by Elson M. Haas, MD © December, 2007
We can truly alter our aging process by the way we
live. Whether we can ultimately alter our longevity
is not as important, in my opinion, as enhancing our
health and vitality as we age. That’s also what many
people tell me in my office and at lectures: It’s
the quality and vitality of their life that matters,
not merely the quantity.
In this article I discuss the aging process in
general for men and then focus on maintaining
prostate health and sexual function over our years.
And clearly for men, their prostate and sexual
function is important to feeling youthful. Those
that remain sexually and sensually active feel
better in many other ways as well.
Let me first say a few words about male aging, which
I hope to experience, only very slowly with vitality
and verve. We each have our genetics and biological
clocks. Hopefully, if we play our cards right with
healthy habits, understanding our risks and disease
potentials, we can outlive our ancestors, and at
least our parents.
Men need to look at and take action to prevent some
of the common diseases that take us out of life too
early. The big ones here are the cardiovascular
diseases that start with rising blood pressure,
higher cholesterol, and subsequent atherosclerosis.
Lifestyle is so important to preventing, or at least
delaying these common problems, especially in terms
of diet, exercise, and stress management. Cancer
risk is also a health and longevity threat, and here
the colon and prostate are major concerns. These can
and should be checked with some regularly to pick up
any early changes. Colonoscopy, Digital exams, and
PSA tests in men are well accepted for early
diagnoses of these common cancers. Lung cancer is a
minimal risk if you don’t or have not smoked.
It is important for men in the aging process to
maintain normal weight, blood pressure, blood
cholesterol, and blood sugar. Abdominal obesity from
excess calories from refined foods, sugars, and
alcohol cause particularly high risk for many
diseases. In current times, it’s easy to be
overweight (or let’s say, harder to stay trim),
however, research is showing that health and
longevity can be protected with exercise and staying
fit even with being somewhat overweight. A sedentary
life with overeating and overweight creates a high
risk of disease and a shorter lifespan.
Tips for Healthy Aging
- Avoid Overeating and rich, fatty foods in your
diet
- Minimize sugar and refined foods as well as
excessive alcohol
- Maintain Normal Weight
- Focus your diet around fresh vegetables with
quality proteins and fresh fruit
- Get regular exercise and avoid a sedentary
lifestyle
- Stretch to stay young and flexible
- Stay strong with weight training
- Do aerobic exercise to stay fit and maintain
endurance
- Practice some form of stress reduction such as
meditation, breathing, qi gong, tai-chi, yoga, or
relax out in nature.
- Listen to your body and partner with your
healthcare provider to address imbalances or
symptoms such as sleep disorders, digestive
issues, sexual dysfunction, allergies, weight loss
or weight gain, and stress issues; find ways that
work to resolve these issues.
- Do your annual physical checkup to catch early
signs of pending health problems.
- People who live a long and healthy life tend
to practice forgiveness, find a good balance
between work and relaxation, feel gratitude and
joy every day, nurture their creativity, stay
connected with their friends and family, make a
living doing something they enjoy, and use their
talents and gifts to be of service to others. Wow!
That’s another whole list.
Prostate Problems and Preventions
In review, it appears that the common disease among
men over 50 (and now over 40) involves the prostate
sex organ (and the colon, with stagnation and
toxicity, diverticulitis and cancer). The Western
lifestyle of stress and sitting, long hours of
driving and TV watching, stuffing food and emotions,
eating flesh and milk products, sugary foods and
caffeine, and using alcohol regularly--sets the
stage for chronic, debilitating and degenerative
diseases, such as cardiovascular problems, cancer,
and arthritis, as well as prostate enlargement (BPH--Benign
Prostatic Hypertrophy) and prostate cancer.
The prostate is a fibro-muscular organ, about the
size of two walnuts placed together, and it sits at
the bottom of the man’s pelvis behind the genitals
and in front of the rectum. It can be felt
(palpated) with the medical “digital exam” whereby a
doctor sticks his gloved and lubricated index finger
in through the anus and pushes forward. We should
feel the pliable yet firm lobes without any
enlargement, swelling, lumps or stony material. And
the patient should not feel any pain, however, it
could feel uncomfortable with a pressure like you
have to urinate. Some symptoms of prostate
enlargement or infection may be a pressure or
swelling feeling in the perineum, or even more
commonly, a difficulty is starting or stopping
urination. There may be some change in the urine
stream or force behind the urination. See, the
ureter, or tube that passes from the kidneys and
through the bladder, also goes through the prostate
tissue and then through the penis and out. Thus,
when the prostate is swollen, it may interfere with
the urine flow.
