller studies have been conducted. According to a study conducted by the University of Florida, 28% fulfilled the criteria for caffeine dependence compared to 50% for alcohol and 80% for nicotine.  From this study 2 factors cause vasoconstriction Nicotine and Caffeine.  Remember one of the symptoms of high B/P is a headache! So change your diet if you need to in your life, based on this information and hope it is useful!

Remember Moderation to stopping completely out of your diet things that increase your blood pressure is the key to helping you reach normal blood pressure with other factors like obesity, and disease from Diabetes to Athero- sclerosis (which is partly or completely blocking an artery vessel) including arteriosclerosis which is brittle arteries and Renal Failure (acute or chronic).

(Updated 6/14/26)

“Men are at higher risk for hypertension, especially at younger ages, due to both biological differences and lifestyle choices,” said Brian Henry, MD, a cardiologist with Banner Health.

Men tend to develop high blood pressure earlier than women, especially before midlife. A few key factors play a role:

• Biology and hormones: Before midlife, hormonal differences may make men more likely to have elevated blood pressure. Higher testosterone levels impact the way men’s bodies regulate blood pressure. “Women gain some protection against hypertension from estrogen until menopause,” Dr. Henry said.
• Fat storage: Men tend to store more fat around their bellies than women.
• Immune responses: The immune responses of men tend to be more inflammatory than women.
• Lifestyle patterns: Men may have higher rates of smoking, alcohol use, poor diet and work-related stress, all of which can raise blood pressure.”

Banner Health (What to Know About Hypertension in Men |Banner Health)

  Systolic BP is heart at work, Diastolic BP is heart at rest!

High Blood Pressure – what is it?

High Blood Pressure or Hypertension affects 80 million Americans and nearly half of the people in the UK between the ages of 65 and 74, and a large percentage of those between the ages of 35 and 65.  U.S. guidelines define normal blood pressure as less than 120/80 millimeters of mercury (mm Hg). Elevated blood pressure is considered 120 to 129 systolic (top number) and less than 80 diastolic (bottom number). High blood pressure (Stage 1 hypertension) is 130 to 139 systolic or 80 to 89 diastolic. A reading of 140/90 mm Hg or higher is considered Stage 2 hypertension.

One of the problems associated with high blood pressure is that you will probably not even know you have it until you happen to have your blood pressure taken during a routine physical examination.  In our B/P you have 2 numbers one on the top that is called your systolic b/p that will always be higher that the bottom number b/p.  What do they mean? The top number systolic B/P will be the number representing your heart pressure at work whereas the bottom number called diastolic B/P will always be lower that the top number representing the B/P at rest.  Normal B/P for some is 90/50 for those who are a work out nut, in good shape, and at their normal weight level or body mass index (BMI).  For others normal B/P can go has high as 120/80 or less.  High B/P is over 120/80.  In earlier years 122/80 was considered the norm now its not.  Where do you really see problems for a high B/P?  Well looking at a B/P chart this should give you some direction:

It is the measurement of the force that blood applies to the walls of the arteries as it flows through them carrying oxygen and nutrients to the body’s vital organs and systems. Naturally, our blood is under pressure as it rushes through our arteries. Even those with blood pressure in the normal range will experience an increase in their blood pressure during rigorous physical activity or during times of stress. It only becomes a problem when the blood continues to run high. This condition of blood pressure is known as hypertension or high blood pressure and in 95% of the cases, the cause of it is never known. However, we do know the factors that set a person up to develop hypertension.

Remember in the nursing and medical field a systolic B/P of 180 these professional get concerned for stroke or a vessel somewhere about to burst (Ex. like a abdominal aneurysm which many don’t feel since its in their abdomen making room for the pouch vessel to grow making the vessel wall weaker to pop and than for many when realized its too late, take the actor John Ritter!)  With a stroke it can be caused by a hemorrhagic stroke-this meaning a vessel ruptures (most commonly high B/P) or ischemic stroke a build up of a blockage or blockages of a vessel in the brain).

