This Movember, it’s time to ‘man up’ and talk about it - Pakistan

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class=""><a title="Instagram" href="https://www.instagram.com/prism.dawn/"><img src="/_img/social/icon-instagram-black-rounded.png" /></a></li> </ul> </div> </div> </div> </div> </div> <article class='story relative overflow-hidden single bg-white w-full font-lato' data-id='1873646' id='1873646' data-layout='hero' data-tags=''> <div class="template__header flow-root relative "> <div class='slideshow story__cover slideshow--main ' data-slick='{"dots":true,"arrows":true,"dotsClass":"slideshow__pager ","asNavFor":null,"cssEase":"ease","speed":250,"autoplaySpeed":2000,"slidesToScroll":1,"slidesToShow":1,"fade":false,"autoplay":true,"infinite":true,"responsive": [{"breakpoint": 767,"settings": {"slidesToShow": 1,"slidesToScroll": 1}},{"breakpoint": 575,"settings": {"slidesToShow": 1,"slidesToScroll": 1}}]}'> <div class='slideshow__slide slideshow__slide--first slideshow__slide--horizontal lg:w-full md:w-full w-full' style=''>  <figure class='media media--uneven media--fill sm:w-full w-full mb-0 ' > <div class='media__item '><picture><img src="https://i.dawn.com/primary/2024/11/2512140670773e4.jpg" alt="" title="" /></picture></div> </figure> </div> </div> </div> <div class="template__main flow-root px-6 w-full sm:w-2/3 md:w-7/12 lg:w-5/12 mx-auto relative sm:-mt-38 ">  <h2 dir='auto' data-layout='story' data-id='1873646' class='story__title text-center font-bold text-8 sm:text-10.5 pt-1 pb-2 '><a href='https://www.dawn.com/news/1873646/this-movember-its-time-to-man-up-and-talk-about-it' class='story__link '>This Movember, it’s time to ‘man up’ and talk about it</a></h2>  <div dir='auto' class='story__excerpt text-4.5 text-center font-lato p-4 mb-4'>From mental health to cancer, men’s reluctance to seek help is a silent crisis we can no longer afford to ignore. </div> <div dir='auto' class=' text-center my-4 py-2 '><span dir='auto' class='story__byline text-3.5 text-gray-500 text-center text-grey font-lato '><a class='story__byline__link' href='https://www.dawn.com/authors/11380/syed-muhammad-nazim'>Syed Muhammad Nazim</a></span><span class='divider text-gray-400 text-3.5 text-gray-500 text-grey font-lato divider--gray divider--hyphen'></span><span class='story__time text-3.5 text-gray-500 text-grey font-lato '> <span class='timestamp--published'> <span class='timestamp--label'>Published</span> <span class='timestamp--date'>November 25, 2024</span> </span> <span class='timestamp--updated'> <span class='divider'></span> <span class='timestamp--label'>Updated</span> <span class='timestamp--time timeago' title='2024-11-25T12:14:39+05:00'> <span class='timestamp__calendar'>November 25, 2024</span> <span class='timestamp__time'>12:14pm</span> </span> </span></span> </div><div class="mb-6 flex justify-center"> <figure class="flex items-center"> <figcaption class="text-3 font-sans uppercase mr-3 whitespace-no-wrap"><span class="hidden md:inline">Listen to article</span></figcaption> <audio class="h-5 w-60 sm:w-80 rounded-none" preload="metadata" controlslist="noplaybackrate nodownload" id="tts" controls src="https://i.dawn.com/newskit-tts-service/1873646.f0352762-8d89-4c4f-bc3c-b83f57adec7f.mp3"></audio> <button class="mx-3 text-3 font-sans" onclick="document.getElementById('tts').playbackRate = 1.0">1x</button> <button class="mr-3 text-3 font-sans" onclick="document.getElementById('tts').playbackRate = 1.2">1.2x</button> <button class="mr-3 text-3 font-sans" onclick="document.getElementById('tts').playbackRate = 1.5">1.5x</button> </figure></div>  <div dir='auto' class='story__content overflow-hidden text-4.5 font-normal story__content--normal '><p>Why can men debate a referee’s decision for hours while watching football, yet barely utter a word when asked, <em>“How are you feeling?”</em></p> <p>According to a Cleveland Clinic study, nearly <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://integrishealth.org/resources/on-your-health/2019/june/why-dont-men-see-doctors#:~:text=According%20to%20one%20recent%20study,they%20don't%20talk%20about.">60 per cent</a> of men avoid regular doctor visits, waiting until a serious illness forces them to seek medical attention. They are significantly more inclined to talk about current events <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://newsroom.clevelandclinic.org/2016/08/15/cleveland-clinic-survey-confirms-men-rarely-talk-health">(36pc)</a>, sports <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://newsroom.clevelandclinic.org/2016/08/15/cleveland-clinic-survey-confirms-men-rarely-talk-health">(32pc)</a>, or their work <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://newsroom.clevelandclinic.org/2016/08/15/cleveland-clinic-survey-confirms-men-rarely-talk-health">(32pc)</a> than to open up about their health, which only <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://newsroom.clevelandclinic.org/2016/08/15/cleveland-clinic-survey-confirms-men-rarely-talk-health">7pc</a> prioritise as a topic of discussion.