#24 Men’s Sexual Wellbeing – Physical Aspects

Our prostate is an important part of the male reproductive system; let's talk Prostate Enlargement, Prostatitis, Prostate Cancer, and Erectile Dysfunction.

Episode Transcript

(00:07):
To.
Just let him know
This is the working with Warrior podcast by
the team at the regional men's health initiative.
Hello, and welcome. My name's Owen Kat, and

(00:29):
I'm joined today by fellow team members, Terry
anne Glen. How you going? Very good. Thanks,
Owen. Get Own good to be here, Mate?
Yeah. Good guys. In a, first podcast back,
we
talked about sexual being and
what is it? And we talked about it,
not just being
sexy sexually active, but all the bits that
make us a man and and this

(00:50):
episode, we're just gonna talk about the physical
aspects
from the prostate point of view and e
is dysfunction.
I guess the reason half those issues are
a problem is because we don't talk about
it. And as folks as we've already discussed,
and it's a hard conversation to have not
only with our partners, but especially if we
take off off off to a Gp because

(01:11):
it's 1 of those subjects that
we don't talk about. But there's some research
too about the aging and identity, which is
just really important because in that last podcast,
we talk about in our fifties and our
sixties and our seventies and eighties were all
50 sixties, 70 80 percent
dysfunctional from a essential well being point of
view, but this article kind of backs it
up a little bit. There. Yeah. Looking inadequate

(01:33):
at by email, 1 of our leading men's
health
organizations, and and they just highlight the fact
that changes in sexual function and Lab b
are a natural part of aging, but can
be difficult to accept. And and that's
directly
linked because sexuality is often tied to us
blokes cell vitality and our identity. So, you
know, who we are. Our passions interest

(01:55):
what makes us tick. So changes in this
area can affect intimate relationships, you know, and
that leads to issues with self esteem and
connection with a partner which we discussed in
the previous podcast, but also the the society
stigma around aging and sexuality can make it
even more challenging to discuss and address these
changes
leaving men to struggling in silence and and

(02:15):
we talk about that warrior attitude of blokes,
you know, talking less and going into their
cave. And just a bit of personal antidote
on on some of those social cultural factors
around issues below the belt, my young fellow
who's in You 10 now. But I'm sure
it was last year, they brought home the
sexual reproductive charts for science and had to
name all the bits, you know, all the
women's bits and all the men's bits and
on that chart, the prostate gland wasn't labeled,

(02:39):
and I just thought that found that amazing
in today's age that boy still uneducated
because it's a vital part of our reproductive
system.
Absolutely, Terry. That answers a fair few questions
early on around education education education and and
we're not experts by anyway on on on
our prostate and it's functions, but we have

(02:59):
a discussion around it in the language that
people wanna talk to us about, and we
talk to them about and that if that
facilitates
1 person to
to
approach it with these Gp.
Or partner where we're in front, but we've
got a long way to go. Yeah. Definitely.
So I guess to starting with the prostate
because there's a lot of confusion in the

(03:19):
first bit confusion, and I've got say because
where I'm at a men's shed or I'm
at talking to a bunch of blokes from
the oil blokes says, about my pros.
And all I have to say, right, if
you got prostate the alone on your back
and your staff, it's the prostate.
So we just get that said to us
all the time, which is quite funny in
itself. But so it is the prostate, but

(03:39):
it's an important part of the male reproductive
system.
It's it's pretty important
when we're trying to have kids because its
role is to provide that. The fluid, you
know, that The sticky stuff, 70 percent of
the fluid that comes out is part of
that fluid. That fluid that helps protect and
transport the sperm. Yep. Yep.
And, you know,

(04:01):
the prostate is the same the size of
a walnut,
but you know, from it doubles in size
from that 20 to 50 and then doubles
in size again by the age 80. So
it's
the reason of saying that is because it
surrounds the top part of our ur and
our ur goes
through it. The
1 of the biggest issues is pain problems