Upon diagnosis, you may wonder why you never saw it coming. Most people don’t. Only those with severe high blood pressure experience any warning signs at all.

These signs can include headaches, impaired vision, and black-outs.

Factors influencing High Blood Pressure:

They are as follows:

NON-MODAFIABLE RISK FACTORS ARE 4:

1. HEREDITY-HIGH B/P RUNNING IN THE FAMILY

2. AGE-THE OLDER, THE HIGHER PROBABILITY YOU WILL END UP WITH B/P DEPENDING ON YOUR HEALTH AND HOW GOOD YOU TAKE CARE OF YOURSELF.

3. GENDER or SEX-MALES VS FEMALES.  THE GENDER THAT BEATS THE OTHER EASILY IS MEN!

4. RACE-HIGHIER IN AFRO-AMERICAN AS OPPOSED TO WHITE.

MODAFIABLE RISK FACTORS=FACTORS YOU CAN CONTROL IN YOUR LIFESPAN:

1-Obesity=Those with a body mass index of 30 or greater.

2-Drinking more than 2 to 4 alcoholic drinks a day.

3-Smoking

4-High cholesterol

5-Diabetes

6-Ongoing Stress/Anxiety

7-Continuous use of excessive salt consumption

Possible causes of High Blood Pressure

Sometimes the cause of a person’s high blood pressure is determined, but this happens in only 5% of the cases. When a cause is found, the person is diagnosed with secondary high blood pressure [hypertension]. In most of these cases, the cause can be linked to an underlying illness such as kidney disease, adrenal gland disease, or narrowing of the aorta. Contraceptive pills, steroids, and some medications can also cause secondary high blood pressure [hypertension], though instances of this are not all that common since in most cases these can be stopped or with medications changed if a med is still needed to resolve high blood pressure.

Reviewing High Blood Pressure and the important numbers are important especially if your doctor has already diagnosed you with high B/P and for the cardiac meds you are on for high B/P.

We hear the numbers, but do we really know what they mean? Since your blood pressure numbers can help you to understand your overall health status, it is important that you keep track of it. By knowing where your numbers are right now, you can head off such serious high blood pressure complications as angina, heart attacks, stroke, kidney damage, and many others that might surprise you – like eye problems and gangrene.

Hear is a review of understanding what blood pressure means and tells our medical professionals from RN’s who see the pt the most and see the vital signs with doctors being told who generally provide your blood pressure to you in terms of two numbers – a top one and a bottom one. For example, if your blood pressure is 120/80, they may say that you have a blood pressure of 120 over 80. Here is a definition again for these numbers:

The top number– this is your systolic blood pressure. It measures the force of blood in the arteries as your heart beats. The top number means the pressure is reading your heart at work.  That is why this number is always highier.

The bottom number – this is your diastolic blood pressure. It is the pressure of your blood when the heart is relaxed in between the times when it is pumping. Means the pressure is reading your heart at rest.  That is why the number is always lowest.

Your blood pressure requires monitoring when you have a systolic blood pressure of 140 or over and/or a diastolic blood pressure of 90 or over. Those with diabetes must maintain a lower blood pressure that those who don’t have the condition. Diabetics should maintain a blood pressure of less than 130/80.  It would be ideal at 120/80 and there are some that do.

Monitors for measuring High Blood Pressure

It is wise to monitor your blood pressure at home in addition to having it taken at your doctor’s office. This will allow you to provide your doctor with readings that have been taken over time, providing a more in depth look at your personal health condition. This will help him or her to prescribe the right hypertensive medication and treatment for your specific condition.

