Climax in men is the age-related changes in the functional capabilities of the sex glands and the associated changes in the body, the work of a number of organs, and the quality of life. One third of men experience pronounced symptoms of the disease, the rest of the processes are asymptomatic.
Many authors consider the term “male menopause” itself to be incorrect, since men do not have such a sharp drop in hormone levels, and their reproductive ability often persists into extreme old age.
Nevertheless, there is no doubt that a decrease in the age production of androgens entails a whole cascade of pathological reactions from various body systems. The terms “male climax” in the special medical literature also correspond to the terms “andropause”, “age androgen deficiency”, “age hypogonadism”, “testosterone deficiency syndrome”, etc.
In men, menopause should normally occur later than in women and be accompanied by less noticeable symptoms. Bright symptoms of male menopause talk about a pathological menopause.
At what age does menopause occur in men?
Does it happen or not? Male menopause is a natural physiological process, characterized by the extinction of reproductive function, with a fairly broad age range.
Thus, menopause in men can occur before the age of 45 years (early menopause), the usual - from 46 to 60 years and late, coming after 60 years.
The timing of menopause is influenced by many endogenous and exogenous factors. First of all, it is a congenital weakness of the neurohumoral provision of sexual functions, impaired puberty, hypogonadism, cryptorchidism. Associated diseases have a powerful effect: hypertension, atherosclerosis, diabetes mellitus, all types of castration (traumatic, surgical, medical, radiation), ionizing radiation, alcohol and other chronic intoxications.
The hypothalamus changes with age, it negatively affects the pituitary gland. Subsequently, there are failures in the production of hormones, they are responsible for the stimulation of the testicles. After that, the level of testosterone in men decreases. Note that testosterone is of great importance for the male reproductive system. Responsible for the function of the appendages, testicles, seminal vesicles of the prostate glands. Testosterone produces high-quality sperm. Testosterone is also required for male libido.
Studies have shown that in the period from 30 to 40 years in the male body there is a decrease in the production of androgens by 1-3%. After 40 years, this process is greatly accelerated. By the age of 80, the level of sex hormones in men is on average 40-50% lower than the physiological norm to maintain normal sexual and reproductive function.
When testosterone levels decrease, hormonal disruption occurs, then the endocrine, sexual, and central nervous system is disturbed. Climax in men, as well as in women, leads to changes in the emotional sphere.
Symptoms of menopause in men
If women with menopause most often manifest quite characteristic symptoms, then for men they can be quite diverse and differing in strength. So some do not even notice his onset, while others cause severe psychological and physical discomfort.
In most cases, there are certain symptoms of male menopause:
- excessive sweating
- depressions, suspiciousness, irritability, conflict, apathy, lethargy,
- unreasonable fear, feeling of depression, anxiety, lack of interest in life,
- fast fatiguability,
- attention disorder, problems with concentration, forgetfulness,
Also during menopause in men, the symptoms begin to manifest themselves most clearly in violation of sexual function:
- libido, or libido, becomes weaker.
- Ejaculatory disorders appear in the form of delayed or premature ejaculation.
- erectile function falls.
The extinction of sexual function often becomes the cause of deep emotional experiences. Such symptoms may occur throughout the entire period of male menopause and have a different degree of intensity.
Menopause treatment in men
In the presence of menopause symptoms in men, treatment is carried out only after differential diagnosis with other diseases.
The principles of treatment for age androgen deficiency take into account the multifactorial nature of the violations and consist in an integrated approach. This treatment regimen includes:
- Treatment of concomitant or arising due to menopause diseases and functional disorders.
- Drugs that stimulate the synthesis of their own sex hormones.
- If your testes are not able to produce normal levels of testosterone, you may be prescribed hormone replacement therapy (exogenous testosterone). In bodybuilding, the same method is used for a quick and excessive set of muscle mass.
- Sedatives and antidepressants.
- Nutrition correction, vitamin therapy and exercise therapy.
- Correction of erectile dysfunction.
In addition to medications, the doctor will prescribe a certain lifestyle and physical education, fresh air and long walks.
For the treatment of male menopause, you can use proven folk remedies that necessarily bring relief from long-term, patient use.
- Hawthorn flowers. 3 tablespoons of hawthorn flowers poured 3 cups of unboiled water. Insist 8 hours, then boil no more than 7 minutes. After the broth is wrapped and insisted for half an hour. After straining, they drink 1 glass in the morning before a meal, during the rest of the day - after a meal. This decoction helps alleviate the symptoms of menopause.
- Motherwort grass, lemon balm leaves, hawthorn flowers, white mistletoe grass - in 2 parts and 1 part in buckthorn bark and viburnum. The infusion is also cooked and taken as previous.
- Perfectly improve the immunity: honey products, garlic, aloe leaves, chamomile, immortelle grass, birch buds, leaf and berries of lingonberry, berries of bird cherry, rhodiola rosea root, lemon.
Climax should be treated and can be. The effectiveness of treatment is largely associated with timely access to a qualified specialist.
Clinical manifestations - menopause symptoms
If the climacteric period in women has been studied in sufficient detail, then there are many unclear issues in the issues of male menopause, and systematic treatment with medicine has been proposed only in the last 10 years. The most accepted name for this period is the syndrome (complex of symptoms) testosterone deficiency (TDS). Wrong is the saying that male menopause occurs "in the head, not in physiology."
SDT is defined as the age-related decrease in the body of men of the production of the hormone testosterone, determined by biochemical analyzes and manifested by a number of clinical signs. By the age of 80, his blood content is 43% compared with men of 25 years of age. This decline occurs gradually after 30 years (approximately 1–3% per year), and menopausal symptoms in men 40–70 years old are observed in 30–70%.
Testosterone, whose concentration in the blood exceeds other androgenic compounds, is the main male sex hormone. 90% of it is synthesized in the testes, the remaining 10% - in the adrenal glands. The effect of testosterone on the body is expressed in:
- the degree of development of the genital organs, sexual attraction and sexual behavior,
- stimulation of the sexual function of organs, activation of spermatogenesis, effects on erection and ejaculation,
- the formation of secondary sexual characteristics (type of hairiness, coarsening of the voice, the distribution of subcutaneous tissue, the formation of the skeleton of the male type),
- build muscle and bone density,
- activation of metabolic processes — fat, carbohydrate, protein, mineral,
- effects on blood formation and cholesterol metabolism.
