Shhh… don’t mention the ‘P’ word: Why Indian men stay silent about prostate health

Pune: Prostate health remains one of the least discussed topics among Indian men, often leading to delayed diagnosis and poor outcomes in prostate cancer cases, warns Dr Sanjay Dhangar, Urologist, Laser, Robotic and Reconstruction Specialist Urosurgeon at Apollo Spectra Hospital, Pune.

“Men often feel shy and embarrassed when it comes to their prostate health. Many avoid discussing it and suffer in silence,” says Dr Dhangar, urging men to start open conversations and undergo regular screenings after the age of 45.

The prostate is a small gland located below the bladder that produces fluid for semen. Prostate cancer develops when abnormal cells in this gland begin to grow uncontrollably.

It is among the most common cancers in men, primarily affecting those above 50 years of age. However, doctors are increasingly seeing cases in younger men aged 35 to 45 as well.

While the exact cause of prostate cancer is not clearly understood, several risk factors play a role — including age, family history, obesity, high-fat diet, hormonal imbalance, and chronic inflammation of the prostate.

Early symptoms often go unnoticed. “In the initial stages, prostate cancer may be silent. But as it progresses, men may experience frequent urination, especially at night, weak urine flow, pain during urination or ejaculation, or even blood in urine or semen,” Dr Dhangar explains. Persistent back or pelvic pain could also be an early warning sign.

Cultural Silence and Stigma

Dr Dhangar highlights that cultural stigma, embarrassment, and myths often prevent Indian men from seeking medical advice.

“Many men dismiss urinary issues as a normal part of ageing or feel uncomfortable discussing sexual health. This hesitation leads to late detection, when treatment becomes more complex and survival rates drop,” he says.

Diagnosis and Prevention

Doctors recommend simple, non-invasive screenings like the Prostate-Specific Antigen (PSA) blood test and Digital Rectal Examination (DRE) for early detection.

These tests can detect cancer before symptoms appear, improving treatment outcomes and survival rates. Once diagnosed, treatment may include surgery, radiation therapy, hormone therapy, chemotherapy, or medication — depending on the stage of cancer.

A Call for Awareness

Dr Dhangar concludes, “Men must not ignore their prostate health. Early screening saves lives. It’s time to break the silence and encourage open conversations.”

Maintaining a healthy lifestyle — including a balanced diet rich in fruits, vegetables, and omega-3 fatty acids, avoiding processed foods and smoking, and exercising regularly — can significantly reduce prostate cancer risk.