A blood test can also be done to measure an antigen
that is created by prostate cancer cells. It’s
called the PSA (Prostate Specific Antigen) and if
it’s elevated, that may mean prostate cancer is
present. With inflammation or infection, the PSA can
also go up; thus, it may need to be double-checked
or rechecked after a course of antibiotics to treat
any potential infection. If the elevation persists,
even after any infection is treated, this may
require further testing, as I believe it’s always
wise to find out what is going on in our body. If
it’s bad news, at least we can deal with it from
there. Other tests to investigate the prostate
further include a prostate ultrasound (sound wave
assessment of the prostate tissue), a cat scan or
the new body scan (both which utilize x-ray), and a
prostate biopsy, which is usually done by the
urologist.
The best overall plan, however, is to Stay
Healthy and to maintain a healthy prostate.
Staying young and in shape; maintaining sexual
activity; getting regular exercise; managing your
stress levels; taking stretch and activity breaks
from long periods of sitting and computer work;
eating a low-fat, higher-fiber, more vegetarian and
wholesome diet; and avoiding excess substance use,
especially of refined sugars, red meats and alcohol,
while obtaining adequate essential fatty acids
daily, such as two teaspoons of flaxseed oil, as
well as adding fish oils and evening primrose
oil—are all ways to help prevent prostate problems.
Lycopene found in tomatoes (highest amount),
watermelons, pink grapefruits, guava, and papaya is
a powerful antioxidant that mops up free radicals
and helps protect the body against cancer. Cooked
tomato products like tomato sauce allows lycopene to
be more readily absorbed by the body. In research
studies, two servings of tomato sauce a week are
enough to lower the risk of developing prostate
cancer.
Cruciferous vegetables such as broccoli,
cauliflower, cabbage, Brussels sprouts, bok choy,
collards, broccoli sprouts, Chinese broccoli,
broccoli raab, kohlrabi, mustard greens, turnip,
radish, rocket, watercress, and kale all contain
sulforaphane, an anticancer and antimicrobial
compound that helps the body repair damages caused
by cancer cells while slowing down its growth.
Another added benefit of eating these nutrient-rich
cruciferous vegetables is the decreased risk for
cardiovascular diseases while providing higher
levels of vitamins and minerals that are also needed
to prevent or fight cancer.
Avoid charring meats when cooking (especially in
grilling) to reduce the levels of a cancer-causing
substance known as PhIP which has been associated to
the development of prostate cancer in lab animals.
Slow roasting, stewing, and broiling (without
charring), are better ways to cook meats.
Zinc, selenium, Coenzyme Q10, vitamins C and E,
vitamins K3 and D, and the B vitamins, particularly
B6, are important for a healthy prostate, as are a
number of herbs, which can also be used to treat
prostate problems as well. There are two herbs that
are specifically useful in preventing and treating
prostate diseases, and thus, supporting sexual
function. They are Serenoa repens and Pygeum
africanum.
Saw palmetto berry (Serenoa repens) has been
shown to effectively diminish pain, inflammation and
enlargement of the prostate, as well as to reduce
urinary urgency. It may work by inhibiting dihydro-testosterone,
thereby reducing its stimulation for cell
multiplication. Saw palmetto has been used for
centuries and is also thought to have a mild
aphrodisiac effect, as well as increasing sperm
production and sexual vitality.
Another useful herb comes from an African evergreen
tree, Pygeum africanum, and has been shown in
research to reduce prostate enlargement and
inflammation; it may also help stimulate libido.
Pygeum has many natural chemicals that have
anti-inflammatory and other positive effects on
energy and bodily functions.
Some prostate formulas also may contain other herbs
like nettle, or pumpkin seed extract or oil (higher
in zinc and supportive of prostate health), and
beta-sitosterol, a healthy fat that also supports
prostate. Most men over 40-50 can benefit form the
regular use of a good prostate health formula to
both support this organ and prevent prostate
problems.
The herbs and formulas work well and often at less
expense and less potential harm than the popular
drugs, such as Proscar. This medication can also be
prescribed by doctors for men with prostate
enlargement. There are also other drugs that may
help improve urine flow when that is a problem.
Ultimately, it is conceivable that if you follow the
aforementioned lifestyle advice, you can avoid
treatment altogether and maintain a both healthy
prostate and your sexual health and vigor.
Long-term survival rate approaches 100% when
prostate cancer is detected early. The ACS (American
Cancer Society) recommends a PSA blood test and
digital rectal examination be offered annually for
men starting at age 50. However, men in high risk
groups such as African American men, men with family
histories of this disease, men with a history of
rising PSA levels as well as altered levels of
estrogen or testosterone levels, may begin testing
at a younger age (i.e. 45 years). Men, who are not
at high risk but are between 40 and 50 years old,
may want to do both tests every couple of years.
It is a ways better to pick up any problems early,
and this certainly applies to the prostate. Stay
Healthy!
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