Based on this, it becomes clear that a gradual decrease in the level of testosterone leads to a decrease in sexual functions, a slowdown of metabolic processes and the appearance of certain symptoms. The main symptoms of male menopause:
- Endocrine and trophic disorders
fat deposition in the area of the mammary glands (gynecomastia) and abdomen, muscle and skin laxity, dry skin, hair loss, osteoporosis (bone loss, see causes and symptoms of osteoporosis), muscle soreness, an increase in blood lipoproteins (development of atherosclerosis, see treatment of cerebral arteriosclerosis) and sex hormone protein binding, anemia of varying severity.
blood pressure instability with a tendency to hypertensive crises, heart rhythm disturbances, aching pain in the heart area, feeling of lack of air, hot flashes to the head, face and hands, sudden sweating and redness of the skin of the face, neck and upper chest, dizziness, constipation.
mood imbalance with a tendency to depression, loss of memory and difficulty concentrating attention and thoughts, loss of interest and disability, sleep disorders, unmotivated fear and anxiety, apathy, irritability, low self-esteem.
- Urinary Disorders
decrease in sexual desire and sensitivity in the genital area, reduction of the testicles, decrease in mobility and the number of spermatozoa with a normal structure, urination disorders (increased frequency, nightly urge, urinary incontinence), benign prostatic hyperplasia (by 60 years in 60%).
The relationship of systems in the body
The climacteric period is a regular physiological stage of aging, during which age reorganization of the whole organism occurs. Initially, young people have different levels of testosterone in their blood, depending on their individual characteristics, diseases, type of diet and lifestyle, etc.
In the presence of aggravating factors, the content of testosterone is 10–15% lower, but the age rates of its decrease are the same. As the hormone decreases in the blood, signals enter the regulatory structures of the brain (pituitary and hypothalamus), in response to which they produce an increased amount of luteinizing hormone, which stimulates testosterone production by the testes.
With age, self-regulation and sensitivity of the testes to the stimulating hormone decrease. Since the decrease in testosterone occurs quite slowly and smoothly, many men do not experience any subjective feelings in this regard. In certain cases, the decrease in testosterone does not occur smoothly, but faster than necessary, which leads to the corresponding symptoms.
When menopause in men of the same age, the severity of symptoms is not the same. It fully correlates with the magnitude and speed of testosterone decline. The abundance and variety of symptoms is not just an innocent manifestation of the process. It testifies to the involvement and complete interdependence of all systems and organs.
Reduction of sex hormones leads to changes in the functions of the cerebral cortex, manifested in the psycho-emotional sphere, to disorders of the regulatory function of the central nervous system, to the development of vascular atherosclerosis and ischemic heart disease, to arterial hypertension, heart failure and other disorders.
The function of the digestive tract, endocrine glands (pancreas, thyroid, parathyroid) also changes, which is often manifested by thyrotoxicosis, the development of osteoporosis of bones, and diabetes mellitus. The immune status of the organism also decreases.
But at the same time, the presence of chronic diseases already contributes to the earlier occurrence and more rapid development of menopause and aging of the body.
For example, Polish experts at a medical university in Wroclaw conducted studies and found that the symptoms of androgen deficiency are 4 times more common in men with heart failure, and the symptoms of male menopause are much more pronounced.
Its development is influenced not only by many chronic diseases, especially myocardial infarction, hypertension, thyrotoxicosis and hypothyroidism, and liver diseases, but also:
- poor nutrition and alimentary obesity,
- intoxication on “harmful” industries, as well as chronic nicotine, drug and alcohol intoxication, ionizing radiation,
- adverse environmental environment (air, food, water).
- frequent stress conditions and chronic neuropsychic overwork, depression,
- benign and malignant diseases of the prostate, injuries and inflammation of the testes and prostate,
- anti-tuberculosis, glucocorticoid and anabolic, anti-epileptic and anti-sclerotic drugs, antidepressants and some others.
Diagnosis and treatment of male menopause
In the presence of menopause symptoms in men, treatment is carried out only after differential diagnosis with other diseases. It is based on a survey and examination of the patient, on carrying out spermograms and general clinical tests, establishing the hormonal profile of the blood (total and free testosterone, luteinizing and follicle-stimulating hormones, prolactin, estradiol), ultrasound of the pelvic organs, computed tomography of the skull, on the identification of associated chronic diseases .
One of the main tests is the study of the content of testosterone in the blood plasma, which is carried out on an empty stomach in the morning. Normally, the lower limit of total testosterone is 12 nmol / l, free - 250 pmol / l. These analyzes are repeated to evaluate dynamic changes.
The principles of treatment for age androgen deficiency take into account the multifactorial nature of the violations and consist in an integrated approach. This approach includes:
- Testosterone derivative replacement therapy. These drugs for menopause in men are prescribed with a decrease in total testosterone below 8 nmol / l, free - below 180 pmol / l. In rare cases, they are prescribed in the absence of a pronounced decrease in testosterone, since the sensitivity of peripheral receptors to it can be reduced.
- Drugs that stimulate the synthesis of their own sex hormones.
- Sedatives and antidepressants.
- Correction of erectile dysfunction.
- Treatment of concomitant or arising due to menopause diseases and functional disorders.
- Nutrition correction, vitamin therapy and exercise therapy.
It is more convenient to buy drugs to increase potency in online pharmacies (for example, here), because it is anonymous and prices are lower.
The main testosterone drugs for male menopause:
- in capsules - Andriol,
- injection - Sustanon (a mixture of 4 testosterone esters), Omnadren, Sustaretard, Testosterone propionate, Tetrasterone, etc.,
- transdermal (in the form of a skin patch with androgens), dihydrotestosterone applied to the skin in the form of a gel.
Is menopause dangerous for men?
Despite the fact that male menopause is a natural extinction of reproductive function, a decrease in testosterone somehow leads to negative changes in the body’s work:
- the production of low-density lipoproteins increases, which form atherosclerotic plaques, clog up blood vessels and provoke dangerous cardiovascular diseases,
- decreased libido and interest in sexual intimacy, the man becomes insecure, irritable and restless,
- the amount of muscle mass decreases, the belly begins to grow, metabolic processes are disturbed and the risk of developing type 2 diabetes increases,
- decreases bone mineral density, increases the likelihood of osteoporosis, the appearance of dislocations and bone fractures,
- skin aging is accelerated, new wrinkles appear, hairs on the head and the whole body fall out,
- man loses interest from active life, does not find strength for sports and professional growth.
