By Dr. Kevin Luksus
After acute illness, injuries and follow-up visits for
chronic health conditions, here are the three of the top complaints men have
when visiting their primary care provider.
Among behavioral complaints, this is the most common.
Frequently, it is a spouse or co-worker who has prompted the patient to seek
medical attention. Irritability is the most common way men present with depression.
Other symptoms associated with depression may include
fatigue, sleep problems, change in appetite or weight, low motivation and loss
of enjoyment of formerly pleasurable activities.
The most common causes of fatigue in both men and women
are lifestyle related, including inadequate sleep, excessive stress, unhealthy
diets and lack of exercise.
When men present with fatigue, I often find other health
issues, however, likely because men will avoid seeing a practitioner until the
fatigue is severe. The causes of fatigue are numerous, making establishing a
Obstructive sleep apnea and depression are two of the
most common serious reasons for fatigue. Men, on the other hand, tend to expect
a diagnosis of testosterone deficiency, which is actually unlikely to be the
Erectile Dysfunction (ED) has had plenty of media
exposure recently, and men are being more direct about bringing up the issue
during medical encounters. Nevertheless, it's still embarrassing for guys to
come in with this as their sole complaint, so it often gets mentioned as an, "Oh, one more thing, Doc..." during a visit for another reason. If ED has become
an issue and it's too awkward to tell the female receptionist that's why you
want to be seen, just give them a reason like "health concern" or "medical
consult," rather than avoid the encounter.