Men’s health after 50 is often overlooked, yet millions in India confront significant health challenges, from hormonal changes to the rising risk of prostate cancer and sexual health issues. Dr. Manohar T, Chief of Urology Services at Apollo Hospitals Bangalore, discusses the transformations that come with age, how to identify early warning signs, and ways to lead healthier, fulfilling lives well into later years.
Common Health Issues in Men Over 50
With India’s population around 1.46 billion, it’s no surprise that about 15.2%—nearly 22.5 crore—are men over 50. This demographic is **especially susceptible to a range of health issues** that often go unnoticed or untreated.
Alarmingly, nearly 50% of men over 50 face challenges like urinary issues and sexual dysfunction. Symptoms of andropause, akin to menopause in women, emerge due to declining testosterone levels. While testosterone peaks around age 30, it decreases by about **1% annually**, leading to more pronounced dysfunction by ages **55 to 60**.
Prostate concerns are also on the rise. Many men dismiss symptoms due to the pressures of work, travel, and chronic stress. However, **ignoring early warning signs can lead to serious consequences**.
Understanding the Body’s Transformations
Testosterone levels typically peak in the early morning. Engaging in morning exercise triggers a surge of vital hormones such as cortisol, serotonin, dopamine, BDNF (brain-derived neurotrophic factor), adrenaline, and growth hormones. These hormones enhance men’s ability to manage stress and **boost overall mental and physical well-being** throughout the day.
The Rising Incidence of Prostate Cancer in India
Prostate cancer rates in India are escalating, with current estimates ranging from **11 to 19 cases per 1 lakh men**—an increase from previously reported rates of 9 to 11. Age is the most significant risk factor, especially with India’s average life expectancy now at **72 years** (as per the 2023 census). Other risk factors include family history, specific genetic mutations (like BRCA1 and BRCA2), and lifestyle habits.
Common early symptoms include urinary issues like poor stream, delayed emptying, and sudden retention. In advanced stages, symptoms may manifest as bone pain, weight loss, or loss of appetite. Diagnosis often requires a **clinical examination** and a simple blood test (Total PSA). In some cases, an MRI and prostate biopsy may be necessary for confirmation.
Treatment Options
Treatment approaches vary based on the disease’s stage:
- Localized disease: Surgery remains the primary treatment, with curative success in up to **97%** of early-stage cases.
- Locally advanced or metastatic disease: Treatment may involve radiation therapy, hormonal drugs, chemotherapy, immunotherapy, and targeted therapies.
- Other options: Active surveillance might be applicable for early-stage cases, supplemented by supportive care such as diet, exercise, and stress management.
Dr. Manohar strongly emphasizes that **early detection is vital**; survival rates decline significantly at advanced stages, dropping to as low as **35%** in stage two.
Prevention and Health Tips for Men Over 50
Implementing simple lifestyle changes can have a lasting impact:
- Prioritize quality sleep.
- Engage in early morning exercise (walking or other physical activity).
- Maintain a healthy and mindful diet.
These habits can play a pivotal role in preventing or managing the health challenges that often arise after the age of 50.
Note to readers: This article is intended for informational purposes only and should not be a substitute for professional medical advice. Always consult your doctor with any questions regarding a medical condition.