Tips to help reduce your B/P:

The best you could do over 50 or if already diagnosed with high blood pressure than monitor it at home with automatic B/P machines or get a manual one with a stethoscope for taking your B/P measurement with your pulse for some that you take from the upper arm at home each day when you first get up. Especially have a B/P monitor is recommended in taking your B/P meds to eval how good the med is working but if on lopressor or metoprolol (commonly used antihypertensives) or any selective beta blocker which can lower your B/P and pulse. Since with metoprolol or lopressor if the b/p is 90/60 or the pulse is lower than 60 you should call the M.D. first since readings that low could bottom out your B/P and pulse with making them too low putting the pt at problems with dizziness, feeling weak to bottoming out so bad you just sleeps or better falls.  So call your doctor immediately before taking the med.  Always take the B/P from the upper arm above the elbow unless your M.D tells you otherwise.  You’ll also want to make sure that the blood pressure monitor you are considering has been proven in clinical trials. Trusted name brands include those made by Omron, LifeSource, Mark of Fitness, Micro Life, and A and D Instruments. There are other brands available – the important thing is to do your research.

Always check with you cardiologist preferred or your general practitioner before making any changes in your lifestyle in anyway for safety.

Updated 5/07/24

“Benign prostatic hyperplasia (BPH) is a condition in which your prostate grows considerably in size. Your prostate is a gland that rests below your bladder and in front of your rectum. It’s about the size of a walnut, and it surrounds part of your urethra.

Your urethra is a tube that carries urine (pee) and sperm (ejaculate) out of your body.

If your prostate grows in size, it can prevent pee and ejaculate from passing through your urethra.”

Cleveland Clinic (https://my.clevelandclinic.org/health/diseases/9100-benign-prostatic-hyperplasia)

Benign Prostate Hypertrophy (BPH):

What is this?  Benign prostatic hyperplasia (BPH) is a health issue that becomes more common with age. It’s also called an enlarged prostate. The prostate is a small gland that helps make semen. It’s found just below the bladder. And it often gets bigger as you get older.

Sexual health is a major overall health marker for men — 1 in 4 men will experience some form of sexual health concern by age 65.

Erectile dysfunction and lower testosterone are linked to larger health risks, including heart disease, high blood pressure-HBP, diabetes and obesity. Remember African Americans are high for blood pressure. Perhaps higher rates of obesity and diabetes place African Americans at greater risk for high blood pressure and heart disease. Researchers have also found that there may be a gene that makes African-Americans much more salt sensitive. This trait increases the risk of developing HBP. In people who have this gene, as little as one extra gram (half a teaspoon) of salt could raise blood pressure as much as five millimeters of mercury (mm Hg). Don’t forget bad diet, overweight to obese and sedentary life style play vital factors for getting HBP so on average it’s not just a gene factor but heredity does key in especially if you have disease (DM, Obese, Cardiac disease with HBP in the nuclear family especially).

Diet and medicine can control symptoms. You will have a yearly exam. Your health care provider will look for worse or new symptoms before beginning active treatment.

Why go to your health care provider? He will do a yearly exam looking for worse or new symptoms before beginning active treatment. Who should do this? Good candidates which are men with mild signs and symptoms of BPH, There are no side effects in having your doctor check you out. Just remember avoidance to the M.D. may make the situation to be harder to reduce your symptoms later on for not going to the M.D. yearly.

The causes of benign prostatic hyperplasia – (BPH)

The cause of BPH is not well understood; however, it occurs mainly in older men. Benign prostatic hyperplasia does not develop in men whose testicles were removed before puberty. For this reason, some researchers believe factors related to aging and the testicles may cause benign prostatic hyperplasia.

Throughout their lives, men produce testosterone, a male hormone, and small amounts of estrogen, a female hormone. As men age the amount of active testosterone in their blood decreases, which leaves a higher proportion of estrogen. Scientific studies have suggested that benign prostatic hyperplasia may occur because the higher proportion of estrogen within the prostate increases the activity of substances that promote prostate cell growth.

