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Male 40 - 60

Health Advice for Men aged 40 - 60

Q&A Male 40 - 60

You may be interested in our Well Person Check. Please follow this link for more information.

1. Are you a healthy weight?
2. Do you smoke?
3. Do you know what a standard drink is? Do you know how many standard alcoholic drinks you would consume in one week?
4. Do you drink more than 17 standard drinks per week?
5. Do you have problems sleeping or problems with irritability, low mood, worry, appetite, stress or relationships?
6. Are you in a monogamous relationship with a person who you are sure does not carry a sexually transmitted infection? If not, and you are sexually active, do you practice safe sex?
7. Have you ever had a prostate check?
8. Have you had a blood pressure check?
9. Have you had a cholesterol check?
10. Have you had a diabetes check?
11. Do you look after your teeth?

1. Are you a healthy weight?

(70% of adults are overweight but only 38% of them think they are. Here's how to check if you are unsure.)

If you have checked your Body Mass Index (BMI) and it is between 19-25, well done. (Body Mass Index is a measure of the relationship between your weight and your height.)

We have a tendency to gain weight over time. It is important to be mindful to maintain a healthy weight. A good method is to weigh oneself once a week as part of a health routine. 

It is also important to stay active and exercise regularly. 

It is important to maintain a healthy weight. Obesity is killing 6,000 people in Ireland per year through its direct link to diabetes, heart disease and cancer. If you are overweight or obese you should tackle this now. As we age, we have a tendency to put on weight. It is likely that if you are overweight or obese, then obesity will worsen with time without proper attention. Returning to a healthy weight increases self esteem, physical energy and mental health. 

FoodSafe.net: this is an excellent website which allows you to calculate your Body Mass Index, tells you if you are overweight and gives you information on exercise and diet. It helps you set goals and record your progress. It also contains a structured 10week plan for balanced weight loss which prepares you for life long weight maintenance. You can track your food intake and exercise on line or print out a food diary to use at home. 

Some people are drawn to the latest celebrity diet. Here is some information which explains why this can be very unhealthy.  A review of 10 most searched for commercial diets.

If you have been following the advice contained in the links above and are having trouble losing weight,  please make an appointment to see us. It is useful if you bring a food diary and exercise diary - you can find one here. 

We can make suggestions, discuss underlying causes for motivation difficulties and perhaps refer you to a dietician or a psychologist if there is underlying psychological distress. Occasionally, it is worthwhile doing a  blood test to check hormones, particularly thyroid function. Also, if you are obese or overweight, you may be predisposed to other illnesses such as diabetes, high blood pressure and high cholesterol, so it may be worth checking for these. 

Those who are very obese (BMI > 40)  and who have failed other treatments may be candidates for surgery. If your BMI is in this range, we can refer you to the specialist weight management clinics run by consultant endocrinologists, psychologists, dieticians and physiotherapists. 

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2. Do you smoke?

Well done. Not smoking is one of the most important things you can do for your health. 

Stopping smoking is the most important thing you will do for your health and long term quality of life. Many people continue to smoke despite knowing that 1 in every 2 smokers will die of a tobacco related disease. Smoking is a challenging habit to stop. However, many people do stop smoking either on their own or with the help of medication and psychological support. 

The national smokers quit line can be contacted on 1850 201 203. They can put you in touch with a one to one counselling service for smoking or a local smoking cessation group. 

The HSE has a very helpful website for those contemplating quitting. It is worth looking at even if you don't feel ready to stop.

It has:

At Mercer's we can help you with any aspect of smoking cessation. Please make an appointment if you would like to discuss giving up smoking. 

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3. Do you know what a standard drink is? Do you know how many standard alcoholic drinks you would consume in one week?

That’s great. Move on to question 4. 

Most of us don’t know how many standard drinks we consume per week. This is often because different alcohol has different strengths. Below is a helpful explanation. You can also go to the following website and use their calculator. 

A Standard Drink is any drink which contains 10gs of Alcohol. This is equivalent to a half pint of 4.5% strength lager, or 25ml of 40% strength spirits (pub measures in Ireland are 35ml), or 100ml of 10% strength wine. 

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4. Do you drink more than 17 standard drinks per week?

That's great. 

Do you consume it in one go? Binge Drinking is defined as drinking more than 3 standard drinks daily. Here is some information on Binge Drinking Patterns.

Alcohol can be positive part of Irish social rituals but also can be a very destructive force in people's lives. It is important to maintain a healthy relationship with alcohol. If your alcohol consumption is at a level that is affecting or threatening to affect your health, your relationships, your work and your family, then your alcohol intake is too high. By drinking more than 17 units of alcohol per week you are putting your health at risk. 

Here is an alcohol intake self assessment questionnaire which you may find useful. 

If you are drinking too much, it is important to assess how much damage this is doing and what steps you need to take to change this. Some people will be able to make simple changes to restore balance to their relationship with alcohol and some people will need to abstain from alcohol altogether in order to stop harming themselves. 

The stages of Alcohol Use are described well at this website. Knowing what category of alcohol misuse you fall into can help guide your alcohol reduction plan.

