Dr Haluk

Prostate cancer prevention

6 Signs It's Time To See A Urologist

If you’re looking out for prostrate cancer prevention, considering measures to prevent prostate cancer is natural. While there’s no guaranteed way to steer clear of the disease, adopting a healthy lifestyle and addressing existing health issues can help reduce the risk. It’s important to note that, just like with any cancer, certain risk factors for prostate cancer are beyond our control. While there have been advancements in understanding genetic and environmental factors linked to prostate cancer, we don’t yet have definitive recommendations for preventing the disease. It underscores the ongoing progress in prostate cancer research and the need for personalised approaches to maintaining prostate health.

 

Preventing prostate cancer is challenging due to conflicting study results and a lack of definitive preventive measures. While there’s no surefire way to avoid it, men can potentially reduce their risk through diet and lifestyle changes. These modifications not only lower the risk of aggressive prostate cancer but also improve overall well-being and extend lives. Despite uncontrollable factors like age and family history, taking a holistic approach to health is advisable for those with average prostate cancer risk.

Changeable Factors: Aging, Race, And Genetics

  • Prostate cancer is primarily linked to ageing, with the likelihood increasing as individuals grow older.
  • Race and genetics play significant roles; African American individuals are at double the risk compared to white American men.
  • Family history, particularly if a father, brother, or multiple blood relatives had prostate cancer, raises the likelihood.
  • Despite challenges posed by these risk factors, early and frequent screening improves the chances of timely diagnosis and treatment of Prostate cancer.

Factors You Can Change: Diet And Lifestyle

  • Prostate cancer rates are significantly elevated in western countries compared to Asia.
  • Suspected causes include dietary variations between Eastern and Western cultures, especially diets rich in fats and animal proteins.
  • Unhealthy eating habits, particularly those involving high-fat and animal protein diets, can lead to DNA damage and contribute to cancer development.
  • Men at higher risk can reduce their chances of prostate cancer by adopting healthy diets and lifestyles, irrespective of factors like age, race, or genetics.

Family History Risk Factors:

  • Men with a father or brother diagnosed with prostate cancer may face a doubled likelihood of developing the disease, compared to those without affected relatives.
  • The risk intensifies if the cancer was diagnosed at a younger age (below 60) or if multiple family members are affected.
  • It’s crucial to consult with your doctor about family history not only of prostate cancer but also of breast, ovarian, colon, pancreatic, endometrial, or other cancers.

Ten Steps For Prostate Cancer Prevention

  1. – Embrace an anti-inflammatory diet rich in colourful vegetables, low in red meat, sugar, processed foods, and dairy products.
  2. – Maintain a healthy weight through calorie control and regular exercise, reducing the risk of lethal prostate cancer.
  3. – Be mindful of calcium intake, favouring plant-based sources like almonds, tofu, and leafy greens over supplements.
  4. – Opt for plant-based proteins and fish over red meat, steering clear of saturated fats linked to inflammation.
  5. – Include cooked tomatoes with olive oil and cruciferous vegetables like broccoli in your weekly meals.
  6. – Quit smoking and moderate alcohol consumption for overall health benefits.
  7. – Address stress, high blood pressure, diabetes, high cholesterol, and depression through medical treatment for improved life quality and prostate cancer survivorship.
  8. – Avoid excessive use of megavitamins; a balanced diet with fruits, vegetables, whole grains, fish, and healthy oils may suffice.
  9. – Embrace a relaxed and enjoyable lifestyle to reduce cortisol levels, promoting cancer cell death and enhancing survivorship.
  10. – For men aged 45 or older (40 for Black men or those with a family history), discuss the risks and benefits of PSA testing and rectal examinations with your doctor.

Preventive Medications For Prostate Cancer

  1. Men diagnosed with benign prostatic hyperplasia (BPH) often receive finasteride or dutasteride, drugs that lower dihydrotestosterone (DHT).
  2. Extensive studies indicate a potential 25% reduction in prostate cancer risk with these drugs.
  3. Caution is advised as patients developing cancer while on these medications may face a higher risk of aggressive forms of the disease.
  4. Discuss both advantages and disadvantages with your doctor to make an informed decision about these preventive drugs.

Medications For Prostate Cancer Risk:

Some drugs might help reduce the risk of prostate cancer.

  1. 5-alpha Reductase Inhibitors:
    • Finasteride and dutasteride may lower prostate cancer risk, but potential side effects exist.
    • Not FDA-approved for this purpose; consult your doctor.
  2. Aspirin:
    • Daily use may lower prostate cancer risk, but risks include digestive tract bleeding.
    • Most doctors don’t currently recommend it solely for this purpose.

 

The FDA has not authorized these treatments expressly to reduce the risk of prostate cancer, although doctors can prescribe them “off label” for this purpose. Men who wish to learn more about these medicines should speak with their physicians.

Consult With Your Urology Doctor About Your Risk.

If you believe you have a high risk of prostate cancer, speak with your urology doctor. Some men have a higher chance of developing prostate cancer. For patients at high risk of prostate cancer, various risk-reduction measures, such as medicines, may be available.

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