Another theory focuses on dihydrotestosterone (DHT), a male hormone that plays a role in prostate development and growth. Some research has indicated that even with a drop in blood testosterone levels, older men continue to produce and accumulate high levels of DHT in the prostate. This accumulation of DHT may encourage prostate cells to continue to grow. Scientists have noted that men who do not produce DHT do not develop benign prostatic hyperplasia.

Risk factors include aging and a family history of BPH. Other risk factors are obesity, lack of physical activity, and erectile dysfunction (ED).

Preventions Measures of Benign Prostate Hypertrophy – BPH:

There is no sure way to prevent BPH. Because excess body fat may affect hormone levels and cell growth, diet may play a role. Losing weight and eating a healthy diet, with fruits and vegetables, may help prevent BPH. Staying active also helps weight and hormone levels.

With BPH, the prostate gets larger. When it is enlarged, it can irritate or block the bladder. A common symptom of BPH is the need to urinate often. This can be every one to two hours, especially at night.

Symptoms of Benign Prostate Hypertrophy (BPH):

• Feeling that the bladder is full, even right after urinating
• Feeling that urinating “can’t wait”
• Weak urine flow
• Dribbling of urine
• The need to stop and start urinating several times
• Trouble starting to urinate
• The need to push or strain to urinate

In severe cases, you might not be able to urinate at all. This is an emergency. It must be treated right away. It is foolish for someone to not get checked or treated since the condition like any other disease left untreated will only worsen and in time possibly kill you (Ex. CHF OR Diabetes OR even Obesity).

How Can BPH Affect Your Life?

In most men, BPH gets worse as you age. It can lead to bladder damage and infection. It can cause blood in the urine. It can even cause kidney damage. Men with BPH should get treated. Mild cases of BPH may need no treatment at all. In some cases, minimally invasive procedures that do not require anesthesia are good choices. And sometimes a combination of medical treatments works best.

BPH is monitored by your doctor and there are active treatments.

Treatments to Benign Prostate Hypertrophy -BPH:

Medications are often the first treatment for BPH. There are two types of medications that may be prescribed.

• Alpha-Blockers: This type of medication relaxes the muscles in the prostate and bladder neck, which helps urine flow better. Tamsulosin and alfuzosin are common alpha blockers often used as the first line of defense against BPH symptoms. They can provide relief for many individuals.
• 5-Alpha Reductase Inhibitors: These medications target the hormones (dihydrotestosterone) that cause the prostate to grow. Finasteride and dutasteride are common examples of these medications, which slow the growth of the prostate and improve urinary symptoms over time.
• Combination Therapy: In some cases, your physician may prescribe a combination of alpha-blockers and 5-alpha reductase inhibitors for a combined effect, offering both immediate relief and long-term benefits.

While medications can be effective in treating an enlarged prostate, some individuals may not be able to tolerate their side effects. Those may include lightheadedness, dry mouth, low blood pressure, falls, headaches, erectile dysfunction, retrograde ejaculation, reduced libido, nausea, or vomiting. If these occur and become burdensome, talk to your doctor so other treatment options can be explored.

Surgeries:

Transurethral resection of the prostate (TURP) is a type of prostate surgery done to relieve moderate to severe urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH).

During TURP, a combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. Using the resectoscope, your doctor trims away excess prostate tissue that’s blocking urine flow and increases the size of the channel that allows you to empty your bladder.

TURP is one of the most effective options for treating urinary symptoms caused by BPH. 

There are other forms of surgeries There are several types of minimally invasive procedures to choose from, they include:

• Prostatic Stent                                                                
• High Intensity Focused Ultrasound (HIFU)
• Holmium Laser Enucleation of Prostate (HoLEP)
• Interstitial Laser Coagulation (ILC)
• Transurethral Electroevaporation of The Prostate TUVP
• Transurethral Microwave Thermotherapy (TUMT)
• Transurethral Needle Ablation (TUNA)
• Photoselective Vaporization (PVP)
• UroLift
• Catheterization
• How do you know which is best for you GO to the M.D. (Urologist), whose the expert in making that decision. Guess what guys? Many less invasive procedures can be done right in the doctor’s office. So go find out if you’re having symptoms of BPH! 
• How do you know which is best for you GO to the M.D. (Urologist), whose the expert in making that decision. Guess what guys? Many less invasive procedures can be done right in the doctor’s office. So go find out if you’re having symptoms of BPH!

