I've known I had apnea for decades. The last stay in the hospital encouraged me to get help. I now have a machine, but have much trouble with the masks. I have a thick mustache and beard. I can't stop leaking without having it so tight that it hurts my face or nose. I also have central apnea that causes a lot of my issues. I'm still working with my doctor but am ready to give up. I have lived 66 years without the mask, I probably have a few more years in me.