His and Her Health

According to a report in the Jan. 9, 2012, “Journal Watch,” screening with prostate-specific antigen (PSA) testing does not lower the risk for death from prostate cancer, according to a 13- year follow-up report from the PLCO trial. The abstract for the follow up report was published in the Journal of the National Cancer Institute. This finding extends the trial's 10-year results, which similarly showed no mortality benefit. “Journal Watch” noted that the PLCO trial, some 77,000 men aged 55 to 74 were either randomly placed in 6 years of PSA testing plus 4 years of digital rectal examinations, or to usual care (which could include opportunistic screening). “At 13 years' follow-up, there was no difference between the groups in prostate cancer mortality. The incidence of prostate cancer, however, was significantly higher with screening than with usual care (108.4 vs. 97.1 per 10,000 person-years),” “Journal Watch” reported. The researchers conclude: "There is no evidence of a benefit [from screening]. Indeed, there is evidence of harms, in part associated with the false-positive tests, but also with the over diagnosis inseparable from PSA screening."

[Report] Advises Against Routine Prostate Cancer Screening

Dr. Brandon talks with Vibrance Associates, to view the videos click here

Dr. Marianne Brandon, co-author of “Reclaiming Desire” with site Medical Director Dr. Andrew Goldstein, is the author of a new book, Monogamy: The Untold Story. Here is the introduction and excerpt from the book. See Dr. Brandon’s brief bio at the end of the excerpt.

As a clinical psychologist and sex therapist, I have devoted many years to helping people open and feel alive, both emotionally and physically. I myself have walked the same path I assist others in traveling every day. It is clear to me that when we are disengaged from any part of ourselves, including our sexuality, our hearts and bodies close in response. When we close, we stop evolving, and we no longer live and love to our fullest potential. Our lives lack creativity and joy, spontaneity and humor. As a culture, we have supported this unfortunate process in each other by ignoring the realities of our sexual instincts.

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