Not only in women, but also in men, menopause may also be accompanied by severe symptoms and require treatment. It is important to start taking testosterone in time to prevent its sharp decline. Not only the mental but also the physical condition of the man largely depends on the correctly chosen treatment of menopause.
How can male climax manifest itself
Androgenic deficiency can affect the work of virtually all internal organs. Symptoms of menopause in men cover mainly the sexual, musculoskeletal, cardiovascular and central nervous systems. Often, men ignore the problem, try to get involved in their work, hide their feelings and health complaints even from close people.
If the first signs of climacteric changes occur before the age of 45, experts say about the onset of an early male menopause. The condition requires hormonal treatment. Otherwise, the man will begin to age quickly and he will have problems with his heart, blood vessels and other internal organs.
Usually the symptoms of menopause in men occur at the age of 55-60 years. But hormonal changes in the body appear much earlier. Just a man for a long time does not notice them.
The main symptoms of male menopause:
- loss of libido, disappearance of spontaneous erection in the morning, premature ejaculation,
- increased sweating, hot flashes,
- blood pressure fluctuations
- frequent urination,
- mood disturbance, sleep disorders,
- attacks of heartbeat.
There may be other signs of menopause in men associated with impaired functioning of the heart, endocrine glands and digestive organs. Some patients note a decrease in intestinal tone and a tendency to constipation and flatulence. Climax is the period when the risk of progression of atherosclerosis, diabetes mellitus, arthrosis and other chronic diseases is increased.
What happens in a man's body
The main male sex hormone, testosterone, is secreted in the testicles and adrenal cortex. Since the age of 35 years, its amount decreases by about 1-2%. The natural extinction of sexual function is a decrease in testosterone synthesis and an increase in the action of estrogen. Against the background of menopause, the work of the hypothalamic-pituitary system changes, but in most cases the final extinction of the reproductive functions does not occur. And if you wish, a man can maintain a relatively high level of testosterone in the body, in order not only to maintain sexual activity, but also his own health.
Testosterone affects bone and cartilage tissue, elasticity and vascular tone, and psyche. The longer a man feels his physical strength, the more stable his psycho-emotional state. Therefore, it is important to provide a gradual and imperceptible aging. To maintain an interest in life, a man needs to feel attracted to the opposite sex, to feel necessary and important. And it is almost impossible without a consistently high level of testosterone.
This video details the signs of male menopause and how to treat it.
Determine androgen deficiency
Androgen deficiency is the main symptom of male menopause, requiring hormonal treatment. Symptoms alone are not enough to prescribe hormone replacement therapy, especially in middle age.
Which doctor should I contact?
To assess the level of testosterone, a man must make an appointment with an andrologist or urologist. The doctor may advise to fill out a questionnaire, the results of which are easy to assess the patient's complaints. Men are often shy to talk out loud about their problems. It is easier for them to fill out a special questionnaire and pass it on to your doctor
The main method of examination for suspected active development of male menopause is to determine the level of biologically active testosterone during laboratory blood tests. Diagnosis is carried out only from 7 to 11 am (during the period of the greatest hormonal activity).
Additional diagnostic methods for male menopause:
- rectal examination of the prostate
- Ultrasound of the scrotum and prostate gland,
- ultrasound examination of penile vessels,
- determination of PSA (increase in serine protease indicates prostate hyperplasia, including its malignant degeneration),
- determination of blood glucose level
- ECG, assessment of vascular status and patency.
Donating blood for prostate-specific antigen (PSA) is recommended for all men over 35-40 years old. This is the age when the first symptoms of male menopause may occur and the prostate gland disease progresses. With an increase in PSA, it is necessary to urgently determine the cause of prostate damage and prescribe an effective treatment.
Additionally, it is recommended to examine the musculoskeletal system, especially if a man complains of pain in the joints and bones. A decrease in testosterone can accelerate the development of arthrosis, arthritis, including rheumatoid form, osteochondrosis.
What is climax?
In the life of any person, a time comes when his body begins to age. The course of withering is accompanied by age-related changes in all systems, and the extinction of the sexual sphere is no exception. The onset of menopause is defined as the cessation of the sex glands and the reduction of hormone levels in the blood. Do men have menopause? This term is applicable not only to the female half, there is also a male menopausal syndrome, which should be distinguished from impotence.
In women, menopause stops menstruation and the ability to reproduce is lost. Menopause in men - andropause - is caused by a decrease in the amount of testosterone produced, and the childbearing function remains almost until the end of life. Therefore, some scientists prefer to use the term “partial androgen deficiency”, which is manifested by a decrease in sexual activity, psychoemotional instability, hot flashes, and diseases of other body systems.
So, what is male menopause? This is the hypodynamia of the genital glands, as a result of which there is a lack of secretion of specific hormones - androgens. In the body between the hypothalamus, pituitary, and testes, the message responsible for the reproduction of steroid male hormones is broken. Changing the function of the hypothalamus affects the pituitary gland as the main endocrine gland, as a result of which the hormonal production of the testes and the sex glands is disrupted.
In the glands, testes, the secretion of testosterone, a hormone that is important for regulating the functions of the entire sexual sphere of a man, decreases:
- seed plants,
- seminal vesicles
- prostate gland.
Testosterone stimulates the production of sperm, determines libido, affecting orgasm and sexual arousal. The decrease in its level changes the hormonal balance of the body, affects the potency of men and the work of the endocrine region, the central nervous system. For these reasons, the male climax is accompanied by changes in the emotional state and in the deterioration of the quality of life.
It was not possible to accurately determine the age of onset of male menopause, but the early stages of occurrence associated with an increase in negative external circumstances and physical inactivity are increasingly being diagnosed. Defining how many years the first signs of male menopause appear, the following stages are distinguished:
- Early. Characteristic for the age of 45-50 years.
- Usual. The period of life is 50-60 years.
- Late. After 60 years.
According to medical statistics, in the third part of men, the symptoms are clearly pronounced, in the rest, menopause occurs without obvious symptoms. Mostly, menopause is expressed in the extinction of erectile dysfunction, which is a serious problem of psychological male condition and health. Other signs may occur in all differently, especially individually. Typical symptoms of menopause in men after 50 years:
- sudden jumps in blood pressure
- premature ejaculation
- frequent shortness of breath,
- excessive sweating
- recurring headaches
- high irritability, alternating with apathy, depression,
- urination problems,
- weight gain, up to obesity,
- memory problems
- laxity of the skin, muscular lethargy,
- joint pain
- breast enlargement
- reduced sperm count
- problems with erection, lack of sexual desire,
- general physical weakness
- capricious, hysterical state.
