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Surveys of over 900 men who were diagnosed with prostate cancer in the 1990s found that approximately 15% had some regret over their treatment choices. Study authors encourage doctors and patients to have frank and thorough discussions about about the risks and benefits of various forms of treatment for prostate cancer.

Charles Schmidt As they get older, do men with prostate cancer come to regret the treatment decisions they made? A new study of men diagnosed during the mid-1990s indicates that some of them will. Richard Hoffman, a professor of internal medicine and epidemiology at the University of Iowa Carver College of Medicine in Iowa City, […]

Charles Schmidt Does screening for prostate cancer with the prostate-specific antigen (PSA) test save lives? A new study suggests that it does, but at the risk of exposing men with slow-growing tumors that may not be life-threatening to treatments they may not really need. Published in Annals of Internal Medicine, the study reconciles conflicting results […]

Muscle loss is inevitable as you age, but adopting a regular weight training program can help slow the process.

You naturally lose muscle as you age, a condition called sarcopenia. After age 30, men begin to lose as much as 3% to 5% of their muscle mass per decade, and most will lose about 30% over their lifetimes. But you have the power to change this � with weight training.

"Weight training is the best way to increase muscle mass lost due to aging and keep the muscle you have, and it's never too late to begin," say Vijay Daryanani, a personal trainer with Harvard-affiliated Spaulding Outpatient Center.

Recreating the workplace dynamics helps older men strengthen their social bonding and thinking skills.

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Men who retire are often happy to leave behind their work life, but one aspect they still need is the workplace's packlike male bonding. Group lunches, team projects, watercooler banter â€� all these help men establish social connections that keep their brains and bodies active andÌýhealthy.

"Women tend to make friends across their life span, while men acquire friends in clumps through shared experiences like sports, the military, and work," says Dr. Richard S. Schwartz, a psychiatrist with Harvard-affiliated McLean Hospital. "When one source is eliminated, men tend to lose some of those friends over time and have to find other ways to connect with people and fill those missing gaps."

In the journals

Observation only may be the best medicine for men with early-stage prostate cancer, suggests a 20-year study published online July 13, 2017, by The New England Journal of Medicine. Early-stage prostate cancer means the cancer is small, confined to the prostate gland, and can only be detected with a biopsy.

Researchers randomly assigned 731 men, average age 67, with localized prostate cancer to receive either surgery or observation only. At the 20-year follow-up, 62% of the men who had prostate cancer surgery had died of other causes, while only 7% died from prostate cancer. In comparison, 67% of the men assigned to observation died from other causes and 11% from prostate cancer. The absolute differences in mortality were not significant.

On call

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Q. I was an active runner before my hip replacement. Is it okay to return to jogging several times a week?

A. Hip replacements help relieve pain and improve function for people with worn-out hip joints. However, replacement joints also can wear out over time and require what's called a revision surgery. Therefore, activities that may increase stress or wear on the joint are often discouraged.

On call

Q. I am 72, and over the past year I have begun to lose my sense of smell. Is this a normal part of aging?

A. Some loss of sensitivity to smells � also known as anosmia � is normal as we get older, but there may be another explanation. The ability to smell depends on a healthy lining of the nasal cavity, open nasal passageways, and normal function of the olfactory (smell) nerves. A problem with one or more of these can lead to loss of smell. The most common causes are nasal problems, like nasal polyps, blocked sinuses, and seasonal allergies. These can be detected by a routine examination, although you may need to see an ear, nose, and throat specialist for a more extensive exam.

When you live with physical pain, changing your reaction to it can help you better manage discomfort and obstacles.

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Dealing with chronic physical pain, no matter the source or severity, is a constant challenge, but sometimes the emotional pain that comes with it can be just as trying. In fact, more than half of people with pain feel they have lost control of their lives, according to the American Academy of Pain Medicine.

"In general, men tend to be less verbal about seeking help with their physical pain," says Dr. Ellen Slawsby, director of pain management at the Benson-Henry Institute for Mind Body Medicine at Harvard's Massachusetts General Hospital.