(04:22):
and incontinence and and infections, which will talk
a bit more about in a minute, but
it's
it causes us a lot of grief, and
it's a shit it is on for 1
of a better word in our body because
it's hard to
operate on and hard to to get work
and when it's not Yeah. Look. And and
we we will highlight that sometimes
those... A few of those signs and symptoms
there, you know, around poor stream,

(04:44):
getting up 3 to 5 times a night.
So that restriction of that ur, you know,
can can cause difficulty to fully evacuate the
ladder, so that retention of unit. So regular
urinary tract infections. So, you know, it can
be painful, embarrassing for guys, You know, that
that leaking or that dr
we we joke about, you know,

(05:05):
but as a young fellow, we're in the
uri being able to to pee over the
the edge of the euro, but as we
get a bit older you, you gotta watch
out that you dr on your your slippers.
Yeah. So so really common
side effects or or symptom. Sorry.
Associated with prostate enlargement, But sometimes they just
get labeled
as only associated with prostate cancer. So I

(05:25):
think we need to say that up front
That, you know, nearly,
just front that while prostate cancer does kill
about 3000 australians a year. You know, in
Australia, they reckon there's approximately 2400000.0
blokes living with a prostate problem.
And most predominantly, that is that prostate enlargement.
So referred to as bp h or benign
prosthetic
hip. Yep. Yep.

(05:46):
When we're gonna talk about that area and
we have to because as recently other overnight
on the news, we heard a report or
refer to the symptoms of prostate cancer and
when we talk about that in a minute,
there is still mass confusion. And and as
we explain what we're gonna explain. I hope
Hope things become a bit clearer. But but
the prostate... The 3 things we wanna talk

(06:07):
about, I guess, a prostate enlargement, pros
and then prostate cancer.
So firstly, the things about prostate enlargement, Terry,
which you've alluded to, but we need to
repeat is It's the most common disease,
prostate disease in men is enlargement. And,
it's the symptoms

(06:29):
usually are around
urination problems. Yes. And
we need to talk about it that in
its context because it affects a lot of
us as books. Those those symptoms are most
likely to be
urination problems in terms of poor stream.
Getting up 3 to 5 times a night,
in incontinence,
retention of your own regular urinary tract infections,

(06:52):
and it can be paying for the lead
to pros and majorly affect your life. And
it's it's...
Obviously, we've all had the night where we've
had 1 or 2 pint or 3. And
then that's resulted in us constantly needing to
get up and go to the toilet. This
is this is more than that. This is
sort of that that happening
through an... Not an unexplained cause, but just

(07:13):
through the need to go. And and we
have had in the past of their Pit
stop program,
and I use this guy's story all the
time
with permission, but but he was at the
pit stop and he put a ring around
the the 10
sheets on visit on our
shock absorbers and said I've got prostate canceled
and I said, oh, Jeez, that's no. Good
when were diagnosed.

(07:35):
And he said, I haven't been, but I've
been in a nappy for 3 months, you
know, because that's what I've got. And he
said, well, more than likely you haven't. You've
got and a large prostate, and you need
to have a talk about it. And that's
he said, that's what my wife's.
Telling me, so, the shot of that story
is he got him self to
a referral for
a pathway that we'd suggested, any enlarged prostate

(07:58):
had appropriate treatment and He's fine. 100 percent
fine. So we just put ourself under pressure
and we just need to harbor that that
prostate enlargement when is is the biggest physical
issue that we have with prostate issues,
even though prostate cancer kill
people. Yeah. Look, And I think we're bringing
it down just to a a well being

(08:19):
level. We... We've done a lot of work
at Pit stops over the years with Con
Foundation Australia and the con nurses have come
out and then pe floor exercises with blokes,
and it is about us guys, just being
a bit more in tune with our body.
So being aware, you know, when we talk
about you know, changes in your urination or
if we're talking about bowel cancer, you know,
being aware of your bowel movement. So we

(08:39):
do form habits with our bladder and bowel
movements. So it is, you know, what's your
normal, you know, with,
obviously,
bowel Moments some blokes. It's first thing in
the morning, you do your best job, but
for other people that can be you know,
not as regular, but...
And and I had the constant con nurse
explained that some guys never actually fully trained