Why men develop menopause?
The period of menopause in men is called andropause, that is, the cessation of the release of male sex hormones - androgens. Its second name is a syndrome (combination of symptoms) of testosterone deficiency.
And indeed, if at the age of 25-34 years, the level of free, that is available for tissues, testosterone is 0.33-0.53 nmol / l, in 35-44 years it is already 0.32-0.4 nmol / l then with the onset of andropause its concentration decreases to 0.22 nmol / l. It must be said that 90% of this hormone is produced by the testes, and only 10% by the adrenal glands.
The mechanisms for the development of male menopause differ depending on age. So, up to 50 years is a dysfunction of the main endocrine organs, hypothalamus and pituitary. They produce hormones that “give the command” to the endocrine glands of a lower order (in this case, the testes and adrenal glands) to work out this or that hormone. At this age, the pituitary gland begins to secrete less follicle-stimulating hormone (FSH), as a result of which sperm formation is reduced, it also reduces the production of luteinizing hormone (LH), which gives rise to male sex hormones (mainly testosterone).
At 50-70 years, the lack of male hormones is already associated more with a decrease in their production in the testicles, since the glands that synthesize sperm cells are replaced with scar-like tissue.
After 70 years, when the manifestations of menopause almost do not cause discomfort, testosterone almost ceases to be produced in the testicles, even despite the "pushing" of their hormones LH and FSH.
Despite the age at which there was a deficiency of androgens - after 50 years or earlier - the main manifestation of menopause in a man will be a violation of his sexual function.
Classification and causes of andropause
Depending on the age at which a man has menopause, he is classified as early or late. In the first case - its initial signs appear before 45 years, in the second - after 60 years.
It is impossible to predict when there will be a decrease in the production of androgens, but the chances of developing early menopause increase with:
- burdened in this respect heredity: when the father’s age androgenic deficiency also occurred before 45 years,
- smoking and alcohol abuse, which leads to disruption of the blood supply to the testes,
- occupational hazards, especially exposure to the genitals of vibration and radiation,
- frequent trauma to the testicles,
- sedentary lifestyle
- testicular tumors
- frequent inflammations of the urinary or genital organs, to which sexual activity often leads,
- surgery on the testicles, pituitary, or hypothalamus,
- diabetes mellitus, which changes the structure of all vessels, including those that carry blood to the testicles,
- often or constantly elevated blood pressure, which changes the structure of blood vessels, and those that feed the male genitals,
- atherosclerosis of the pelvic vessels,
- taking some drugs: antidepressants, glucocorticoids, anti-tuberculosis antibiotics, anabolic steroids, long-term production of drugs that reduce acidity.
When menopause begins after 60 years, it indicates a good heredity and a healthy lifestyle of a man.
How to recognize the onset of menopause?
The course of andropause may be physiological (within the age norm), or pathological (painful). In the second case, the man has symptoms of the urinary organs, the cardiovascular system, and neurotic disorders. The severity of manifestations of andropause is individual, this phenomenon lasts no more than 5 years (if longer, you need to be examined for the presence of tumors).
How the menopause proceeds is partly dependent on how many years the first manifestations have appeared: the earlier the process began, the more usually it is more difficult.
The first symptoms of menopause in men are:
- Fatigue, which cause even small loads.
- Shortness of breath and general weakness after exercise.
- Emotional lability: a man is easily irritated, prone to depression.
- Problems with sex life: decreased sexual desire, delayed ejaculation or premature ejaculation, difficulty in achieving an erection.
- Violations of the urinary organs: frequent urge to urinate, “weak” jet, possible bed-wetting. These manifestations may also indicate the development of adenoma - an increase in the volume of prostate tissue. The latter, being a tract in which part of the urethra runs, as it develops, it begins to compress it.
After the first symptoms, if the decline in testosterone is slow, menopause is manifested by increased perspiration, decreased hair growth on the face and body, and fat deposition in the abdomen and thighs. A man begins to suffer from insomnia, becomes inattentive, loses interest in life and may complain of constantly poor overall health. His skin acquires dryness and pallor, which is caused by a decrease in the production of red blood cells in the bone marrow, and, accordingly, anemia.
There are also "hot flashes" - heat in the face and neck, accompanied by their redness. Without a reason, the head starts to hurt, and this can last for several days, sometimes it causes a noise in the ears. In some men, there is a deposition of fat in the chest.
Even if a man does not feel any special changes in health, which happens when he does not have chronic diseases of the genital organs, the heart and the thyroid gland in combination with a gradual decrease in the level of androgens in the blood, the metabolism, for which testosterone was previously responsible, is disturbed. Thus, the bones become more fragile (a relatively small injury can cause a fracture), fat metabolism changes, resulting in a tendency to the deposition of atherosclerotic plaques in blood vessels, reduced levels of immune protection, and the digestive tract suffers.
Pathological course of age-related testosterone deficiency is characteristic of 20% of men. Persons suffering from a heart attack, hypertensive disease or disorders of the thyroid gland, working for a long time in hazardous industries or undergoing continuous intoxication (including alcohol) are susceptible to it.
How does menopause in men when it is considered pathological? Observed symptoms of the nervous and cardiovascular systems. For the first, either excitability, alternating with severe fatigue, or, conversely, severe apathy, low-emotionality, memory impairment, and depression are characteristic.
Changes in the cardiovascular system occur in one of three “scenarios”: hypertensive, angina pectoris, and vasoregulatory asthenic.
- Hypertensive version of menopause is characterized by "jumps" in blood pressure. This is accompanied by headaches, the appearance of "flies" before the eyes, nausea, weakness, pain in the heart.
- With a stenocarditic form, pain in the heart or "heaviness" / discomfort behind the sternum, shortness of breath, and they occur after exercise.
- Vasoregulatory-asthenic "scenario" develops due to insufficient blood supply to the tissues. This is weakness, fatigue, not associated with physical activity.
