Chattanooga Times Free Press

What You Need to Know About Your Reproducti­ve Health

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It’s normal for men’s reproducti­ve health to change at different stages in life, but the changes can sometimes be cause for concern. Ross Cohn, M.D., urologist on staff at CHI Memorial discusses problems and ways to help you stay healthy and informed. ENLARGED PROSTATE When men are in their 40s or 50s, they may begin to experience signs of an enlarged prostate. Symptoms include a weak urine stream and frequent urination at night.“The prostate naturally enlarges due to prolonged exposure to testostero­ne,” Dr. Cohn says.“It’s usually not a medical issue, but it can affect your lifestyle. If you have symptoms, see your physician. Medication­s can help.” PROSTATE CANCER Prostate cancer is the second leading cause of cancer death among men. But it usually has a very high five-year survival rate if caught early. Because there are no symptoms in the early stages, Dr. Cohn suggests men talk to their doctor about the need for a PSA test to help identify your risk for cancer. Then keep the conversati­on going about how often you should be tested. ERECTILE DYSFUNCTIO­N Millions of men experience erectile dysfunctio­n (ED), which includes problems achieving or maintainin­g an erection. Although it’s not a natural part of aging, the condition is more common in older men. It’s often caused by poor blood flow to the penis. Talk with your physician – medication­s are available to treat ED. Healthy lifestyle changes can help, too. “To reduce erectile problems and improve vascular health, incorporat­e healthy activities into your routine,” Dr. Cohn advises.“Perform regular cardiovasc­ular exercise like walking on most days of the week and eat a diet high in fiber and low in fat to help maintain and healthy weight.”

BLOOD IN URINE OR SEMEN

While it’s alarming, blood in urine or semen is usually not a sign of something serious.“There are many causes, such as inflammati­on, urinary tract infections of kidney stones,” Dr. Cohn explains.“It’s always best to have it checked by your physician. Never be afraid to discuss any health concerns.”

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