Health
Testicular Cancer: High Survival Rates Depend on Early Detection, Say Experts
As Testicular Cancer Awareness Month continues, health experts are emphasizing the importance of early detection in fighting the most common cancer affecting young men.
Although testicular cancer is relatively rare, it remains the leading cancer diagnosis among men under 45, with cases peaking in the late 20s and early 30s. Fortunately, when identified early, it is also among the most treatable forms of cancer. According to recent European data, 95% of men diagnosed before age 45 survive at least five years.
Despite these promising statistics, doctors warn that a lack of awareness and social taboos surrounding self-examinations may delay diagnoses. “There is no self-examination culture due to taboos,” said Dr. Hendrik Van Poppel, a urologist with the European Association of Urology and co-chair of the European Cancer Organisation’s inequalities network.
One in every 250 men in Europe is diagnosed with testicular cancer, but certain groups face a higher risk. Men with a family history of testicular cancer, those with HIV or fertility issues, and white men are more vulnerable. Additionally, men with cryptorchidism — a condition where the testicles fail to descend into the scrotum — are at increased risk. Between 5 to 10% of men with testicular cancer had cryptorchidism as children, though the condition can be corrected through surgery.
Van Poppel advises young men and teenage boys to perform monthly self-examinations, preferably during a warm shower or bath when the scrotum is relaxed. “Check each testicle separately for lumps or changes,” he said.
Most abnormalities found during self-exams are not cancer, but a small, painless lump should be evaluated by a doctor. Other signs include enlargement or pain in the testicle, and a scrotum that feels unusually hard, heavy, or achy. Additional symptoms, particularly if the cancer has spread, may include back or lower abdominal pain, unexplained weight loss, a persistent cough, difficulty breathing or swallowing, and chest soreness.
If testicular cancer is diagnosed, treatment usually begins with surgery to remove the affected testicle. Depending on the stage of the disease, chemotherapy or radiation therapy may follow. Some patients choose to have an artificial testicle implanted for cosmetic or psychological reasons.
Fertility may be impacted by certain treatments, so men are encouraged to consider sperm banking before beginning therapy. If the cancer has metastasized, more aggressive treatments or palliative care options may be recommended to manage symptoms and prolong life.
However, experts stress that a diagnosis is not a death sentence. “Many of these guys who are discovered late, even metastatic, can be cured,” said Van Poppel. “But the main goal should be timely detection.”
With awareness and regular self-checks, early intervention remains the key to successful treatment and recovery.
Health
Global Mental Health Cases Near 1.2 Billion as Anxiety and Depression Drive Sharp Worldwide Rise
A major global analysis has found that mental health conditions have surged to an estimated 1.2 billion people worldwide, driven largely by steep increases in anxiety and depression over the past three decades.
The findings, published in The Lancet as part of the Global Burden of Disease Study 2023, show that the number of people living with mental disorders has almost doubled since 1990, marking a 95% rise. Researchers say major depressive disorder and anxiety disorders have seen even sharper growth, increasing by 131% and 158% respectively, making them the most prevalent mental health conditions globally.
The report describes mental illnesses as widespread conditions that create long-term disability and significant human suffering. It also highlights broader consequences for economies and public services, including reduced productivity, lower workforce participation and increasing pressure on health and welfare systems.
Researchers estimate that in 2023 alone, around 620 million females and 552 million males were affected by mental health conditions. While the overall burden is rising across both sexes, the study points to notable differences in the types and prevalence of disorders.
Among women, depression and anxiety were the most commonly reported conditions, alongside higher rates of eating disorders such as anorexia nervosa and bulimia nervosa. The report links this disparity to a mix of biological, social and structural factors, including exposure to domestic violence, sexual abuse, gender inequality and reproductive health-related changes.
In contrast, neurodevelopmental and behavioural disorders, including attention deficit hyperactivity disorder (ADHD), conduct disorder and autism spectrum conditions, were more frequently diagnosed in men.
Teenagers aged 15 to 19 were identified as the group experiencing the highest mental health burden globally, raising concerns about early onset of conditions and insufficient preventive care for young people.
The study identifies several key risk factors associated with mental illness, including childhood sexual violence, bullying and intimate partner violence. These factors are strongly linked to conditions such as depression, schizophrenia, bipolar disorder and anxiety disorders. However, researchers note that such exposures have remained relatively stable over time and account for only a portion of the overall rise.
According to the authors, broader drivers are likely contributing to the increasing prevalence of mental disorders. These include genetic and biological influences, poverty, inequality, and the growing impact of global crises such as armed conflict, pandemics, natural disasters and climate-related stress.
While mental health conditions have long been a leading cause of disability worldwide, the report warns that the situation is worsening. At the same time, health systems have not expanded services at a pace matching demand.
The authors caution that the gap between rising need and limited access to care is becoming more pronounced, leaving millions without adequate treatment or support.
Health
Europe Records Sharp Rise in Sexually Transmitted Infections, ECDC Warns
Health
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