Healthcare issues of the LGBT community: What the primary care clinician should know

Healthcare issues of the LGBT community: What the primary care clinician should know

A greater understanding of the healthcare issues specific to the lesbian, gay, bisexual, and transgender community may improve the quality of care.

Obtaining a sexual
 history in MSM

Obtaining a sexual
 history in MSM

Understanding the nontraditional terminology used by men who have sex with men will help form a successful patient-provider relationship.

Male with symptomatic
 benign prostatic hyperplasia

Male with symptomatic
 benign prostatic hyperplasia


Several pharmaceutical options exist for men with symptomatic benign prostatic hyperplasia who cannot tolerate alpha blockers.

What PCPs need to know about heart disease in men and women

What PCPs need to know about heart disease in men and women

What do NPs and PAs working in primary care need to know about the different path that heart disease takes in men and women?

Primary care after PCa

Primary care after PCa

PCPs should encourage physical activity, smoking cessation, and a healthy diet for PCa survivors.

Prostate cancer data, dilemmas and decisions

Prostate cancer data, dilemmas and decisions

Prostate cancer is the most common male-related malignancy in the US, the second most common cause of cancer-related death among men.

Recognizing and treating low testosterone in men

Recognizing and treating low testosterone in men

There is a direct correlation between testosterone and metabolic syndrome, mental function, libido, erectile dysfunction, bone density, and overall energy.

Scrotal swelling and impotency

Scrotal swelling and impotency

Does varicocele grade correlate with impotency level?

What's causing elevated creatine levels?

What's causing elevated creatine levels?

A patient has elevated creatine and fasciculations. Could an electrolyte imbalance be the cause?

Examining the prostate of an obese man

Examining the prostate of an obese man

Excess fat around the gluteal region can make performing digital rectal exams in obese patients difficult. How can this challenge be overcome?

Treating scrotal dermatitis

Treating scrotal dermatitis

What treatment do you recommend for scrotal dermatitis?

Stinging nettle: Alternative treatment for BPH, osteoarthritis, other pro-inflammatory ailments

Stinging nettle: Alternative treatment for BPH, osteoarthritis, other pro-inflammatory ailments

Stinging nettle has been used to treat arthritis and other inflammatory conditions since the 10th century.

Identifying and treating hypogonadism

Identifying and treating hypogonadism

Clinicians should check how well patients are responding to testosterone replacement therapy every three to four months during the first year.

Infections, tumors and lumps affecting the scrotal content

Infections, tumors and lumps affecting the scrotal content

A lump, enlarging scrotum or pain can conjure up images of testicular ­cancer, but other conditions involving the scrotal content are possible.

Improving melanoma awareness in men

Improving melanoma awareness in men

Men typically seek treatment after melanoma has already progressed to later stages, accounting for higher mortally rates compared with women.

Gynecomastia in a patient on dialysis

A 69-year-old man with multiple health conditions develops gynecomastia after hemodialysis. Are the two related?

When to screen for prostate cancer

When to screen for prostate cancer

In an update of its 2001 guidelines, the American Cancer Society stresses the importance of sharing the screening decision with the patient.

The challenge of perineal pruritus

Is perineal pruritus a form of allergic dermatitis? Can it be caused by an adverse reaction to estrogen supplementation?

Erectile dysfunction after prostate cancer

Erectile dysfunction after prostate cancer

As a side effect of radical prostatectomy, the favored treatment for many, erectile dysfunction can affect a man's mental and physical quality of life.

Dysuria is the first sign of trouble

Dysuria is the first sign of trouble

When a clinician fails to order a repeat PSA test for a patient with suspected prostatitis, legal issues arise.

Testosterone therapy for androgen deficiency

Testosterone therapy for androgen deficiency

Consistent symptoms and signs of androgen deficiency and unequivocally low serum testosterone levels must be present before a diagnosis is made.

DHEA is OK for patients with prostate cancer

There is no statistical relationship between serum testosterone levels and risk of prostate cancer.

Maca root used to enhance sexual performance

Maca root used to enhance sexual performance

Valued for its energy-boosting and aphrodisiac qualities, maca root has been shown to increase libido and reduce symptoms of sexual dysfunction.

Elevated PSA with a negative biopsy

What is the next step in the treatment of a patient who has a prostate-specific antigen (PSA) level between 4 and 10 ng/mL and a negative biopsy?

Determining when men need testosterone

Determining when men need testosterone

Deficiency can lead to sexual dysfunction and osteoporosis. Here are approaches to diagnosis and some factors to consider before treating.

Why do digital rectal exams?

If the DRE is not recommended to screen for prostate or colon cancer, why do we do it?

Latest on lycopene

Prostate screening in elderly men

A new recommendation from the U.S. Preventive Services Task Force (USPSTF) advises against prostate cancer screening for men...

Vitamin C may discourage bone loss in men

There's more to nutrition and bone health than just calcium and vitamin D. Vitamin C is an additional important nutrient that may help prevent bone loss.

Recognizing symptoms of an enlarged prostate

Recognizing symptoms of an enlarged prostate

The prostate gland has two important functions: To produce ejaculatory fluid and to act as a barrier to retrograde UTIs. Prostate enlargement, or benign prostatic hyperplasia (BPH), can produce a constellation of unpleasant symptoms that result when the enlarged gland forces the bladder to work harder to expel urine. The prostatic obstruction is both...

White eruptions on the penis

Screen men for osteoporosis

At least 6% of men have osteoporosis by age 65 years.

Osteoporosis diagnostic guidelines expanded

The National Osteoporosis Foundation guidelines now include non-Caucasian, postmenopausal women, and men aged 50 and older.

Male osteoporosis

A male patient with osteoporosis worries about the side effects of alendronate, particularly jaw necrosis. What are the alternatives?

Is it low testosterone or something else?

Men with inadequate testosterone and clinical symptoms of deficiency may have hypogonadism. Here are the signs that should prompt lab study.

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