One of the big problems of health of the man in the XXIst century is the prostate cancer. Despite it, one speaks little of this cancer and less his problems. For it, we exhibit here a set of realities and recommendations to help the men, his couple and the Society, to face as a whole with the reality of the cancer of prostate (CP).

1. The incidence of the CP increases year after year. At present about 13.500 new / year cases register in Spain and approximately 6.000 persons / year die for CP, both numbers at the level of the proper ones of the breast cancer (CM)

2. After his fundamental cause is ignored, there is no possible prevention.

3. Some well-known factors that can increase the risk of enduring it are familiar CP precedents, sedentarismo, excessive consumption of milk derivatives and deficit in vegetables and fresh fruits.

4. On the contrary, the daily physical exercise, the Mediterranean diet and in a concrete way, the seed of linen and the licopeno contained in the tomato, they would act favorably diminishing his risk.

5. The precocious diagnosis of the CP has improved in a spectacular way with the simple determination in the blood of a substance known as PSA, produced by the prostate and by the tumor. In effect, before the PSA, most of patients were diagnosed by widespread illness (metástasis), incurable.

6. Nowadays, in case of there endure CP, most of persons to those that the PSA practises on itself, they are diagnosed precozmente with tumors located in the prostate and therefore, curable.

7. It is for it that the men of more than 50 years (or of more than 40 if they have familiar precedents of cancer of prostate) must realize an annual PSA.

8. The control of the PSA can redound to a problem of anxiety so called ‘Psaitis ’. In men perfectionists with tendency, to control everything, it can go over to obsessive features that can need the help of a professional.

9. Given the big advance in the precocious diagnosis, the treatment of the CP located (surgery or radiotherapy, both equal of curative) is very curative.

10. But the patients pay an excessive and unjust toll, since, especially the surgery, it causes them to the majority diverse grades of sexual powerlessness (but with conservation of the líbido!).Y to enough, urinal incontinence.

11. The hormonal treatments (that are applied earlier and after the local treatment or in patients whose illness returns after the local treatment or in patients with metástasis) keep on basing in the last 40 years in the castration.

12. If the hormonal treatment is prolonged, apart from the absolute sexual powerlessness, the patients see as the voice sharpens them, his hips expand, they lose the hair and even they the breasts grow. In a word, feminizan.

13. The current situation of the patients with CP who need hormonal treatment is similar to that of the breast cancer advanced (CM) 40 years ago. Then, to try to resist the stimulus of cellular growth of the feminine hormone, to the patients masculine hormone was prescribed to them, with what they were masculinized (they had to shave often, serious voice, etc), with deep deterioration of his quality of life.

14. The CP and his treatment provoke problems in the masculine self-esteem and, in the long run, depression. The frequent coincidence of the CP with the age of the retirement and the indepencia of the children they contribute to the feeling of gap, sadness and solitude. It turns out to be more difficult to recognize, to look and to accept psychological help to the man.

15. The CP turns into a problem of couple. It is necessary to establish open communication bonds and to confront it like a common problem. There must be looked alternative routes that satisfy both, if it is necessary with the help of an expert professional in sexología.

16. Since there is Dec ho of other situations, it is necessary that the men with CP go out of the closet. In effect, as well as it is relatively easy to find ready women to collaborate with other women in his situation and to give public testimony, the affected ones by CP with breast cancer usually his situation and deny pretend his testimony.

17. It is due to a great degree to the fact that the treatment of the CP affects deeply to the masculinity. But as well as before the CM, the woman collaborates, the man, with CP, goes away, solitarily, to Internet.

18. There has come the moment of which the men with CP go out to the public light, collaborate FEFOC and fight for radical changes in the treatment of the CP.

19. In the XXth century, in the 70s, Swedish women with CM went out to the street, to the magazines, to the television, to proclaim that if the surgeons had CM they would have already found the way of which they were not cutting the breast. They did of the topic of the CM a feminist reinvindicación. This way there began the revolution of the treatment of the CM, which culminated with the called conservative treatment.

20. The moment has come from that we do of the CP a topic of masculinity of good:. Men with CP: go out of the closet, associate you with the groups of support of FEFOC and help us to revolutionize the situation of the present and future patients for your own benefit and so that others do not suffer what he has had you to suffer!