Testosterone is a hormone that plays an essential part in men's health, but its primary purpose is to enhance sex drive and performance.

Testosterone levels tend to drop as people become older. They reach a peak in early adulthood and then begin to decline at a rate of up to 1% each year around the age of 40. An injury or disease (such as an infection), chemotherapy or radiation treatment, or some medicines can induce a sudden fall.

Men might suffer from a weak libido and erectile dysfunction when testosterone levels drop too low. Low levels can also lead to tiredness, mood swings, loss of muscular mass, and bone strength.

Most men can maintain sufficient testosterone levels long into their late adulthood. Maintaining good health might also assist to slow down the ageing process. Many older men, however, consider testosterone replacement treatment (TRT) as a way to replenish decreased levels. It's reasonable to believe that TRT might make a man feel younger and give his sex life more physical strength and good health.

Protein is necessary for men to maintain muscle mass and strength as they age. According to research published online by JAMA Internal Medicine on July 13, 2020, the source of that protein may also influence how long people live. Scientists studied the diets of almost 400,000 people aged 50 and over who ate plant-based protein, red meat, and eggs. After then, they were tracked for more than 16 years. People who ate primarily plant protein rather than red meat or egg protein had a 13 per cent to 24 per cent decreased chance of dying from any cause.

Natural growth hormone is produced and secreted by the pituitary gland in the brain. It is responsible for early body development when combined with other hormones such as IGF-1 (insulin growth factor 1).

Growth hormone helps the body utilise fat for energy and continues to play a role in protein creation throughout your life. Children that are deficient in growth hormone do not reach their full height potential and have short stature. In these children, the FDA approved a synthetic human growth hormone (HGH) as a substitute, which helps them grow taller.

Synthetic HGH became a popular but illegal performance-enhancing drug in the early 1980s. The hype around human growth hormone and superior athletic performance has always been bigger than reality.
Chronic pelvic pain syndrome (CPPS), commonly known as chronic prostatitis, is one of the most perplexing and difficult-to-manage diseases that affects older men. For males, the condition is all-too-real, and it's also one of the hardest to treat.

After the age of 50, males frequently experience "down there" discomfort. Cramping, aching, or throbbing discomfort in and around your pelvis and genitals might be the cause. You could also experience problems in the bedroom and the bathroom. While the issues are real, determining what is causing them is frequently challenging.

PSA blood testing is highly regarded as an efficient method of monitoring disease activity in males diagnosed with prostate cancer. PSA testing, on the other hand, is problematic as a prostate cancer screening technique.

While PSA levels usually increase as men age, very high levels may indicate prostate cancer. Unless there has been a rapid spike from a considerably lower value, a PSA level of fewer than 4 nanograms per millilitre (ng/mL) is often reassuring. Many physicians consider a total PSA level greater than 10 ng/mL to be the threshold for obtaining a biopsy to rule out cancer.

What if your PSA level is between 4 and 10 ng/mL?

While a man with a PSA level in this range may still have prostate cancer, other possible reasons such as an enlarged or inflammatory prostate are equally likely. Should you have a biopsy or should you wait?

Men with somewhat to moderately high PSA levels can now undergo additional noninvasive testing before undergoing a biopsy. It is essential to speak with a urologist to determine the next appropriate measures. "Discussing these alternatives with a urologist might help men avoid an unnecessary and uncomfortable procedure with possible side effects," says Dr Marc Garnick, a urologic cancer expert affiliated with Harvard's Beth Israel Deaconess Medical Center.

Here's an overview of these tests and how they can help you and your doctor determine if you require a biopsy.

If you maintain a sexually active life as you age, you increase your chances of needing an erectile dysfunction (ED) drug.

Around 25% of men in their 50s, according to estimates, have trouble getting erections. When males reach their 60s, this number increases to about 50%, and to 60% when they reach their 70s.

"Unfortunately, as men age, their erections do not improve," says Dr Michael O'Leary, head of men's health at the Harvard-affiliated Brigham and Women's Hospital. "However, the good news is that there is no age restriction on the use of ED medications. You may continue to take them as long as you can have intercourse safely."

There are a variety of methods for treating cancer that has spread to the prostate gland. On one end, there's cautious waiting (starting therapy only if symptoms appear) and on the other, there's active observation (periodic testing to see if cancer progresses). The surgical removal of the prostate, on the other hand, is an option.

Depending on the stage of localized cancer: radiation therapy, which may be administered alone or in combination with hormone therapy, commonly known as androgen deprivation therapy (ADT).

Dr Atish D. Choudhury, co-director of the Prostate Cancer Center at Harvard-affiliated Dana-Farber Disease Institute, states, "Hormone treatment is a strong weapon in the battle against prostate cancer because it starves the cancer of the fuel that drives its development and spread."


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