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A year later, when he returned coughing up blood, he received a diagnosis of stage 4 testicular cancer which had spread to his lungs, grown on the nerves down his back, around his hip and down his legs.
Roshan says his older brother avoided being honest about his symptoms because of the fear it was cancer and hoping to protect his family and friends, but it was in fact transparency that would have saved them the grief that came with his death in November 2016.
The survival rate of testicular cancer is exceptionally high if detected early – 97 out 100 Australian men will live over five years after their diagnosis.
Dr Zac Seidler, the co-lead author of the report and the global director of research at Movember, says that some of the most common preventable causes of death among men, such as coronary heart disease, lung cancer and stroke, “all require an ongoing relationship with the health system”.
The report acknowledges “we follow in the footsteps of, and owe a huge debt to, women and LGBTQIA+ health advocates who have shown the importance of an approach that takes full account of sex and gender”.
Roshan Karunaratne believes changing the narrative is vital so that men understand the best way they can support their loved ones is not suffering in silence but actually being transparent around health issues.
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