National Hernia Awareness Month is observed each June. Hernias can be described as abnormal bulges created by a weakness or a hole, usually in the abdominal wall or groin. It occurs when an internal organ, such as the bowel or bladder, extends through the wall of the muscle or tissue where it normally resides.

A bulge in the abdomen or groin caused by a hernia is a common condition in both men and women and can range from pain-free to painful. Nearly 1 million hernia operations are performed each year in the United States.

There are a number of places and types of hernias that can occur within the body.

• Abdominal Hernia – Also referred to as a ventral hernia, abdominal hernias are generally a protrusion that occurs above the belt. This happens due to a weakness in the abdominal wall.
• Hiatal Hernia – This type of hernia is closely connected & can coincide with a Paraesophageal Hernia, with the main symptom being gastric reflux or GERD. A hiatal hernia can commonly reoccur after surgery to repair it.
• Umbilical Hernia – Occurs around or in your belly button. If your belly button typically is pushed in, leaving an indent, and suddenly it appears to have a something bulging out then you most likely have an umbilical hernia.
• Incisional Hernia – Occurs at the incision line of a previous surgery, due to the cutting of the skin, tissue, & muscles in that particular area creating a weakened site.
• Femoral Hernia – Occurs at the top of the leg or groin area. These types of hernias are more common in women and tend to be recurrent after a hernia has been repaired.
• Inguinal Hernia –Occurs below the belt and on either side or both sides of the groin and/or the scrotum area. This particular hernia is more common in men and can also be recurrent, even after surgery.

Hernias can be congenital, which means they were present at the time of birth. They can also develop due to tissue weakness in the abdominal wall or groin, usually from overexertion and straining. Long-term constipation issues or urinating, persistent cough, heavy lifting and physical exertion can all contribute to the development of hernias. Other factors that can increase your risk for hernias include poor nutrition, chronic obstructive pulmonary disease, obesity, pregnancy, previous surgeries (specifically open surgeries) and smoking.

When hernias become painful or symptomatic it may prevent patients from participating in work, exercise or other activities that they love to do. When a hernia becomes symptomatic it is important to see your primary care physician to discuss repair before the hernia becomes very large or turns into a very serious complication. When organs are stuck in a hernia, they can lose their blood supply, which may result in an emergency that requires immediate attention.

Many times, your physician will be able to diagnosis a hernia by physical exam. However, sometimes a hernia may be difficult to see or feel due to its location or a person’s body size and shape. In those instances, radiologic tests like a CT (computerized tomography) scan or ultrasound may be ordered to help with the diagnosis.

There are different options for surgical repair, including both open surgery and minimally invasive laparoscopic (using small incisions with a laparoscope) approaches. Many times, we utilize mesh to help repair the hernia to lower the recurrence risk. Hernia repair is usually performed under general anesthesia or on an outpatient basis, so patients may be able to go home on the same day of surgery.

“This June, like every other, is filled with talk of graduations, the scent of bar-b-q, and Fathers’ Day sales. But amidst all the hype, we need to remember that June is also Men’s Health Month – a vital, often overlooked, opportunity to shine a spotlight on the unique health challenges and preventative care needs of men. More than that, it’s a critical time to urge men to prioritize their health and encourage their loved ones to support them in doing so.

Many men, thanks to societal expectations, lack of awareness, or both, are about half as likely as women to have a regular healthcare provider, less likely to have regular screenings, and are far more likely to delay seeking medical attention until symptoms become unbearable. As a result, men are often diagnosed when their medical issue has already become advanced and may not be able to be treated at all (this appears to be the case in Joe Biden’s recent diagnosis of metastatic prostate cancer). Understanding the health concerns for men is the first step toward proactive health management and longer, healthier lives.”