Diagnosis and treatment of the condition
Treatment of male menopause can only be started when, with the help of various studies, the doctor excludes the presence of cancer, benign tumors, inflammations, or autoimmune thyroid disorders. Instrumental (ultrasound of the thyroid gland, heart, pelvic organs, brain MRI) and laboratory (general blood tests, sperm, determination of prostate-specific antigen) methods are used for this.
When all these diseases are excluded, in order to prescribe the correct treatment, the andrologist or urologist needs to know the level of total and free testosterone in the blood. Depending on the results of this analysis, such groups of drugs for menopause can be used:
- Drugs based on testosterone ("Testosterone propionate" "Andriol", "Sustanon" gel based dihydrotestosterone). Usually prescribed when a man’s free testosterone decreases below 180 pmol / l, less commonly used when this androgen is at the lower limit of normal.
- Drugs that stimulate the production of their own androgens.
- Medications that correct erectile dysfunction: based on herbal remedies (tincture of ginseng, Immun lucram, Panaxel), phosphodiesterase inhibitors (active ingredients sildenafil, vardenafil, tadalafil).
- In the presence of chronic infectious processes, antibiotics are prescribed.
- In the case of pronounced disorders of the emotional sphere during menopause, antidepressants are used ("Triprizol", "Deprenon") and sedatives ("Novo-Passit", "Sedasen").
- Cardiac abnormalities are treated by a cardiologist depending on the results of the examination (cardiogram, ultrasound of the heart, Holter (daily) cardiogram tracking and blood pressure).
- In case of pronounced disorders of fat metabolism and high cholesterol, medications from the groups of statins and fibrates are prescribed.
In the treatment of menopause, a man should definitely eat fully, eating walnuts, honey, celery, parsley, citrus fruits and dairy products. It is important for men in the menopausal period to sleep for sufficient time, to walk in the fresh air, to apply small (in agreement with the cardiologist) physical exertion.
If necessary, prescribed physiotherapy treatment, classes are held with the psychotherapist. Treatment with herding bag of shepherd's purse, hawthorn, St. John's wort, fragrant spruce perfectly complements drug therapy.
Features of treatment
Menopause treatment in men is carried out by andrologists and urologists. Additionally, you may need to consult specialized specialists: cardiologist, general practitioner, gastroenterologist, oncologist.Despite the natural course of male menopause, one should not ignore its symptoms and refuse hormone replacement therapy.
Drug treatment can eliminate the signs of androgen deficiency in men. Testosterone is prescribed only after exclusion of the oncological lesion of the prostate gland during the complex diagnosis and determination of the level of prostate-specific antigen in the blood.
Hormone therapy is prescribed with long courses, and after cessation of the production of one’s own testosterone, for life. It is important to regularly monitor the condition of the prostate gland and conduct laboratory studies, as well as an ultrasound examination of the prostate.
Prescription of testosterone makes it possible to eliminate the main symptoms of male menopause and prevent life-threatening complications. Also, drug therapy significantly improves the quality of life of a man and allows him to maintain the necessary level of physical and social activity.
Hormone treatment includes the use of testosterone in different dosage forms. A man can use patches, gels, creams, subcutaneous implants, solutions or tablet preparations. With early menopause, men are prescribed medications that stimulate the synthesis of their own testosterone.
For the relief of pathological manifestations of menopause, use other methods of treatment:
- radon mud baths
- physiotherapy, electrosleep,
- antidepressants and lung sedatives.
In case of pronounced changes in the psyche, a feeling of depression and irritability, consultation of the psychotherapist is necessary. To normalize sleep and restore psycho-emotional balance, it is better to use herbal remedies with a mild sedative effect. But they need to take long courses, as they differ cumulative effect.
Folk treatment and recovery of libido
Folk treatment of male menopause has been used for more than one century. There are plant extracts that contain aphrodisiacs and substances that increase the level of testosterone.
The main such tool is considered ginseng. The root of this plant is actively used in the East. It is there that men differ in fertility and almost imperceptible aging.
Ginseng is part of many dietary supplements. But before using them, you should carefully examine the composition and consult with your doctor. It is best to use ginseng root without foreign components that may be harmful to health.
Another proven remedy for the fight against sexual disorders in the male climax is royal jelly. His take courses for several months. The effectiveness of royal jelly depends on the correctness of its use. You should not purchase a tool in questionable places. Ideally, you should buy royal jelly from beekeepers and use it directly in the apiary. In this case, you will be confident in the effectiveness and safety of the method of national recovery of libido.
Royal jelly is a natural biostimulator. It supports the hormonal activity of men of young and middle age and does not allow premature extinction of reproductive functions. Milk is absorbed in the mouth on an empty stomach. For one use, the entire amount of the pea is sufficient. More information about him can be found in the article Bee Royal Jelly - Royal Jelly.
To achieve a more rapid and pronounced effect from the use of folk methods of restoring erection and libido, you can use the beaver stream. It is a musky gland that can restore potency and deal with many other problems. The beaver stream helps with chronic inflammatory processes, heals the prostate, strengthens the immune system and has been used for the treatment of neurological diseases for many years.
To prepare an effective folk remedy to maintain the body of a man during menopause, the beaver stream must be crushed and infused for 2 weeks on vodka. The product has a specific smell, which persists for a long time, especially on wooden objects. Drink the tincture of 5-7 drops daily after a meal, drink some loose coffee (it discourages unpleasant taste).
The onset of male menopause can slow down and minimize its impact on the body and quality of life. To do this, you simply need to consult a doctor, determine the level of testosterone and PSA and begin hormone replacement therapy, which can be supplemented with proven popular methods. The main thing - do not hush up the problem and do not hesitate to contact the doctors. The quality and longevity of a man depends on it.
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The mechanism of development of male menopause
A natural biological process characterized by pronounced pathological changes in the functioning of the sex glands is called menopause or andropause. The main reason for the development of such a state is to reduce the secretion of the hormone testosterone. As a rule, such menopause in men occurs in the age range from 50 to 55 years.
The causes and mechanisms of andropause in men differ according to age. For example, the male climacteric syndrome, which occurred earlier than 50 years, is a consequence of the disruption of the functioning of the main endocrine organs (hypothalamus, pituitary), which produce tropic hormones that regulate the work of the sex glands (testicles) and adrenal glands.
With the onset of andropause at this age, the pituitary gland synthesizes less follicle-stimulating and luteinizing hormones, resulting in a decrease in the amount of sperm and male sex hormones (androgens) that are formed. age-related changes in the structure of tissues in the glands.