(09:00):
their bladder. To actually fill. So, you know,
the oil fellas were a bit cautious before
I go ahead or I better go to
the toilet, but it is good in those,
you know, early years to train our bladder
to fully fill up, and and
and get that proper bladder health happening. Okay.
And then being aware of any changes to
our normal.
Looks okay. I guess that's prostate in enlargement
guys, and there's a whole lot more to

(09:21):
it. We're just giving you a snippet, so
we've got an understanding hopefully. And so I
guess, Prostate enlargement is exactly how you've explained
at Clean is enlargement. The second issue that
we do have is,
and that is an information of the prostate.
And that causes
pain and in around the gland. So once
again, it causes us,

(09:41):
usually an infection and issues around,
making our system work. So we won't go
into that in a big wave, but that
is then is a is another issue.
That is... Needs definition from pros enlargement. So
its
information is the second 1.
Then I guess the third 1

(10:01):
and the big 1 which we which we
talk about is is prostate cancer, and the
fact that it kills
a fair few Australians every year and the
diagnosis is is on the up, and that's
a good thing because there's a lot of
the technology and I'll say it more than
once today. The technology and
innovation in treatment of prostate cancer is incredible.

(10:24):
It has changed so much in the last
15 years
and particularly again in the last 5 years
and when you late, read the latest
research going on is significantly gonna change,
again, in the next 5 years. So we
won't go into those treatments today, but we
will go into what prostate cancer,
is I guess and the definition of it.

(10:46):
And put simply, it's the growth of abnormal
prostate cells
in our prostate from
from enlargement and pros. So it's different from
those 2. It's a normal growth of sales.
So about 2 thirds of those cases, diagnosed
cases in, yeah,
Australia
men over 65 years of age, but,

(11:06):
yeah, the third is obviously comes from from
younger men. So
we're just gonna get away from thinking that
it's not old man's disease, even though it
predominantly happens in older men.
The biggest problem with prostate cancer is there's
no symptoms until well advanced.
And this enlarge a few things

(11:27):
that have changed in Psa testing, which we'll
get on to an earned, but but the
4 risk factors
are really important.
And the risk factors are what a doctor
or Gp will have you have a discussion
with you about
because that's what the research and treatment
and diagnosis
is quite often based on,

(11:48):
and on the premise
that they're quite often. There's no symptoms I'm
gonna
so, that 10 times but we just have
to
have to keep reinforcing that. So the the
risk factors... Yeah.
So the risk factors,
if you've got a family history, that obviously
pre
you to be more likely.
There's age, men over the age of 50,

(12:11):
diet. So I diet that's thai in animal
fat and proteins makes you more susceptible as
well. And race can do it as well.
So some of the darker skin nations are
more susceptible
then caucasian, but then that doesn't
necessarily rule anyone out either, but it just
means they're more susceptible.
An important thing about those risk factors is

(12:32):
that what is that's
what they are,
but that
pre
howard a Gp may discuss it with you.
But if you're having any of those other
symptoms then that might be around in enlarged
prostate,
we encourage guys as we said before to
have a conversation with your Gp and push
it because you are the best person to

(12:53):
know your body
physiology. And,
you know, from the latest research, I just
wanna read this paragraph out short paragraph and
it
it summarizes
issues about prostate cancer.
Localized prostate cancer can have no symptoms in
some men.
Others may have urinary problems like men with
Bp

(13:14):
in large prostate.
But men with advanced prostate cancer may have
blood in the urine. And can have pain
in their lower back, pelvis and thighs.
So it's just really important to get that
definition. Some of those Bp symptoms might exist.
But predominantly, there are no symptoms that can
be attached to prostate cancer

(13:35):
other than those risk factors. That that's why
it's so important for us to be engaged
with our Gp,
because if we're relying on
going. I'll wait until I can see some
risk factors before I look at anything, then
finding out that it... That's only late stage
that we we get some of those symptoms,

