MALE HEALTH: FEARS OF ILLNESS

A very real problem for many of us is overcoming the sheer, blind fear of serious illness. Not only do we have to contend with a natural fear of pain and physical debilitation but also with the much broader impact it can have on all aspects of our lives. Illness is often associated in our minds with a loss of control: your body is not behaving as it should and it is beyond your power to make it do so. We have become so accustomed to being in control of our lives, to taking decisions and mapping out our futures to suit ourselves, that any loss of control can represent a huge shock. We take for granted our ability to work or to lead an independent and active life, and if that independence is threatened then we almost inevitably feel frightened, as well as angry and perhaps cheated of something we had regarded almost as a right.
The realization that we do not have absolute control over our bodies can also have a very negative impact on the way we regard ourselves, and our self-image. Most of us define a role for ourselves and a sense of purpose in our lives, more or less consciously, in our work or other daily activities or in our personal lives as a husband, partner, father or friend. A physical threat to our ability to fulfil that role can have a very destructive effect, even causing us to question our 'usefulness'. Being unable to carry out our normal daily routine can lead to great frustration and mental debilitation.
We may also fear that illness can cause others to perceive us differently. If you have always projected an image of a strong and able man, then it can be extremely distressing to feel that others will now see you as 'weak' in some way. This fear may exist largely in your own mind rather than in the thoughts and opinions of others: you are still the same person to loved ones and friends, although you may feel that the enormity of your illness has taken over and reduced you to a relatively helpless patient.
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TAKING ESTROGEN

With the onset of menopause, many women suffer from hot flashes and night sweats. Arlene March, 56, a Los Angeles psychotherapist, says she started getting hot flashes 5 years ago. “I’d be working,” she recalls, “and suddenly feel intense heat all over my body. I’d break out in a sweat. I’d have to stop work. Then Dr. Mishell prescribed estrogen pills, and I’ve not had a day of discomfort.”
Some women experience a drying and thinning of vaginal tissues in the absence of estrogen, making sex painful. They also might suffer urinary tract infections and incontinence. Estrogen therapy often helps.
Among the physicians consulted, the most cautious was Dr. Morris Notelovitz, founder of the nation’s first Menopause Center, at the University of Florida, and head of the Women’s Medical and Diagnostic Center in Gainesville, Florida. He says each symptom needs a different treatment and advises that genital tract problems be given estrogen treatment for a couple of years at most. He also urges special measurements of the bones before prescribing estrogen therapy for osteoporosis.
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WOMEN’S HEALTH

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