DEAR DR. ROACH: I have a bad case of erectile dysfunction. I am 80 years old and otherwise in good health. I have received an ad in the mail that says it is not a lack of testosterone, but rather too much estrogen in the body. They make a lot of promises, but it scares […]
Dr. Roach
After prostate cancer treatment, prognosis remains good
DEAR DR. ROACH: I am 68 and have prostate cancer. I had PSAs, an MRI and a biopsy. My Gleason score was a high 7. No genetic testing as I can recall. My urologist said I had “upper moderate” cancer and that I could remove my prostate or do radiation therapy. I underwent three months […]
Searching for the cause of shortness of breath
DEAR DR. ROACH: I am a 70-year-old male and have exercised daily all my adult life. I take a baby aspirin and 10 mg pravastatin daily. I have eaten very little red meat since I was 40. I had an EKG in 2020 that showed a heart attack, but my cardiologist said that with no […]
Does a history of blood clots preclude future pregnancy?
DEAR DR. ROACH: I have a question about blood clot history and pregnancy. I’m in my mid-30s, married without children, and just experienced my first blood clot. It started in the vein on the inside of my calf but then moved to just below my knee. My doctor prescribed Eliquis after the clot moved, and […]
The heart doesn’t explode, but it can rupture
DEAR DR. ROACH: What causes heart explosion? I heard that it can relate to a heart attack. I knew of two people who had it. How often does it happen? — L.B. ANSWER: The heart doesn’t actually explode, so I suspect you are talking about rupture of the wall of the left ventricle, which fortunately […]
What’s the prognosis for ‘microvascular disease’?
DEAR DR. ROACH: I am an 80-year-old active male taking only thyroxine. I have no known health issues. In November 2021, I experienced a migraine with aura and have a slight vision loss in my right eye. After seeing an eye doctor, a retinal specialist and a primary care doctor, the only thing I am […]
Rh factor can complicate pregnancy for Mom and baby
DEAR DR. ROACH: My wife is Rh negative, and I am Rh positive. Our baby (fetus) is positive. I am worried about my wife and my baby. Is this dangerous? What can be done? This is her second pregnancy. — H.D. ANSWER: Blood types are complicated. A simple version that’s familiar is the A, B […]
Is it or isn’t it cancer?
DEAR DR. ROACH: In 2015, I was diagnosed with a myeloproliferative neoplasm, essential thrombocythemia. My question is simple: Is it cancer or not? There seems to be a fundamental disagreement between my oncologist and my hematologist about the “c” label. Not that it makes any difference treatment-wise, but I would like clarification. — L.F.F. ANSWER: […]
Panic attacks resumed when reader weaned off meds
DEAR DR. ROACH: I’ve been on Cymbalta for 16 years. I had had panic attacks, and my doctor suggested it, along with talk therapy. After a year, my therapist told me they weren’t made to be used long term and I should eventually wean myself off them. I did at one point and was good […]
The relationship between estrogen and uterine cancer risk
DEAR. DR. ROACH: I saw a recent reply to a letter about estrogen and wanted to ask my own related questions. I’m a 93-year-old woman with many of the problems and issues of others my age. When I was going through menopause, my doctor put me on oral estrogen. He said it was to protect […]