(13:55):
that makes it even more important that we're
engaging with our Gp
throughout our lives. Yep.
So the common pro protocols for prostate cancer
diagnosed as of the time of going to
your air. And that's the very important
disclaimer because this process has changed, but this
is the kind of the most recent, and
it does vary from individual to individual. But

(14:17):
those
the common protocol for prostate cancer diagnosis currently
is. Yeah. What, we'll set at a hundred
times, but it's having that initial discussion with
your Gp on the those risk factors. And,
obviously,
from there, the the the first probably test
that they will do is the the Psa,
pro... Which tests a protein in the blood
prostate specific antigen. So that's a benchmarking tool

(14:39):
and that's obviously ongoing. So if there's,
indication that there's been a sudden change or
a spike or a really elevated level. That's
when the Gp will look at that option
of it, whether they go for an ultrasound
Mri or the Dr.
Which is usually the thing that puts a
number of guys off that initial digital
examination, but quite often that's done later on

(15:01):
down the track. And then the only real
way to know whether the cancer cells in
there is through the biopsy,
which will be referred off to.
Obviously, now under
guided
ultrasound, as, said the technology
improvements they can be a bit more targeted,
which the boy... With the biopsies.
And then through that ongoing process,

(15:22):
through that ongoing process and discussions with your
your doctor and obviously being referred to a
ur ur neurologist,
the option of of what the treatments are.
And there's a whole range of. And and
also the option of of active surveillance. Look,
we... Yeah. And we don't go into those
when we're chatting with blokes because there's plenty
of experts with those options and they're changing

(15:43):
and that research is really powerful I'll refer
to a bit in a minute, But just
going back to that common protocol,
that process that you recommended or read out
the terry and that we discuss in all
our talks. It's really important because it's risk
factors.
In the Psa
benchmarking is cops are fair bit of flat,
but it's still saving lots of people's lives

(16:04):
and it it's a legitimate test. It's not
a direct indicator of us having prostate cancer,
but it's a direct indicator of something
a wall in our system. Can I give
you just a little personal story on that?
Or not too personal. Was not so personal,
but it was... I was on a watch
for... Because my Psa bumped up slightly.

(16:25):
And this is why it's so important that
you have this relationship with your Gp.
And she said, listen, it's up a little
bit. It's not into the like, there's no
alarm bells ring, but rather than a 12
months. We're gonna check in 6 months.
And the discussion was around the fact that
she didn't think there was much to worry
about, and I said it might be because

(16:45):
I rode my bike from Bustle to yelling
up and they might have aggravated things down
there. But then after the 6 month, check
had return. So that
engagement with your Gp is such an important
thing. The narrative behind it, you just nod
glen because I was gonna mention the 2
obvious things that affect our Psa as if
you've been on a bike ride and depending
what antibiotics.

(17:06):
Drugs you might be on and your doctor
can only know
that by having that discussion with you. And
so much. So
that the research. Those protocols will change because
there's just some current research right at a
minute being tested about a saliva test.
And that's right at the pointy end of
this research. So the holy grail of testing

(17:28):
might be might be there soon. But
it's probably just appropriate to talk right at
a minute about the changes for for blood
because there's a fair bit of conversation going
around it. Around, like they're charging for it,
and they're not as of first in November,
2023,
they introduced some new rules and and it
was If you've got a significant family history

(17:50):
of
prostate cancer,
you are eligible for 1 Psa test every
year.
That's... So that's why that family history is
born and that's what they base the research
on, and that's what they're basing this decision
on.
If you haven't got a significant family history,
the free Psa test is every 2 years.