Causes of menopause in men
The main reason for the development of andropause is the general aging of the body.But there are a number of additional factors that determine when a male climacteric syndrome occurs in a strong male:
- genetic predisposition
- alcohol abuse, smoking,
- failure to follow a diet (eating fatty, salty, sweet foods),
- occupational hazards (radiation, chemical vapors, etc.),
- testicular injury
- sedentary lifestyle,
- malignant and benign tumors of the testes,
- chronic inflammatory diseases of the genitourinary system,
- surgery on the testicles, pituitary, or hypothalamus,
- the use of certain medications: glucocorticoids, antidepressants (mainly MAO inhibitors), antibiotics, etc.,
- atherosclerotic lesion of the pelvic vessels,
- thyroid pathology (thyrotoxicosis, thyroiditis),
- constant stress, depression,
- formed cryptorchidism.
Treatment of male menopause
After the diagnosis of male menopause, the doctor prescribes a complex therapy, which is a medication and non-drug treatment (physical therapy, massage, diet, physical therapy). To successfully eliminate the symptoms and maintain the body, the doctor prescribes the following medications:
- Pharmaceutical drugs based on testosterone (for example, Andriol, Sustanon). Provide replacement therapy with insufficient production of its own hormone.
- Medicines that stimulate the production of their own androgen hormones (Androgel, Nebido).
- In case of violation of erectile function, Immunal, Panaxel, Sildenafil, Tadalafil, ginseng tincture are used.
- In severe emotional disorders, the use of antidepressants (excluding MAO inhibitors) is indicated, for example, Sedasen, Novo-Passit.
- The presence of infectious diseases of the urogenital system requires the appointment of antibiotics (Ampicillin, Cephalosporin).
- Marked metabolic disorders are treated with drugs of the group of statins and fibrates (Lipanor, Bezalip).
During therapy, a man needs to eat a full and balanced diet; walnuts, fresh vegetables, fruits, dairy products, honey, and celery should be included in the daily menu. In addition, you should observe the daily regimen, perform a daily set of physical exercises (in the absence of contraindications). If there are depressive states, the doctor should schedule a conversation with a psychologist or psychotherapist.
To maintain men's health and reduce the manifestations of menopause, various vitamins are prescribed.:
- Retinol and vitamin E are antioxidants that help slow down the aging process, and under their influence, cell renewal processes are more intense.
- B vitamins support a normal level of metabolism and other important processes in the body,
- Vitamin C contributes to the normal state of the human immune system.
Menopause prevention in men
To prevent the development of menopausal syndrome, men should follow the following recommendations:
- after reaching the age of 40, regularly visit the urologist,
- lead an active lifestyle
- follow the principles of healthy eating with a minimal amount of fatty, spicy, sweet and salty foods in the diet,
- control body weight
- avoid stress, nerve strain,
- observe the mode of work and rest,
- get enough sleep.
Difference of female menopause from male
During menopause, changes occur in the woman's body, leading to a decrease in the level of sex hormones and the cessation of menstruation. As a result, the reproductive function is lost completely. The symptoms of menopause in men and women are similar in sensation, but with the completion of the menopause, the stronger sex retains the ability to continue the race, sometimes up to the very last years of life.
In the male body, a decrease in the production of the main sex hormone (testosterone) and the number of viable sperm cells is observed with age, but the reproductive function does not disappear anywhere.
More than 90% of women of mature age suffer climacteric manifestations both physically and morally, while not every man notices these signs. Andropause in men is often almost asymptomatic.
In general, we can note a great similarity between the physical sensations that the representatives of both sexes experience with the onset of menopause. Problems with the emotional background are also frequent, since for most people climacteric age symbolizes the onset of old age.
Causes of early and late menopause
When the first signs of andropause in a man make themselves felt after the age of 50 years, such an indicator is considered to be the norm. Unfortunately, over the past decade, early menopause has become a frequent occurrence, which overtakes men at the age of forty and even earlier.
In addition to genetic features, a number of negative factors contribute to the premature reduction of testosterone levels and the onset of male menopause, including:
- Alcohol abuse, nicotine or drug addiction,
- Sedentary lifestyle,
- Unhealthy food,
- Poor environmental conditions,
- The irregular sexual life of a man, the absence of a regular partner, promiscuous sex,
- Severe stress, chronic depression,
- Disproportionate loads and lack of rest,
- Sleep disturbance,
- Sexually transmitted diseases
- Surgical castration.
Each of these points can lead to the fact that by the age of 40 male health will decline. Drug treatment, which is usually prescribed in a similar situation, gives results. But it should be understood that male menopause is still not a disease, but a natural process for the body.
It is best for men who lead a healthy lifestyle to postpone its onset and smooth out the symptoms. In such cases, we can talk about the onset of andropause after the age of 60 years, that is, about the late male climax.
Signs of menopausal men’s period are quite numerous. Sometimes they appear separately, but sometimes men have to go through a whole complex of depressing symptoms. Unfortunately, menopause affects not the best way on the appearance of men. Changes occur against a background of hormonal imbalance, and it looks like this:
- There is laxity of muscle tissue and skin,
- There is a thinning of hair on the head,
- Often begins obesity for the female type, that is, body fat accumulates on the hips, waist and in the area of the mammary glands of men.
To minimize the appearance of external signs of menopause, a man needs to review the diet, eliminating from it products that promote weight gain, get rid of bad habits and devote more time to sports.. Without positive changes in lifestyle, it is practically impossible to achieve good results either with folk remedies or with medication, even at a young age.
Andropause causes in the male body such reactions as:
- Hot flashes - a sudden and sharp sensation of heat, accompanied by reddening of the skin and increased perspiration,
- Labored breathing,
- Pressure drops, hypertension,
- Fatigue, drowsiness,
- Constant urge and painful urination,
- Discomfort when bending the joints.
It should be noted that not always listed symptoms are signs of the upcoming male menopause. Perhaps they indicate the presence of diseases that are not associated with hormonal changes in the body, so a visit to the doctor should not be postponed. Chances are that a simple course of therapy will relieve a man of frightening sensations.
Alas, the most unpleasant, in the opinion of most men, the "side effect" of andropause are problems in an intimate sense. Among them:
- Decreased libido,
- Erectile dysfunction, no morning erection,
- The weakening of the brightness of sensations during intercourse,
- Lack of orgasm
- Reduced intimacy and premature ejaculation
- Lack of sexual desire on the background of menopause during normal erection.