</p> <p>Trapped in the stigma of invulnerability, countless men neglect their health until it’s too late. This pattern is especially pronounced in countries like Pakistan, where the cultural expectations to “man up” and embody stoic strength push them to suffer in silence, their health deteriorating in the shadows. The idea of seeking help — be it for physical ailments or mental health — is often perceived as a sign of weakness.</p> <p>This societal pressure creates a dangerous ripple effect, with <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://newsnetwork.mayoclinic.org/discussion/erectile-dysfunction-tops-mens-reasons-to-visit-their-doctors-office/">24pc</a> men less likely to undergo routine checkups, share their struggles, or adopt preventive measures compared to women, even as their life expectancy lags behind by an average of five years.</p> <h2><a id="the-movember-movement" href="#the-movember-movement" class="heading-permalink" aria-hidden="true" title="Permalink"></a>The ‘Movember’ movement</h2> <p>November, designated as Men’s Health Awareness Month, sheds light on <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://gmintegratedcare.org.uk/healthy-living/mens-health-awareness-month/">key health concerns</a>, including prostate and testicular cancer, mental health, and suicide prevention. International Men’s Day on November 19 serves as a reminder to understand the signs and preventive actions, highlighting the importance of addressing healthcare disparities and ensuring better access to care for all men.</p> <p>In a lighter vein, the campaign’s timing couldn’t be more fitting, aligning with “Movember” — a global movement that has, since 2003, encouraged men to take charge of their health problems. From <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://uk.movember.com/story/movember-reveals-the-famous-faces-of-the-2021-campaign">Hollywood celebrities</a> acing the moustache trend to cricketers <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://au.movember.com/story/view/id/11379/seriously-good-cricket-mo-s">endorsing</a> regular health checks, pop culture is increasingly stepping up to normalise self-care for men.</p> <p>This cultural shift towards embracing men’s health extends beyond the physical, shining a much-needed light on the often-overlooked realm of mental well-being.</p> <h2><a id="mental-health" href="#mental-health" class="heading-permalink" aria-hidden="true" title="Permalink"></a>Mental health</h2> <p>Globally, depression affects <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://www.ncbi.nlm.nih.gov/search/research-news/15672/">over 280 million people</a>, with the majority of men often reluctant to seek help. In Pakistan, mental health issues are widespread, impacting around <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://pubmed.ncbi.nlm.nih.gov/38813988/">34pc</a> of the population, exacerbated by socio-economic constraints and limited mental health services. Around one in four men face anxiety disorders, grappling with symptoms like a racing heartbeat, sudden panic, and relentless obsessive thoughts. Depression, on the other hand, <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://www.medrxiv.org/content/10.1101/2024.07.08.24310056v1.full.pdf">manifests</a> in unexplained sadness, restless nights, drained energy, and, at its darkest, thoughts of self-harm.</p> <p>Moreover, the shadow of stigma surrounding mental health casts a long and challenging path to treatment. Fighting this archaic school of thought demands bold preventative strategies — raising awareness, fostering open conversations, and widening access to mental health support. The key lies in early intervention, where empowered communities and integrated mental health services in primary care can shatter stereotypes, ease access, and ignite a culture of understanding.</p> <h2><a id="prostate-diseases" href="#prostate-diseases" class="heading-permalink" aria-hidden="true" title="Permalink"></a>Prostate diseases</h2> <p>Prostate diseases, notably benign prostatic hyperplasia (BPH) and prostate cancer, stand as critical health concerns for men. BPH — a non-cancerous but widespread condition — <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://medlineplus.gov/ency/article/000381.htm">often emerges</a> in the late 40s and affects nearly all men by the time they’re 80. Symptoms such as difficulty urinating, a weak urine stream, urinary incontinence, and frequent nighttime trips to the bathroom significantly affect quality of life. Diagnosis typically involves a thorough medical history, a digital rectal exam, blood tests like prostate-specific antigen (PSA), and imaging such as ultrasound, ensuring timely and accurate assessment.