Men's health after 50 is frequently ignored, yet millions of men in India experience sexual health problems, an increased risk of prostate cancer, and hormonal changes. Dr. Manohar T, Head of Urology Services, Uro-oncology, and Kidney Transplantation at Apollo Hospitals Bangalore, discussed the effects of aging, how to recognize early warning signs, and what men can do to live healthier, more vigorous lives well into their old age with HT Lifestyle.

Typical health problems in men over 50

India has a population of about 1.46 billion (146 crore), with about 15.2% of that—nearly 22.5 crore—comprising men over 50. Many health issues that affect this population frequently go undetected or untreated, making them especially susceptible.

About half of men over 50 complain of sexual dysfunction and urinary problems. Many people also go through symptoms related to andropause, which is analogous to female menopause. This is mainly caused by decreasing testosterone levels, which peak in the late twenties or early thirties. After that, testosterone levels decline by roughly 1% annually, resulting in more severe dysfunction by age 55 to 60.

Prostate issues are another increasing worry. Ignoring early signs can result in more serious consequences, yet many men tend to overlook symptoms due to chronic stress, frequent travel, and work pressure.

Comprehending the changes in the body

Testosterone usually reaches its highest levels in the morning. Morning exercise causes a release of hormones including cortisol, serotonin, dopamine, BDNF (brain-derived neurotrophic factor), adrenaline, and growth hormones. These hormones enhance men's mental and physical well-being during the day and aid them in handling stress.

Prostate cancer is becoming more common in India

Prostate cancer rates in India are increasing, with current estimates of 11 to 19 occurrences every 100,000 males, up from 9 to 11 earlier. Age continues to be the most important risk factor, particularly as India's average life expectancy has risen to 72 years, according to the 2021 census. Other risk factors include lifestyle choices, genetic mutations (like BRCA1 and BRCA2), and family history.

Patients usually present with urinary symptoms like sudden retention, delayed emptying, or a weak stream. In advanced instances, symptoms might include bone pain, weight loss, and loss of appetite. A clinical examination and a straightforward blood test (Total PSA) are frequently used in diagnosis. Sometimes, a prostate biopsy and an MRI are necessary for confirmation.

Options for treatment

The stage of the illness determines the treatment:

• Localized disease: Surgery is the main treatment option and can cure up to 97% of cases in the early stages.
• Treatment for locally advanced or metastatic disease may consist of targeted therapies, immunotherapy, chemotherapy, hormonal medications, and radiation therapy.
• Other alternatives include active monitoring for early-stage cases and supportive measures like stress management, exercise, and nutrition.

Dr. Manohar stresses the importance of early detection, noting that survival rates decline dramatically in later stages, with stage two rates as low as 35%.

Health and prevention advice for men over 50

• Give quality sleep top priority.
• Start your day with some physical activity, like walking or exercising.
• Keep a balanced and conscious diet

These straightforward lifestyle changes can significantly help men prevent or manage health issues they frequently experience after turning 50.

Read Also: The Hidden Mental Load of Fatherhood: 5 Actionable Tips for Dads to Cope and Share

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