(18:10):
And I'll say that really pointed, the free
Psa test.
These guidelines are being reviewed as we speak,
even though they're are only introduced in 2023.
They're being reviewed
right now for the cost of a 30
or 60 dollar blood test
annually,
I reckon when you're above 50 years of
age

(18:30):
is pretty cheap.
Insurance and a good thing to have. So
have that conversation with your doctor because it's
pretty important and it might just
It might be able to pick up some
of the abnormalities, which gets us away from
riding a bike.
Having drugs so
all the effective drugs.
I guess the other thing is just when

(18:51):
we talk about
about our prostate and it's
position and it's die, you know, how it's
physiological in our body. We don't talk about
as blokes, we've never talked about pe floors
enough and we just think women. Have a
pe floor, but we've all got pe floors,
and
and we need to
do some exercise whether we got prostate cancer

(19:12):
or we haven't.
And with a large prostate. And I reckon
the best way I describe it to people
to to work out if they wanna know
what their pe for is is put a
coffee cup
in the freezer with nothing in in it.
And freeze it, then drop your dud, do
it in front of your wife so she
you not all your partner so she know
they know what you're doing. And slowly lift

(19:33):
that frozen coffee back to your nuts.
And when you touch your nuts with that
coffee cup, the reflex that you have in
the muscles down there is your pe floor
boys.
So it doesn't matter how we are.
You do that, then that'll tweak the brain
and to, yeah, I got a pe floor
and let's do some exercise and there's so
much literature and and we will refer to

(19:55):
a doctor Jay Else at a bit later
in terms of giving air details, but it's
really important that we practice pe for. No.
That's right, Owen and you've just explained the
layman's turns of the old nuts to gut
exercise. I think Doctor Jay would probably refer
it as the pe vic lift.
The pe lift yeah. I think I've heard
a describe. Yeah, Pretending you're sitting on a
big harley.

(20:15):
And lifting lifting your nuts to your guts
is the way she explains it as well.
So so doing that that's really important. Look
things like polar pilates and yoga,
are also good things to strengthen that core,
and and it's just something sometimes as simple
as just drawing that that naval
in towards your spine. They talk about is
turning your car on. So it's not trying

(20:35):
to tense up your your hidden and abs
in there somewhere, but it's just sucking that
belly button slightly in.
Or even just that 30... We talked about
finding that 30 minutes for a bit exercise
and it needs to be quite brisk, get
the heart going, get us moving.
And then we... So often,
when blokes hit the wall, we talk, you
know, 1 of the big factors for Blokes

(20:56):
is that lack of sleep. So, you know,
the importance are getting no good night's rest,
And, I've said before my little mantra, diet,
exercise and sleep. If I can manage those
3 things, my well being improves dramatically.
And don't forget that importance of exercise, you
know, and sometimes they talk about eating a
a hundred 50 grams of nuts a week,
almonds,
are good ones, as well as sometimes those

(21:18):
naturally red foods like beet troops, tomatoes and
watermelon
can also have a benefit, a positive
benefit towards our our prostate due to some
of those nutritional values and factors in that
food. But also, a lot of those foods
are known to help
reduce the risk of of of toxins and
cancer up. Yeah. I think it says red
nuts are really important in the almonds and

(21:39):
and those red foods. Like tomatoes and all
those things are really important diets
critically important. So I guess really at the
end of this the the prostate
cancer
diagnosis, and we want 3 things
clean, and that trifecta of outcomes is important
Keep us healthy and Abby. Yeah. And that

(22:00):
trifecta of outcomes includes the cure,
there's in urinary incontinence in approximately
5 percent. That is permanent or ongoing. An
e gold dysfunction approximately 75 to 85 percent
permanent. But that also
is why, and we do harp on it
about having engaging with your Gp

(22:23):
and and really discussing it
because
there's there's 2...
There's some very different approaches from people.
Especially people who are diagnosed with it.
And some immediately want, I want this
out of me and and and that needs
to be a discussion
particularly around the point that,

(22:44):
sometimes prostate cancer can be very slow moving,
and and in discussion with your doctor, the
doctor might actually say listen
you're pretty advanced in, don't know this conversation
happening with my dad at the moment. So
pretty advanced in age. You might be gonna
die with it. You're not gonna die of

