As we observe Men’s Health Awareness Month this November, I’m reminded of one lesson from decades of caring for men and that is masculinity and health are not opposing forces.
Over the years, I’ve had the privilege of guiding thousands of men through urologic care, and that includes more than 3,000 prostate cancer surgeries. Through these experiences, I’ve learned that when men embrace their health, they honor their strength. And when they seek medical help, they demonstrate not just responsibility but also awareness.
Yet too often, our culture defines “manhood” as silence and endurance, not knowing that mindset can cost lives.
I’ve met a lot of men who arrive late — late for screenings, follow-ups, and treatments. Their delay usually starts with familiar excuses. “I’m okay”. “It’s nothing”. “I’ll get to it later”.
But in urology, “later” can be dangerous. This is especially true for Black men, who face some of the highest risks and worst health outcomes.
According to Urology Times, Black men cite lack of invitation and information as key barriers to joining prostate cancer clinical trials. A recent survey found that only 10.4% had ever participated and the top reason was simple, they were never asked.
Research published by AUA Journals confirms that communication, outreach, and inclusive trial teams matter more than biological differences alone. These gaps reflect inequities in trial access, research opportunities, and care pathways in Black communities.
When participation remains low nationwide with Black Americans making up less than 5% of cancer clinical trial participants, according to the Lazarex Cancer Foundation, it delays progress toward treatments that work for everyone. Every missed invitation is a missed opportunity to advance equitable care.
Redefining Masculinity in Men’s Health
To help close these gaps, we must redefine strength. True masculinity includes caring for your body and future. Let’s leave the old idea of “toughing it out” in the past. The modern model of manhood says: get screened, be informed, and live strong.
Many black men are not aware of how to join clinical trials so I’m outlining steps to guide you.
(1) Inform your doctor that you’re interested in joining the clinical trial.
Some doctors often assume that patients are not interested in participating.
(2) Search for clinical trial portals.
You can search websites like ClinicalTrials.gov, the Prostate Cancer Foundation, and the National Cancer Institute list open studies and review the eligibility criteria.
(3) Look for clinical trials in your community-based or local hospitals.
A lot of academic institutions conduct trials with their goal of increasing Black participation.
(4) Connect with advocacy groups
Men can identify and enroll in trials with the help of organizations like Lazarex, PHEN (Prostate Health Education Network), and ZERO Prostate Cancer.
(5) Bring a close friend or relative.
Having solid support allows you to comprehend the procedure, ask more questions, and make well-informed choices.
Every medical breakthrough in prostate cancer has come from clinical trials. Yet when Black men are underrepresented, we risk developing treatments that don’t fully account for how therapies affect diverse populations.
Representation in research is about equity and progress. Participating in a trial isn’t just a personal choice, it’s an act of leadership that helps advance care for one’s community, sons, and brothers.
While the hope is for Black folks to have more of a presence at these clinical trials, we should remain vigilant about our checkups especially as it relates to Black men and prostate screenings. Here is what to ask your doctor and why so you're making the most of your visit:
(1) How likely am I to have prostate cancer?
Why: Simply because risk is greatly influenced by age, race, and family history. Black men should initiate this discussion earlier.
(2) Which tests are necessary, and when should I start screening for prostate cancer?
Why: There is no one-size-fits-all approach to screening. Compared to the general population, you could require PSA testing and other assessments sooner.
(3) What should I do if my PSA level is abnormal?
Why: PSA tests are not the only way to diagnose cancer. Fear and confusion are lessened when follow-up tests, such as MRIs or biopsies, are understood.
(4) What health or lifestyle modifications can lower my risk?
Why: Prostate cancer risk and prognosis are influenced by diet, weight, and general well-being. Preventive measures are effective.
In my years of practice, I’ve witnessed the power of early detection and the courage of men who choose health over fear. The gap in prostate-cancer outcomes for Black men is not inevitable, it is preventable, addressable, and beatable.
If we redefine masculinity to include openness, responsibility, and proactive care, we can rewrite the story of men’s health in America.
When we prioritize health, we don’t just live longer, we live better.