Summary of male preventive health knowledge

There is no universal "secret recipe for aphrodisiacs", and there is no need to overly pursue the so-called "testosterone peak" or "masculinity index". As long as you avoid the two extremes of "bearing discomfort" and "blind supplementation", make layered adjustments based on your age and living habits, and cooperate with targeted regular screenings, you can cover more than 90% of common men's health risks.

Many people may think that this conclusion is too "insubstantial". Let me tell you a case I encountered in the outpatient clinic last month: a 28-year-old man worked as an e-commerce operator. After spending more than half a year during the 618 promotion, he always felt that his back was sore and lacked energy. After watching short videos and watching people saying that "testosterone decline in men before the age of 30 is premature aging", he was so excited that he spent more than 2,000 to buy imported testosterone supplements and kidney-tonifying pills from a certain Internet celebrity. After eating them for a while, Not only did he not regain his condition after a month, but he also suffered from cystic acne and two nosebleeds for unknown reasons. When he checked six hormones, he found that his testosterone level was completely within the normal range. To put it bluntly, the problem was that he stayed up late for a long time and sat for 12 hours a day without moving, which caused lumbar muscle strain and qi deficiency. He stopped taking supplements and asked him to get up and walk for 5 minutes every hour he sat for an hour. He drank more warm water. After two weeks of adjustment, his overall condition returned.

Nowadays, there are mixed opinions about men’s health on the Internet, and there are many controversial points. In fact, the consensus in different fields is different, and there is no need to take any side. Take for example the "food supplements" that everyone is most concerned about. Traditional Chinese medicine does believe that aquatic products with high zinc content such as oysters and scallops have the effect of warming and tonifying kidney yang. Lycium berries and mulberries can also relieve the soreness and weakness of the waist and knees caused by liver and kidney deficiency. However, the research data of modern evidence-based medicine show that Here: To reach the action threshold of these active ingredients, you have to eat more than 3 kilograms of oysters or half a kilogram of dried wolfberry at one time. It is impossible for normal people to eat so much. On the contrary, eating too much oysters can easily induce gout due to excessive purine. Eating too much wolfberry can cause internal heat and acid reflux, which is not worth the gain. So both of these statements are correct. It depends on how you use it: it’s okay to eat some as a balanced diet. If you hope to use this to cure impotence and premature ejaculation and increase testosterone, you are basically paying an IQ tax.

Don't always think of "supplementing" to solve all problems. In fact, changing many small daily habits will be more effective than taking any expensive supplements. Among the urology patients I come into contact with, more than half of the chronic prostatitis and urinary tract stone problems are related to the three habits of "not liking to drink water, loving to hold in urine, and being sedentary for long periods of time." For example, one of my old patients, truck driver Lao Zhou, is 42 years old. He has been driving long distances for almost 20 years. He used to feel that running to the toilet halfway wasted time, so he held it in as long as he could. Last year, he was diagnosed with bladder stones and chronic prostatitis. Now he has to find the toilet every hour and a half while driving, which in turn delays delivery. I regret it so much. Really, if you drink two more glasses of water every day, and stand up for two minutes every hour to urinate, these two actions combined will only take less than 30 seconds, which is much more effective than spending thousands of dollars on health care products every year.

Let’s talk about the screening issue that is most easily ignored by everyone. There is actually a lot of controversy here: many physical examination institutions now recommend that men over 30 years old have testosterone and prostate-specific antigen (PSA) tests every year, but many clinicians think it is completely unnecessary. I have been practicing urology for 12 years. My suggestion is that if you don’t have symptoms such as decreased erectile function, long-term fatigue, unexplained hair loss, or abnormal urination, you really don’t need to check every year. Testosterone itself fluctuates greatly. Staying up all night or drinking heavily the day before may cause the value to drop by 20%. Of course, there is a consensus that is uncontroversial: men over 45 years old, regardless of whether they have symptoms or not, it is not a loss to add PSA screening every year. The cure rate of early prostate cancer screening is almost 100%, but it will be troublesome if it is delayed to the late stage and metastasizes.

The most troublesome thing I have been doing in clinics for so many years is that male patients generally like to "carry" problems. Many people have pain in urination, blood in the urine, and testicle pain. They think it is "a trivial thing, I'm sorry to say", and they take two weeks to come. Urinary tract infections that can be cured by taking antibiotics in three days are not uncommon. However, many cases of pyelonephritis require hospitalization. There are also many people who first label themselves as having "kidney deficiency" when the quality of their sexual life declines, and blindly buy kidney-tonifying medicines. In fact, many people are just under a lot of stress recently and stay up too many nights. They just need to adjust their schedules for two weeks, but taking random medicines will make things worse.

Oh, by the way, there is another topic that has been debated for many years: How often is ejaculation healthy? The sayings of "one drop of semen and ten drops of blood" and "once a week is the standard" are spread everywhere. In fact, there is no unified standard at all. If you don't feel tired or have backache when you wake up the next day, it's no problem three or four times a week. If you are physically weak, once every half a month is normal. There is no need to kidnap yourself by online standards.

To put it bluntly, men’s health care really doesn’t have so many fancy gimmicks. You don’t need to pursue “full kidney energy” or “full testosterone”. As long as you don’t get too carried away at ordinary times, don’t insist on it when you feel uncomfortable, don’t blindly search for folk remedies on the Internet for self-diagnosis, it’s better to ask a doctor in a regular hospital.