If you are in any doubt as to which group you are in, you should make an appointment to see a doctor or an alcohol specialist. If you are concerned about your alcohol intake, we are happy to help. 

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5. Do you have problems sleeping or problems with irritability, low mood, worry, appetite, stress or relationships?

That's great. It is unlikely you are suffering from any mental health problems. 

There are many reasons why you could develop the above problems. They can reflect depression and/or anxiety. They could be a reaction to life events or could occur in conjuction with an underlying physical illness. 

If you are suffering from the above you should make an appointment to see a doctor so we can try to pinpoint the cause of what is happening to you. It is sensible to seek extra input and advice during challenging times. 

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6. Are you in a monogamous relationship with a person who you are sure does not carry a sexually transmitted infection? If not, and you are sexually active, do you practice safe sex?

'Safe sex' is using a condom or dental dam during all sexual contacts.

That's good, please continue to do so.

This will help prevent you contracting sexually transmitting infections. However not all infections are fully preventable by this eg. lice or herpes so if you have any symptoms please attend the practice or the Sexually Transmitted Infections (STI) Clinic at St James.  

Many people decide to stop using barrier protection when they enter a long term stable monogamous relationship, following both parties having a negative STI screen. This screen can be done in Mercer’s Medical Centre or in the hospital clinic. 

Sexually transmitted infections are on the rise in Ireland. People can carry STI without having any symptoms. They may result in long-term health problems such as infertility, ectopic pregnancies and genital cancers. 

It is important to diagnose STIs to treat as soon as possible for the individual and also to prevent spread.

This website explains what sexual activities can transmit various illnesses: In the bottom right hand corner of this website there is an STI self assessment check which can help you decide if you may have been exposed to STIs.  

The STI Clinic (GUIDE) at St. James's Hospital website provides links to many reputable STI sites. 

If you have not noticed anything wrong, and have not been in contact with someone who has an infection, you may be interested in our STI screening programme as detailed below. However, if you have a lump or bump, pain or discharge, then this would not be appropriate and you should make an appointment to see your doctor for assessment. 

At Mercer’s Medical Centre we offer STI screening. It involves 3 consultations: an initial assessment by the doctor or nurse, followed by testing by the nurse and then a follow up appointment with the doctor for results. There is a separate charge for this, payable by all patients.

However we are not a specialist service and we may need to refer you for specialist advice or testing to the St. James's STI Guide Clinic the GayMan Health Project, or to a private specialist. You may also choose to avail of screening free of charge at the St. James's Clinic, which is an anonymous service. 

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7. Have you ever had a prostate check?

Please feel free to look at the information listed here regarding prostate testing. 

It is up to the individual to decide whether they think they would benefit and would like to get a prostate test or not. We can help you make that decision, as can the resources listed here. 

Firstly, if you are having symptoms such as passing urine frequently, getting up in the night, inability to start urination, etc, you should attend your doctor. 

If you are not having symptoms, then have a look at the resources linked here and come to discuss with one of the doctors if you are still not sure if you would like to get a check done. 

Although most prostate symptoms are not due to cancer, men with new urinary or prostate symptoms should always attend the doctor. In men > 50years (younger with symptoms or strong family history) with no symptoms, we can perform a PSA blood test which can sometimes given an indication of Prostate Cancer. We can also perform an internal prostate examination to ensure the prostate feels normal. 

There is much debate about whether men with no symptoms and no family history should have this test done. It is an individual choice. To help you make this choice, there are a number of links below which will explain the issues surrounding this test. Also, you can make an appointment to discuss doing this test with your doctor. 

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8. Have you had a blood pressure check?

That’s great. If it was abnormal continue to follow the advice given by the doctor. If it was normal you should continue to monitor your blood pressure. You should get it checked every 2 years. 

You should have a blood pressure check at least every 2 years to help prevent heart attack and stroke. 

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9. Have you had a cholesterol check?

That's great. Continue to follow the advice given by the doctor. You should have a repeat check at least every 3 years.

You should definitely get your cholesterol checked at least every 3 years to help prevent heart attack and stroke, unless otherwise advised by your doctor.

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10. Have you had a diabetes check?

That’s good, continue to follow the advice given to you by your doctor at that time. You should have a diabetes check at least every 3 years. 

Over the age of 40 it is sensible to get a diabetes test done. This is particularly true if you are overweight or have a family history of diabetes. You should have a diabetes check at least every 3 years.

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11. Do you look after your teeth?

That’s good; please continue to attend your dentist as often as was recommended at your last visit. 

You should attend your dentist at least every 2 years. Some people will need to attend as frequently as every 3 months. The dentist should decide the frequency for which you need to attend when they assess your teeth and your risk of dental problems. 

Regular visits allow your dentist to detect early signs of problems with your teeth and gums while they are still at an easily manageable stage. For example, regular dental visits can lead to early detection of periodontal (gum) disease. This can reduce the risk of permanent damage to your teeth and gums and help prevent costly and painful treatments in the future. Here is a link to NHS information on dental health. 

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You may be interested in our Well Person Check. Please follow this link for more information.

Mercer's Medical Centre is part of Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn