Women’s and Men’s Health Issues.

Women’s and Men’s Health Issues.

 

Discussion- Women’s and Men’s Health

 

  • 1. Obesity
    Research suggests being overweight is twice as dangerous for men than for women. A study of nearly 4 million men and women across the world showed the risk of death before age 70 increases by 30% for obese men, compared to 15% for obese women. Play it safe and team up with the men in your life to eat healthier and exercise, so you can both drop extra pounds and prolong your lives.Women’s and Men’s Health Issues.

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  • 2. Cardiac Arrest
    Though heart disease affects both men and women, the guys are more likely than the ladies to have their heart stop suddenly. A new study shows roughly 1 in 9 men will suffer cardiac arrest by age 70, versus 1 in 30 women. Heart disease often develops earlier in men than women, so the risk of cardiac arrest is higher. It’s important for men to get screened for cardiac arrest risk factors like high blood pressure and high cholesterol to stay on top of heart health.Women’s and Men’s Health Issues.

     

  • 3. Osteoporosis
    Osteoporosis is more often perceived as a women’s issue because women are at risk earlier in their lives, but starting around age 65, both sexes lose bone density at the same rate. Smoking and alcohol consumption can weaken bones, while exercise and vitamin intake can help prevent osteoporosis. Men and women should make sure they have a daily calcium and vitamin D intake that’s appropriate for their age and get plenty of weight-bearing exercise, like walking and even dancing, to support bone health.Women’s and Men’s Health Issues.

     

  • 4. Erectile Dysfunction
    If your partner is experiencing erectile dysfunction (ED), the best support you can offer is to learn more about it. ED is common and affects nearly 1 in 10 men. Though older men may experience changes in their ability to have erections, ED isn’t a normal part of aging and is usually treatable with medication, therapy, surgery or sexual aids. It’s important to communicate, listen to your partner, be supportive, and take an active role in his treatment. Keep a positive attitude and be open to trying new ways of experiencing intimacy.Women’s and Men’s Health Issues.

     

  • 5. Prostate Cancer
    Cancer is the second leading cause of death in men; 1 in 6 men are diagnosed with prostate cancer in their lifetime. This type of cancer may stay confined to the prostate gland, but it can spread to lymph nodes, organs and bones. Symptoms don’t always show up at first, but some men experience problems with urination, erections, and back or hip pain. Help your man steer clear of this health issue by making sure he gets an annual physical, plus a baseline PSA blood test and rectal exam at age 40.Women’s and Men’s Health Issues.

     

  • 6. Depression
    While women tend to worry more when they experience anxiety and depression, men process their emotions differently and usually have depressive symptoms that are harder to recognize. Guys may mask their feelings by exercising or working excessively, engaging in risky behaviors like drinking or gambling, and by becoming angry and irritable. Men are also more likely to make successful suicide attempts. How can you help? Listen, offer support, and encourage him to talk to a professional. Never ignore any suicidal comments or self-destructive behaviors.Women’s and Men’s Health Issues.

     

  • 7. Skin Cancer
    Men are coming up short when it comes to skin cancer prevention. In a Skin Cancer Foundation study, only 51% of American men said they used sunscreen in the past year, and 70% didn’t know the warning signs of skin cancer. The good news is both men and women can reduce skin cancer risk with a few lifestyle changes, like staying in the shade between 10 a.m. and 4 p.m. (when the sun is at its most intense), wearing clothing that blocks UV rays, and applying a broad spectrum sunscreen with SPF 15 or higher every day.

Case Overview

This case study involves a 46-year-old woman weighing 230lb with a family history of breast cancer. She is up to date on yearly mammograms, has a history of HTN and complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gynecology examination and to discuss her genitourinary symptoms.  She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg OD and HCTZ 25mg OD. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.

Women’s and Men’s Health Issues.

 

Discussion

In this case study, the woman presents with hot flushes, night sweats, and genitourinary symptoms. 95% of women enter menopause at the age of 45 and 55 years old, since she is 46 years old, it is most likely that her symptoms are menopausal (Rosenthal & Burchum, 2017). The hot flashes and night sweat symptoms point towards the likelihood of vasomotor symptoms of menopause. Vasomotor symptoms are characteristic during the premenopausal period in approximately 80% of women (Roberts & Hickey, 2016). This patient is seeking relief of symptoms since menopausal symptoms interfere with activities of daily life. HRT such as estrogen replacement therapy may be the best and most appropriate for her presenting complaints. However, it has the following contraindications; patient with a history of heart disease, MI, DVT, breast cancer, PE, people with a vaginal bleeding history   with no known cause. The patient in this case study has a history of ASCUS, a possible CHD, hypertension, and a family history of breast cancer thus considered a high risk patient.

Women’s and Men’s Health Issues.

 

Recommendations to Revise These Drug Therapy Plans

Since this patient is considered a high risk patient for hormonal therapy, the most appropriate and best alternative would be SNRI or SSRI antidepressants. SSRI or SNRI antidepressants have demonstrated to be very effective in relieving vasomotor symptoms of menopause. Therefore, I would revise her drug therapy by prescribing escitalopram for the vasomotor symptoms and a topical estrogen for the genitourinary symptoms. Escitalopram, an SSRI, provides 50-60% reduction in vasomotor symptoms and is well tolerated (Rosenthal & Burchum, 2017).

Women’s and Men’s Health Issues.

 

I would also consider health education for this patient. Roberts & Hickey (2016) suggests starting with assessing a patient’s health literacy, identifying potential gaps in knowledge and providing baseline information. Education would include the side effects of using escitalopram, including diarrhea, headache, drowsiness, nausea and insomnia (Vallerand & Sanoski, 2020). I would also include instructions on application of topical estrogen and lifestyle improvements to improve cardiovascular health. I will also stress on medication adherence, hypertension pathophysiology, cancer risk factors, and lifestyle modification for good health outcomes.

Women’s and Men’s Health Issues.

 

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