(23:04):
it. So
that's why it's an important
subject to really be talking to your Gp
about.
It is being and those things, you know,
the urinary incontinence and that e auto, which
we'll talk about in a minute are really
important to a lot of blokes, but it
is comes back to a bit of age
and stage and there is a fantastic
new tool by prostate cancer foundation, Glenn, that

(23:28):
that I I just can't repeat enough that
the
information
explosion, and we've gotta to get it out
to more punt, but the amount of information
and
new products both about that information toolkit
and research is just profound it. It's incredible.
Yeah. And so
prostate cancer Foundation of Australia who do some

(23:50):
great work on their website, which is WWW
dot prostate dot org dot au u. They've
got their new prostate kit cancer, survivors ship
toolkit, which is a mouthful.
But
previously bikes have struggled a glean info from
lots of different sources about their
cancer journey.
But this is now like a 1 stop

(24:11):
shop that covers things like risks and symptoms,
testing and diagnosis,
treatment and side effects, an advanced prostate cancer.
So
it can also link you to talk with
a Pc nurse and link you with support
groups around Australia. So it's fantastic
resource that's available to everyone.
And and I guess, on the back of

(24:32):
that the idea of
that tool and that man information is because
you're not alone. You know, there is contact
points everywhere as pathways everywhere. But for us
as blocked sometimes, they're pretty hard to
to connect with and
and
sometimes deal with information overload, but it's a

(24:53):
good primary source.
I,
I think
we did to briefly talk about e old
dysfunction because it's part of can be part
of that
an shot of of prostate cancer and and
even prostate issues. But
I guess, it's...
Our house described is is is is when

(25:16):
we can't get or keep an direction to
allow sexual activity with penetration. And
the symptoms are both physical and and all
psychological and
and the research is pretty
strict,
straight on it, that 1 in 5 men
will experience a
function dysfunction. And,
you know, if you link some other disease

(25:36):
tool, which we've already talked about, but many
men with diabetes have problems getting e correction,
and it's very common in men over 50
due to lack sleeping as we've already talked
about the 50 60 seventies, and eighties and
80 percent in those ages ages,
a lot of
to do with that psycho social
issues around

(25:57):
on around their physical bits and and part
of that's talking
with our partners,
and taking the issue to
to your Gp.
So there is a fair bit of help
to
to
around around a shoulder
dysfunction, terry.
Yeah. Look, many treatments. So I mean,

(26:19):
really important to rule out any of those
physiological factors that might be going on.
Flowing on from that, you know, you Gps
can refer you to
to specialists in that area or or or
sex,
and some of those treatments can be around,
drugs everyone has probably heard a the little
blue pill, viagra.

(26:41):
Don't choke on it or you wake up
with a stiff neck.
As
1 of the first things they often go
to. But, you know,
penis pumps, vacuums,
And, you know, we'll we'll be chatting to
to You in our next podcast, so actually
through his prostate
cancer and loss of function actually ended up

(27:01):
with a little
pump. We're not a little pump, Big big
pump. Yeah. It wasn't it. He didn't mate
mention that was a... Had to order in
an oversized 1.
And then things like penis
rehabilitation, and
blokes will often joke
sc at this, but the the project they'll
l

(27:21):
Joe Mel is involved. The Pin oil project
is at owen, and they talk about
doing pin oil warm ups.
You know, maybe don't do it at that
work at the pre start. But
and it's even pen stretching
you've got some experience with you
Yeah. Now. It's good to have a laugh,
but I think on a serious note, we

(27:41):
do really need to mention doctor Joe Mel
at men's health complete ph therapy. And look,
she does specialize in men's health from blokes
recovering from prostate cancer, or suffering other men's
health related problems around bladder, bowel,
pelvis or that
sexual function.
She does collaborate with another lady, so Melissa

(28:04):
Hadley Barrett. She runs rest stu sexual health
clinic. And these 2 ladies actually, have collaborated
on the penis project.
So make sure you check out that as
well for for a bit more,
specialist clinical,
subject matter around this topic.
You mentioned there, Terry that we are gonna
have our special guest

