Your health as a man, at every age
Prostate, fertility, cardio health, testosterone, sexual health — the complete guide in Morocco.
Key concerns
Prostate screening
PSA + DRE from age 50 (45 if at risk)
Fertility / semen analysis
Work-up if planning a child or trouble for 12 months
Cardiovascular health
BP, cholesterol, ECG from age 40
Testosterone / andropause
Hormonal panel if fatigue or low libido
Hair loss
Androgenetic alopecia, minoxidil, finasteride
Sleep apnoea
Polysomnography, CPAP, weight loss
Smoking cessation
Nicotine substitutes, varenicline, support
Sexual health
Erectile dysfunction, STIs, contraception
Checklist by age bracket
20-30 years
- ✓GP consultation every 2 years
- ✓STIs: annual screening if multiple partners
- ✓Basic blood test
- ✓Monthly testicular self-exam
30-45 years
- ✓BP, cholesterol, glycaemia every 3 years
- ✓Semen analysis if planning a child
- ✓Skin check (moles)
- ✓Physical activity 150 min/week
45-60 years
- ✓Prostate PSA from age 50
- ✓ECG every 2 years
- ✓Colonoscopy at 50
- ✓Optician every 2 years
- ✓Sleep apnoea screening
60+ years
- ✓Annual geriatric assessment
- ✓Annual PSA up to 70
- ✓Densitometry if osteopenia
- ✓Shingles, pneumococcal, flu vaccines
Frequently asked questions
When should prostate cancer screening start?+
From age 50 in the general population, or 45 if first-degree family history or African origin (higher risk). Work-up: PSA + annual DRE. PSA alone is not enough — it must be interpreted by a urologist.
Does andropause really exist?+
Yes — the gradual decline in testosterone after 40-50 (called age-related hypogonadism). Symptoms: fatigue, low libido, erection problems, loss of muscle mass, irritability. Diagnosis via hormonal panel (total and free testosterone). Hormone replacement is possible after a full work-up.
Male fertility: when should I worry?+
If no pregnancy after 12 months of unprotected intercourse (6 months if the female partner is over 35). See a urologist for a semen analysis (count, motility, morphology). Common causes: varicocele, infection, stress, obesity, alcohol/tobacco, heat exposure. Many causes are reversible.
How can I prevent cardiovascular disease?+
150 min/week physical activity, Mediterranean diet, stop smoking, limit alcohol (≤ 2 units/day), stable weight (waist <94 cm for men), stress management, 7-8 hours of sleep. Regular check-ups after 40: BP, cholesterol, glycaemia, ECG.
When should I consult for erectile dysfunction?+
If it lasts > 3 months and affects your relationship. Causes: vascular (hypertension, diabetes), hormonal (testosterone), psychological (stress, depression), drug-related. Full work-up with a urologist. Effective treatments: PDE5 inhibitors (Viagra, Cialis), vacuum, injections, surgery.
Does stress really affect health?+
Yes — chronic stress raises cardio risk (+40% heart attacks), sleep disorders, depression, erectile dysfunction, worsens diabetes/hypertension. Solutions: sport, meditation, psychotherapy if intense, workplace management. Sahha Mind offers anonymous teletherapy.
Recommended screening calendar by age (men)
Based on recommendations from the WHO, HAS and the French Urology Association.
| Age | Screenings | Frequency |
|---|---|---|
| 20-30 years | General check-up + STI + testicular self-exam | Every 3-5 years · monthly self-exam |
| 30-40 years | + Lipid panel + glycaemia + BP | Every 5 years |
| 40-50 years | + Full cardiovascular check | Every 2-3 years |
| 45-50 years | + Initial PSA (if risk factors: family history, African origin) | Start of prostate screening |
| 50 years | + PSA + DRE (prostate) | Annual |
| 50-74 years | + Colorectal screening (FIT or colonoscopy) | FIT every 2 years |
| 55-74 years smokers | + Low-dose lung CT | Annual |
| 65+ years | + Bone densitometry + hearing + vision | Based on results |