Encouraging and Unsettling

Beltane                                                                      Closing Moon

Since I’ve begun letting folks know about my prostate cancer diagnosis, a curious and, while encouraging, a somewhat unsettling thing, too, has happened. One friend wrote, “Don’t despair. I faced this ten years ago and am doing fine.” Another, “Because of my age (80’s), I have seen more than 50 men go through this and most of them are doing fine. Many over 10 years later.” Another, “We have three friends going through this right now.”

That so many report good news obviously buoys me up, makes me feel more confident about the path ahead. I’m very glad to have personal testimony about the power of current treatment protocols.

But. I compare the general awareness among men about prostate cancer with the broader and much more public awareness of breast cancer among women and realize something is out of joint. The pink ribbon, the runs, the NFL sneakers, the celebrities have all made breast cancer information broadly available. Women are keenly aware of the warning signs, the tests for its presence and the treatment options if faced with a diagnosis.

Why don’t men have the same level of awareness? I imagine it’s a combination of things. Prostate cancer doesn’t strike, typically, until men are older. The average age at diagnosis is 66. The prostate is a less well-known organ that has a little understood function, even by men. Men have not had their feminist movement moment, so there has not been a broader cultural push for health related to men’s reproductive organs.

Men have a stoic reputation when it comes to reporting health issues. I don’t know if that reputations bears up under scrutiny, but it does serve to obscure conversation among men about health matters.

Then there’s sex. Our society has a confused, contradictory and tangled attitude toward matters sexual and the prostate is in that mix. We don’t know much about it to begin with and what we do know we don’t want to talk about.

Is it time for all this to change? At one level, yes. Of course. Just makes sense. On another, no. It isn’t happening and doesn’t seem to be happening. What would it take to create a more general and healthy understanding of prostate cancer? I don’t know.