Healthy Men Inc (Men’s Health Month: Why It Matters More Than Ever – Healthy Men)

Men in this age range are encouraged to discuss the health concerns below with their doctors. These discussions can be part of a yearly annual wellness visit. While you may think you don’t need some of these tests, establishing a base line can be useful for continued health monitoring as you age, or as more acute health concerns arise.

• Physical exam: check blood pressure, screen for obesity and assess body composition (waist circumference). Testicular exam and testicular self-exam are important at this age.
• Metabolic screening: fasting blood sugar and fasting lipid profile based on risk and family history.
• Vaccines: influenza, COVID-19, Hepatitis A/B, HPV, Tdap and MMR should be considered.
• STI screening: HIV, Hepatitis B/C, syphilis, gonorrhea and chlamydia screening should be considered, and pre-exposure prophylaxis for HIV (PreP) should be discussed.
• Assessment of risky behaviors: discuss any use of tobacco, alcohol, recreational drugs, anabolic steroids, as well as use of seatbelts and helmets and gun safety.
• Family planning: “pre-conception” counseling to educate men that adopting a healthy lifestyle—exercising, eating healthy foods, and avoiding substances—at an early age improves the chances of conceiving and having a healthy pregnancy and a healthy child.

Recommended screenings for adult men over 40

These screenings are similar to those recommended for younger men but start to look at health concerns that most often appear in middle age.

• Physical exam: check blood pressure, screen for obesity, measure body composition and consider prostate exam (in some cases).
• Metabolic screening: fasting blood sugar and fasting lipid profile and estimation of cardiovascular risk.
• Vaccines: influenza, covid-19, Hepatitis A/B, HPV (through age 45), Tdap and MMR. Shingles vaccine is recommended for adults over 50.
• STI screening: HIV, Hepatitis B/C, syphilis, gonorrhea and chlamydia screening should be considered, and pre-exposure prophylaxis for HIV (PreP) should be discussed.
• Cardiovascular screening: based on risk and symptoms (may include stress testing or coronary artery calcium score).
• Cancer screening: based on family history and personal risks. May include prostate, colon and lung cancer screening as well as skin exam.
• Eye exam.
• GI screening if you haven’t already started.

Recommended screenings for adult men over 65

Older men should continue to evaluate their health and make lifestyle changes based on conversations with their doctors to ensure they are able to live life to the fullest.

• Physical exam: blood pressure, height and weight, waist circumference and prostate exam.
• Metabolic screening: fasting blood sugar, fasting lipid profile, thyroid function (in some cases).
• Vaccines: influenza, covid-19, Hepatitis A/B, Tdap, Pneumovax/Prevnar and Shingles.
• STI screening: based on risk.
• Cardiovascular screening: abdominal ultrasound, coronary artery calcium score and stress testing based on risk and symptoms.
• Cancer screening: prostate, colon and lung as well as skin exam.
• Osteoporosis: screening should be considered in men over 70, men who lose height over time or have a low impact fracture. Fall risk assessment should be completed.
• Eye exam.

Mental health is an important determinant of overall health and quality of life at every age. Although men are more likely to suffer “deaths of despair” including alcoholism, overdose and suicide, they are far less likely than women to seek out mental health services. Undiagnosed and untreated mood disorders in young men are associated with impaired learning, risk-taking behaviors, use of substances and violence. Adult men with chronic diseases like diabetes and cardiovascular disease have worse outcomes when they also suffer from depression, and depression is associated with decreased longevity in older men.  Men are less likely to get treated than a women in screening or when signs or symptoms arise until they get in the way or regarding mental health do men make a move and help yourself since no one may do it for you.  Help yourself its June make a change for the best in your health!