Why men do not go to the doctor



Raymond Zakhari, NP  

How’s it hanging?   You may never be asked this question by your doctor, but I assure you it is one of the most important questions you should be asked at every visit.

Sexual dysfunction in men is often a barometer of overall health: problems with desire, arousal and climax can often indicate underlying heart disease, diabetes, obesity, thyroid conditions, depression, and anxiety, adverse effects of medication, substance abuse, nutritional deficiency, testosterone levels, circulation problems, and infections. So I will ask again: How’s it hanging? More importantly when was the last time you climaxed and are you satisfied with your level of desire, arousal and orgasm.

In an effort to treat you with dignity, modesty, privacy, and respect many doctors cut corners with a comprehensive physical exam, and ask leading questions with the hope that you will not report any problems so they can move on to the next person. In fact many physician groups are now reporting that an annual physical exam is worthless in terms of promoting health, and preventing death. They have even gone so far as to advise against you performing testicular self-exams, deemphasized prostate cancer screening all the while jumping on the bandwagon of low testosterone as the holy grail fountain of youth and virility.

Most men dread a visit to the doctor because it is often a cursory drive by physical that ends in a list of things they should not do. That, combined with the nearly universal all female ancillary staff, from the receptionist who insists we share the most intimate details of our lives as a prerequisite for an appointment, to the tech, seldom medical assistant, who records those same details in our records, all prior to even seeing the doctor for 10 minutes. Given the extremely personal nature of men’s health care and the potential for embarrassment, why is privacy and dignity so callously disregarded on a routine basis for male patients? How would female patients feel if their OB/GYN was accompanied by a male assistant or chaperon barely out of high school. This double standard needs to change for men to feel comfortable in seeking health-care. I’m convinced a significant percentage avoid needed medical care for this exact issue. These are difficult issues to admit even to yourself, more so with your wife, and then we’re expected to share the most intimate details of our lives with multiple female strangers.

Another reason men avoid formal health care is they don’t trust the doctor. They feel that in their compromised state of undress they will be sold a bill of goods.  The main reason for this is that many doctors do not have the time to explain the game plan and explore alternatives. The patient is left feeling bullied into a decision they may not have been prepared to make. Therein lays the rub. Unfortunately, we all reach that moment in life when have to face our fears. For that reason it is important to find a primary care provider you can trust so that you retain control over your health care rather than settling for the doc of the day when you are truly in need.

  • You wouldn’t drive your car for 100,000 miles without an oil change and a tune-up, and expect it to be fine, would you?
  • Erectile dysfunction may be an early marker of cardiovascular disease

Fortunately, there is an alternative. Metro Medical Direct offers personalized men’s health care in the comfort of your domain (home, office, or hotel). This practice was founded in 2009 to take the hassles out of going to the doctor. Imagine no ancillary staff, no paper gown, no endless unproductive waiting, and no condescending tongue thrashing of what you are doing wrong. Imagine a partner in care who acts as your coach. A mutually beneficial and therapeutic partner with whom you can speak freely and ask any question that comes to mind. Medical house calls and a virtual one stop shop in which you can text or video chat for those times when you do not actually need to be examined.

The Men’s Health service offers specialized primary and psychiatric care to optimize your overall health.

If you would like improved:

  • Sexual health, libido, stamina, erectile function , urinary stream
  • Cardiovascular health
  • Evaluation and management of testosterone deficiency
  • Psychological treatment and support
  • Couples therapy when sexual issues are paramount
  • Manual therapy for pelvic pain and prostatitis
  • Evaluation and management of bone health
  • General and mental health

Services are confidential, no third party insurance accepted,

appointments are evenings and weekends.

Request an appointment online call or text 917-484-2709


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