Traditional methods of treating disorders of this kind include the use of drugs, as well as popular ways to fight for a full sex life. Again, to achieve a prolonged positive result, cardinal changes in the lifestyle and attitude of the man to his health are necessary.
Treatment of menopause in men should only be prescribed by a specialist after the patient has undergone a full medical examination.
Folk remedies for male menopause should also be used with great care, observing the dosage. Sexual disorders are treated with course therapy, so the man will have to be patient.
Depression during menopause is a common phenomenon, because a man is experiencing not the most pleasant period of his life. Worsening of well-being, external changes, and especially failures in the intimate sphere, undoubtedly leave a negative imprint on the emotional background, lead to stress and depression. Its signs are:
- Apathy, lethargy, lack of interest in life,
- Change in eating behavior, the tendency to overeating,
- Appearance of bad habits
- Search for sexual entertainment "on the side" in the hope that fresh sensations will return youth and strength,
- Irritability, moodiness, outbursts of anger,
- Thought men about suicide.
The greatest danger of a depressive condition is that such manifestations only aggravate the problem, adversely affecting physical well-being, appearance, and male consistency. As mentioned above, stress is one of the factors approximating the onset of male menopause and enhancing its symptoms.
Prolonged depression needs to be treated. If the condition is mild, help folk remedies, such as herbal infusions and diets. From deep depression, you can “get” a person only with the use of drug treatment, after several sessions of work with a psychologist or psychiatrist.
When a man understands what constitutes andropause, he reasons sensibly and does not panic, because menopause is a temporary phenomenon that needs to be experienced with minimal losses. And for this it is extremely important to take care of yourself in order to avoid the development of such diseases as:
- Heart attack
- Thyroid dysfunction and others.
This whole "bouquet" is going to the field of its own irresponsibility.And the prerequisites were described earlier, and they boil down to a single definition: unhealthy lifestyle! Of course, there is a genetic predisposition to a particular disease in each person, but this does not mean the inevitability of the disease and its progression.
The first step of a man on his way to getting rid of anxious symptoms is a medical examination. It includes:
- Blood test,
- Prostate ultrasound,
- Sperm analysis
- Study of the patient's hormonal background.
Perhaps the doctor will prescribe additional tests and tests that will make the overall picture clear. Based on the results, the specialist will prescribe a course of drug therapy, and will monitor the treatment process and the changes it will bring. If a man is determined to maintain his health, he should be ready for frequent meetings with the doctor.
There are many drugs that can significantly alleviate the fate of men in the period of andropause, and gently stabilize his condition. For example:
- Hormonal drugs
- Sedative drugs
- Dietary supplements,
- Antidepressants of plant or synthetic origin,
- Immunomodulatory agents
- Preparations for the restoration of potency and other.
The choice of medication is the responsibility of the doctor. Self-administered treatment, at best, will not bring the desired results; at worst, it will add health problems.
A visit to the bath (if there are no medical contraindications), wellness massage, physiotherapy, herbal medicine, therapeutic baths, walks in the fresh air and moderate exercise (cardiac stimulation) are all effective ways to overcome the difficult life phase and significantly reduce the climacteric period.
Do not give up, do not panic and do not fall into a man’s loving family should help. Do not blame him for the loss of form, he himself terribly worried about this!
It is better to support a person with a joint approach to the doctor, a confidential conversation and a full understanding of the problem. If the beloved spouse feels necessary, desired and interesting, he will cope with the misfortune much faster and return to the full life of the family man, no matter what difficulties may be in his way.
Male menopause is not a sentence or the end of life, but the beginning of its new round, in which there is a place for everything: tasty food, good wine, career growth and good sex, if you take the problem rationally and calmly.
Description of the disease
Climax in men is the age-related changes in the functional capabilities of the sex glands and the associated changes in the body, the work of a number of organs, and the quality of life. One third of men experience pronounced signs of the disease, the rest of the processes are asymptomatic.
A complex restructuring of all body systems is associated with the onset of male menopause, and sexual function undergoes special changes, since it is characterized by hypodynamia of the glands, leading to insufficient secretion of certain hormones. The connection between the hypothalamus, the pituitary gland and the testes, which is responsible for the production of androgens, the steroid hormones of the sex glands, is upset.
Age-related changes in the functioning of the hypothalamus have a direct impact on the pituitary gland as the main endocrine gland. As a result, there are disturbances in the production of hormones, which are responsible for the stimulation of the sex glands of men - the testes. They undergo degradation processes: the secretory tissue is replaced by connective and adipose tissue, which leads to a decrease in testosterone secretion.
This hormone is very important, it regulates the work of the testes, appendages, prostate gland, and seminal vesicles. It also stimulates sperm formation, moreover, it determines the libido, the intensity of orgasm and sexual arousal.
A decrease in testosterone affects the hormonal balance, affects the functioning of the sexual, endocrine and central nervous system. Therefore, male menopause may cause changes in the emotional state of a person.
The decrease in the level of androgens has led to the appearance of the term andropause, which is essentially an alternative designation for male menopause.
Do men have menopause?
Speaking of female climax or menopause, refer to the cessation of menstruation and the possibility of childbearing. During andropause, the testes do not stop working, only the amount of testosterone secretion decreases. Male reproductive function is preserved until old age or death.
In addition, the decrease in the level of hormones in the body of a man occurs gradually, which is why some scientists disagree with the term "andropause" as applied to this situation. A more precise definition is partial androgen deficiency.
Do not confuse male menopause with impotence. These concepts are not identical. Male menopause is associated with a decrease in fertility - a decrease or absence of live, capable of fertilization, active sperm, as well as the fall or complete disappearance of sexual desire. At the same time the erection remains. While impotence involves damage to erectile function, which leads to an erection, insufficient for the implementation of natural sexual intercourse.
At what age men have menopause?
According to studies, androgen production begins to decline after 30 years and reaches 1-3%. When a man overcomes the 40-year-old frontier, this process can be greatly accelerated and by the age of 80, the indicator of sex hormone levels is about half the physiological norm that is capable of maintaining sexual and reproductive function in the norm.
Male menopause can begin at different ages. If its symptoms appear before the age of 45, this is an early menopause, in 50-60 years it is normal, the onset of symptoms after 60 is considered late.