</p> <p><a rel="noopener noreferrer" target="_blank" class="link--external" href="https://www.uicc.org/news/globocan-2022-latest-global-cancer-data-shows-rising-incidence-and-stark-inequities#:~:text=Lung%20cancer%20and%20female%20breast,and%20stomach%20cancer%20(4.9%25).">According to</a> GLOBOCAN 2022 prostate cancer is the <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6497009/#:~:text=Prostate%20cancer%20is%20the%20second,may%20require%20only%20active%20surveillance.">second most common</a> cancer in men, with over <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21834">1.4 million</a> new cases reported annually. The highest incidence rates are found in developed countries like North America and Europe. In Pakistan, the incidence is lower due to genetic factors but is also influenced by limited screening and awareness, often resulting in late-stage diagnoses. Risk factors include age (over 50), family history of prostate, ovarian, or breast cancer, and race, with African American men at higher risk.</p> <p>Early symptoms of prostate cancer are often subtle, such as difficulty urinating, blood in the urine or semen, and persistent pelvic discomfort. As the disease progresses, more severe signs like bone pain and unexplained weight loss may appear.</p> <p>Routine PSA screenings, a balanced lifestyle, and widespread public health education are imperative for early detection. This is particularly crucial in countries like Pakistan, where incomplete cancer statistics and underfunded healthcare systems pose significant barriers to timely diagnosis and effective treatment.</p> <h2><a id="testicular-cancer" href="#testicular-cancer" class="heading-permalink" aria-hidden="true" title="Permalink"></a>Testicular cancer</h2> <p>Testicular cancer, though less common than prostate cancer, is the <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5005081/#:~:text=While%201%20in%207%20men,be%20diagnosed%20with%20testicular%20cancer.&text=However%2C%20testicular%20cancer%20is%20the,men%20aged%2015%20to%2035.">leading cancer</a> among younger men aged 15 to 35. Highly treatable when caught early, it often flies under the radar due to its rarity and subtle early symptoms. In Pakistan, limited awareness and cultural taboos hinder diagnosis, leaving multiple cases undetected. Risk factors include a family history of the disease and undescended testicles. With early-stage testicular cancer often symptom-free, regular self-examinations are a simple yet life-saving habit.</p> <p>Key warning signs of testicular cancer <a rel="noopener noreferrer" target="_blank" class="link--external" href="https://www.mayoclinic.org/diseases-conditions/testicular-cancer-care/symptoms-causes/syc-20352986#:~:text=Testicular%20lumps-,Testicular%20lumps,of%20heaviness%20in%20the%20scrotum">include</a> a painless lump or swelling in the testicle, a sensation of heaviness in the scrotum, or a persistent dull ache in the lower abdomen or groin. Once again, monthly self-examinations are vital for spotting these changes early and public health campaigns focused on men’s health can play a transformative role as well. Men must consult a doctor promptly if they notice any unusual changes, as early action can make all the difference in the world.</p> <h2><a id="charting-the-path" href="#charting-the-path" class="heading-permalink" aria-hidden="true" title="Permalink"></a>Charting the path</h2> <p>In a country where harmful gender-based stereotypes and healthcare gaps stifle conversations about physical and mental well-being, the cost of neglect could be a life.</p> <p>With the odds stacked against men due to poor healthcare infrastructure, limited awareness, and societal taboos, they are often left behind when it comes to seeking timely medical help. The lack of routine screenings and specialised care only exacerbates the issue. But there’s light at the end of the tunnel.</p> <p>By advocating for increased government investment, integrating mental health services into primary care, and launching nationwide awareness campaigns, we can make significant strides in encouraging men to start these important conversations and prioritise early detection, mental health support, and cancer care.</p> <p>It’s time to turn the tide, and it starts with all of us doing our bit to change the narrative — because men’s health is just as much our responsibility as it is theirs.