4. “I am a prostate cancer survivor and I am very thankful that the Men’s Health Clinic was started here on Standing Rock.” Del Lecompte, Fort Yates, N.D. Enrolled member of the Standing Rock Sioux Nation Prostate cancer survivor Land Coordinator for Standing Rock “Not looking for cancer is like not checking oil pressure in a car. You might ignore it for a while, but it will catch up with you. There needs to be a push from the medical and public sectors to look for cancer, face it, and fix it.” Allen Lund, prostate cancer patient Dr. Mark Andrews, family physician Stanley, N.D.

6. Why the Concern?

7. This year, approximately 500 N.D. men will be diagnosed and 100 men will die from this disease. Prostate cancer is the number one cancer of men and second leading cause of cancer deaths. The American Cancer Society estimates about one in six men in the U.S. will be diagnosed with prostate cancer.

8. 169.6142.4 26.924.7 Prostate Cancer Comparison Rates - N.D. Men versus U.S. Average Rates per 100,000 men 2005 Data

9. Screening Tests Digital Rectal Examination A blood test called Prostate Specific Antigen (PSA) State Rates Above National Average Is Prostate Cancer Preventable?

10. Prostate cancer is a common, but typically slow growing cancer when compared to other types of cancer. Its growth is fed by, and generally depends on male hormones. Sometimes cells keep growing beyond their natural lifespan, and can cause a group of cells to develop into a tumor that can be benign (non-cancerous) or malignant (cancerous). What is Prostate Cancer?

11. The prostate is a gland in the male reproductive system located just below the bladder and in front of the rectum. The prostate is about the size of a walnut and surrounds the urethra (the tube that empties urine from the bladder).

12. Symptoms Is Prostate Cancer Preventable?

13. Difficulty starting urination Frequent urination, especially at night Difficulty emptying the bladder completely Pain in the back, hips or pelvis that does not go away Weak or interrupted flow of urine Pain or burning during urination Painful or difficult erection Blood in the urine or semen

14. Who is at Increased Risk? All men over the age of 50 Men with a family history of prostate cancer (a father or brother with prostate cancer more than doubles the risk) African American men American Indian men from the Northern Plains area have a higher prostate cancer rate than men from other American Indian communities in the U.S.

15. All men 50 years of age and older should have the discussion of prostate cancer screening with their healthcare provider with their wellness exam (physical) Men who have increased risk factors for prostate cancer should begin the discussion of prostate cancer testing at 40 years of age Any male with one or more symptoms Who Should Be Tested?

16. Medical experts do not know how to prevent prostate cancer but are studying many factors. They do know the following contribute to overall good health: Not smoking Maintaining a healthy diet Staying physically active Seeing your doctor regularly

18. “Talk to your healthcare provider about prostate cancer screening. As a man it’s so easy to forget about taking care of our health when we are busy providing for others. However, in order to provide for others we must take care of ourselves.”