Men’s health considerations for health professionals

For men living with multiple sclerosis (MS), managing health goes beyond symptom management – it involves navigating specific considerations that can impact overall wellbeing and quality of life. In a recent webinar, MS nurse Michael Mortensen discussed some key tips and strategies tailored to support your male patients with MS.

1. Family planning and medication considerations

Men with MS who are considering starting a family need careful medication management. Certain disease-modifying therapies (DMTs), such as Aubagio (teriflunomide) and Mavenclad (Cladribine), require special attention:

• Aubagio (Teriflunomide): It necessitates a two-year washout period before conception due to potential harm to an unborn baby. Accelerated elimination procedures can be explored with the guidance of a neurologist or MS nurse.
• Mavenclad (Cladribine): Men should wait at least six months after completing the course of treatment before attempting conception.

2. Health checks for men with MS

Some MS disease modifying treatment can increase risks of cancers. It’s important for men to discuss these with their medical team.

• Skin checks: Annual skin checks and skin self-checks are essential to detect any suspicious changes early. Increased risk of skin cancer is especially high in countries like Australia where sun exposure is high.
• Bowel cancer screening: Regular screening for bowel cancer is recommended, with screening kits available to be sent out from the age of 45 years. It's vital to encourage men with MS to participate in screening programs to detect and treat any abnormalities early.
• Prostate checks: The baseline check for prostate is the Prostate Surface Antigen (PSA) blood test. An elevated PSA level means something is happening in the prostate gland and further investigation may be required which may include a digital rectal examination.

3. Addressing social isolation and loneliness

Men with MS may be at risk of social isolation and loneliness, which can significantly impact their mental and physical health:

• Social isolation involves limited social contact, while loneliness is a subjective feeling of not having satisfying relationships.
• Encourage open discussions about social connections and support networks. Joining MS peer support groups or local social initiatives like Men’s Shed can provide valuable support and companionship.

4. General health and wellbeing

Beyond MS-specific concerns, maintaining overall health is crucial:

• Physical health: Engage in regular exercise, including activities that promote brain health
• Lifestyle choices: Reduce smoking and alcohol intake, maintain a balanced diet, and prioritise good sleep hygiene
• Mental health: Manage stress levels and monitor mental health closely
• Routine check-ups: Regularly monitor cholesterol, liver function, and diabetes through blood tests

5. Seeking medical advice

It's important that men and their providers don’t assume every symptom is due to MS. Encourage men to discuss any new or concerning symptoms with their healthcare team to ensure comprehensive management and appropriate intervention.

By considering these specific health aspects and encouraging overall wellbeing strategies, this can greatly boost the quality of life for men living with MS. Taking a proactive approach to men’s health and care, and offering support plays a crucial role in helping men with MS continue to live well.

Men’s health: what every man should know

Men's health topics, including erectile dysfunction, mental health, heart health, and vital information for men with MS. Get practical advice to better understand and manage these crucial aspects of men's health. Watch the full webinaropens in new tab

Published June 2024