</p> <hr /> <p><em>Header image created with generative AI</em></p> </div> </div> <div class="template__footer flow-root px-1 w-full sm:w-7/10 md:w-5/8 lg:w-1/2 mx-auto ">  <div class=' invisible social-alignment absolute z-50 top-1 flex flex-col items-center '> <div class="social js-social-twitter social--icon filter opacity-75 hover:opacity-100 social--twitter mb-4 "> <a class=' h-full w-full outline-none inline-block float-none ' onclick="return 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author is a Section Head and Associate Professor of Urology at Aga Khan University, specialising in advanced urological surgery and education.</p> </div> </div> <div class="w-1/4"> <a href='https://www.dawn.com/authors/11380/syed-muhammad-nazim' title='Syed Muhammad Nazim'><img src='https://i.dawn.com/profiles/11380.png?20241120121442' alt='Syed Muhammad Nazim'></a> </div> </div> <hr />  <div class=" border-t-3 border-black"> <div class="grid grid-cols-1 sm:grid-cols-3 gap-2 my-4">  <article class='story relative overflow-hidden box pr-0 sm:pr-2 pb-2 mb-2 sm:border-r sm:border-gray-200 border-b border-solid sm:border-b-0' data-id='1864260' id='1864260' data-layout='story' data-tags=''>  <h2 dir='auto' data-layout='story' data-id='1864260' class='story__title text-4 font-playfair-display font-bold pt-1 pb-2 text-4 leading-tight sm:py-2 py-0 '><a href='https://www.dawn.com/news/1864260/we-must-prioritise-our-mental-health' class='story__link '>We must prioritise our mental health </a></h2> </article>   <article class='story relative overflow-hidden box pr-0 sm:pr-2 pb-2 mb-2 sm:border-r sm:border-gray-200 border-b border-solid sm:border-b-0' data-id='1765306' id='1765306' data-layout='story' data-tags=''>  <h2 dir='auto' data-layout='story' data-id='1765306' class='story__title text-4 font-playfair-display font-bold pt-1 pb-2 text-4 leading-tight sm:py-2 py-0 '><a href='https://www.dawn.com/news/1765306/men-as-family-heads-usually-ignore-their-own-health-experts' class='story__link '>Men as family heads usually ignore their own health: experts </a></h2> </article>   <article class='story relative overflow-hidden box pr-0 sm:pr-2 pb-2 mb-2 sm:border-r sm:border-gray-200 border-b border-solid sm:border-b-0' data-id='1790272' id='1790272' data-layout='story' data-tags=''>  <figure class='media media--focus sm:w-full w-1/4 sm:mr-0 mr-2 sm:float-none float-left h-auto mb-0 ' data-focus-x='0%' data-focus-y='0%'> <div class='media__item media__item--100 '><a 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https://documentation.onesignal.com/docs/customize-permission-messages-1 notifyButton: { text: { 'tip.state.unsubscribed': 'Subscribe to notifications', 'tip.state.subscribed': "You're subscribed to notifications", 'tip.state.blocked': "You've blocked notifications", 'message.prenotify': 'Click to subscribe to notifications', 'message.action.subscribed': "Thanks for subscribing!", 'message.action.resubscribed': "You're subscribed to notifications", 'message.action.unsubscribed': "You won't receive notifications again", 'dialog.main.title': 'Manage Site Notifications', 'dialog.main.button.subscribe': 'SUBSCRIBE', 'dialog.main.button.unsubscribe': 'UNSUBSCRIBE', 'dialog.blocked.title': 'Unblock Notifications', 'dialog.blocked.message': "Follow these instructions to allow notifications:" }, /* Set to false to hide */ enable: false }, prenotify: true, persistNotification: false, showCredit: false, // Your other init options here promptOptions: { /* Change bold title, limited to 30 characters */ siteName: "Dawn.Com", /* Subtitle, limited to 90 characters */ actionMessage: "We'd like to show you notifications for the latest news and updates.", /* Example notification title */ exampleNotificationTitle: 'Subscribe for news updates', /* Example notification message */ exampleNotificationMessage: "", /* Text below example notification, limited to 50 characters */ exampleNotificationCaption: 'You can unsubscribe anytime', /* Accept button text, limited to 15 characters */ acceptButtonText: "ALLOW", /* Cancel button text, limited to 15 characters */ cancelButtonText: "NO THANKS" } }]); // OneSignal.setSubscription(true); OneSignal.push(function() { // forcefully popup for notification subscription // OneSignal.registerForPushNotifications(); // for debugging // OneSignal.log.setLevel('trace'); /*OneSignal.isPushNotificationsEnabled(function(isEnabled) { if (isEnabled) { console.log("Push notifications are enabled!"); } else { console.log("Push notifications are not enabled yet."); } });*/ }); </script> </footer> </body> </html>

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