(28:25):
who's who is our current chairman as well
Ross Ditch byrne, talk
about his prostate cancer journey and and, yeah,
he's the... He mentioned about the big pump.
It wasn't a little pump. So big pump,
and so we'll chat to him
in the podcast forecast, but it...
I guess we got ref a bit of
a bit of stuff about the Psycho social

(28:46):
and and
around how we operate as blokes. And and
some of the information. There's a lot of
information out there, but blokes will talk to
each other,
and we've just got to reiterate that every
prostate cancer journey
is is an individual
journey.
You know, there wouldn't be 2 cases the
same.
So how our body physiology reacts how our

(29:10):
how our treatment pathway occurs and then how
our post treatment
incontinence and
pathways, you know,
out. We we just need to bear in
mind that we do joke about a lot
and we have to, but there's a simple
Euro test as well as the inkling that
we talk about? Yeah. That... And it might
be relevant for at least some of us
men. So the trick is to go outside

(29:31):
and pee in the garden and it be
ant together, then it's diabetes. And if you
pay on your feed, it's prostate.
If it smells like a barbecue, then it's
possibly cholesterol,
when you shake it, if your wrist hurts,
it's possibly osteoarthritis arthritis. And if you return
to the house with your penis still outside
your pants at alzheimer's.
Yes.
No we we do have to laugh about

(29:51):
it because we gotta have it maintain our
sense of human when may when may get
pregnant and pork brought,
well, and it's just normalizing and a bit
isn't an owen and and making guys feel
that he's to talk about it.
And and we joke about young fellas have
always got their hand on it. But as
we go through life, it can become a
taboo boo an embarrassing subject for a lot
of blokes. Oh, it it it can. It

(30:13):
is. For a lot of blokes, and it
doesn't matter whether I'm a 20 year old
or 30 year old or 70 year old
blokes.
So having that connection with partner if who
got 1 having that conversation with the Gp
and arming yourself with some
important information because A chore health and I'll
just repeat you know the physiological change in
your body better than anyone else and and

(30:34):
we've gotta to observe those especially when it's
around the our man.
Exactly right. So so just being a bit
more in tune with your body and being
aware of what's going on. And like we
always talk about
acknowledging
our our relationships at the different stages is
that, we're still gonna maintain that connection and
in intimacy with our partner, and and that
starts with talking about where we're at. Physically

(30:55):
and and
emotionally and mentally,
get to the Gps straight away. If we
notice any changes if we've got any concerns,
have that conversation.
Just being aware that as we get older,
that sexual dysfunction does increase, there's
in men over overall fifties. And like we
said, that that increased risk for prostate cancer,
and and once again, any form of sexual

(31:17):
dysfunction can be that sign. There might be
some other issues going on. So so ruling
out things like heart disease
might be getting some medications refined or or
revisited
and getting the physical health and mental health
and sleep in check.
And and we've gotta be in control. No
one's gonna come and do that stuff for
us. We gotta to work at, having time

(31:38):
for ourselves to relax get a good night's
rest. Do some exercise, get involved back in...
It's always helps to get back involved in
your passions and interest with a group or
a club. And and, yeah, that that input
first output look
fuel our bodies with with good healthy food
and and avoiding some of those those trapped
foods. I think we've gotta be careful of.
And we do have... You know, we do...

(32:00):
We do have to have that conversation
with the people around us and
and there's so much information that we do
have to become informed.
And just
suggest to air listeners as well that in
W, we are so privileged in honored to
have so many experts
in terms of surgeons
and

(32:20):
and oncologists and treatment pathways
for prostate cancer that we're are we're are
world leaders, and
we pick it up and we pick it
up early
and or pick up on any
benign prostate
issue. We can get it resolved. Mh. So...
Alright. Thanks.
Yeah. We'll look forward to talking next time

(32:41):
and
and talking with our special guests going forward.
So thanks. Thanks, Allan. Good on own Cheers
mate.
Thank you for listening to our working with
Warrior podcast series.
Soul to mind.
Him
know

(33:03):
me