Male menopause is associated with general aging of the body, so it cannot be avoided, but there are factors that contribute to its early onset:
influence of toxic substances
violation of blood flow in the testicles,
neoplasms of benign and malignant nature in the testes,
inflammatory genital diseases (orchitis, orchiepididymitis, epididymitis),
Symptomatology of male menopause is manifested earlier and more strongly in those who lead a sedentary lifestyle, suffer from chronic diseases and have an unstable nervous system.
Education: The diploma in the specialty “Andrology” was obtained after passing residency at the Department of Endoscopic Urology of the Russian Academy of Medical Education at the Urology Center of the Central Clinical Hospital №1 of Russian Railways (2007). Here was completed graduate school by 2010.
Climax in women is a special period in the life of every woman, usually at 48 ± 3 years, accompanied by a decrease in the level of sex hormones and the gradual loss of reproductive function. In medicine, menopause is a chain of physiological events stretched over time. In various sources, menopausal adjustment lasts up to 10 years. Proper organization.
Tides during menopause is a problem familiar to the vast majority of women of "piquant" age. The basis of such unpleasant physiological manifestations is a decrease in the level of female sex hormones and, as a consequence, the inevitable age-related restructuring of the entire female body ..
Dill water helps to remove the negative symptoms of menopause, reduce the number of hot flashes and normalize sleep. For its preparation, 3 tablespoons of dried dill seeds should be poured with half a liter of boiling water and let it brew for one hour in a thermos.
The climacteric period is a serious test for every woman, and it is necessary to approach this inevitable problem with a certain theoretical background. In essence, menopause is not unnatural, but the conditions that arise at this time can be very disturbing and unpleasant.
Treatment of hormonal disruption in phytotherapy has a comprehensive approach and includes plants rich in phytohormones - substances of plant origin that, when ingested, show activity characteristic of natural human hormones, but are several times weaker.
Causes of manifestation
The causes of menopause in men is the gradual extinction of body functions and their slowdown in the process of aging. These changes occur in every male body and should not cause serious concern. Early manifestation caused by the following reasons:
- Hormonal imbalance
- Sustained injuries, in particular those belonging to the genital area or hypothalamus,
- Chronic infectious diseases
- Long-term use of antibiotics or hormonal drugs,
- Diabetes mellitus
- Chronic high blood pressure
- Promiscuous and irregular sexual relationships,
- Inflammatory diseases of the genitourinary system,
- Tumors of benign or malignant nature,
- Radiation, occupational hazard,
- Stress, depression.
Many of these reasons are the everyday picture of male life during sedentary work, addiction to alcohol, which significantly brings the syndrome, and how menopause manifests itself in men.
Medical picture of the syndrome
Menopausal period in men begins with forty years and lasts 3-5 years. This age is accompanied by restructuring of the body and functional changes in the work of the hypothalamus and pituitary. The biological connection with the testes is gradually broken, the level of testosterone in the blood decreases.
The tissue lining the internal cavity of the testicles, gradually replaced by fat, begins natural atrophy of the testicles. Reducing the amount of testosterone in the blood is accompanied by an imbalance in the reproductive organs, endocrine disorders, decreased libido and metabolic disorders.
The answer to the question of whether menopause is male is affirmative. You should calmly treat menopause - it is an integral part of men's life and requires a special approach to your health during this period.
What is male menopause in manifestations of the cardiovascular system:
- Sensation of hot flashes - hot flashes in men are expressed by the flow of blood to the face and head as a whole, reddening of the skin, palpable fever,
- Dizziness after exertion - physical or intellectual,
- Numbness of the limbs, tingling sensation,
- Sudden jumps in blood pressure.
Male menopausal syndrome particularly affects the endocrine and cardiovascular systems. If changes in the reproductive system are normal, then pathologies of the endocrine system and the heart require observation from a doctor, as they can develop and go into a chronic stage.
Changes in the endocrine system
The deposition of adipose tissue on the female type - the appearance of a large abdomen, the accumulation of fatty deposits on the chest, thighs. The deposition of fatty tissue on the chest is called gynecomastia.
Signs of male menopause on the part of the endocrine system can manifest unreasonable bursts of joy, abruptly giving way to sadness. Indifference and desire to be alone is also a consequence of the work of hormones. At this time, diseases of the thyroid gland, adrenal glands and prostate gland develop. There may be difficulties with falling asleep and morning rise, violation of sleep patterns. Since it is not only menopause that can cause changes, but also age, a special observation from doctors is required to prevent the development of acute phases of diseases.
Especially clearly manifested symptoms of menopause in men with the genitourinary system. At this time, such problems as urinary incontinence, frequent urge to urinate, especially at night.
The erectional function and the amount of sperm produced is reduced - its quality and reproductive value are also reduced. Ejaculation can be premature, faster and less controlled by a man.
Men are most often worried about problems with urinary incontinence. Half of all men who have reached the age of 45 complain of this problem. This problem should be solved first of all with a urologist - perhaps there are irregularities in the urinary canals and bladder. But it is impossible to leave it until an unauthorized decision, otherwise the problem remains for life.
The physical state
Physically, the symptoms of male menopause appear as follows:
- Decreased physical strength
- Feeling weak in arms, legs,
- There may be a twitching in the muscles,
- Rapid fatigue
- Feeling of heaviness in the lower abdomen,
- Increased or decreased appetite.
Do not forget that this condition can be caused not only by menopause in men, but also by ordinary overwork, processing and dismissive attitude to their health.
Psychological signs of menopause in men appear as follows:
- Low self-esteem,
- Feeling of alienation, loneliness,
- Slowness, forgetfulness,
- Quick temper,
- Loss of interest in their profession,
- Frequent waking at night
- Vulnerability - this age is characterized by hypochondriacal attacks.
Statistics show that couples start at this time, especially when the periods of menopause are the same for both partners. Therefore, it is important to understand the nature of this phenomenon and seek help from a psychologist if symptoms reduce the quality of life and disturb family relationships.
Neurasthenia can lead to another, more serious disease - neuralgia. It is expressed by a bright pain syndrome and requires treatment. Neuralgia can also occur due to a sedentary lifestyle and jet lag.
Menopause at first manifested:
- Increased and rapid fatigue,
- Shortness of breath after minor exertion,
- Frequent urge to empty the bladder, a weak stream of urine,
- Emotional imbalance, depression,
- Problems with sexual activity.
All these symptoms may occur in the background and other life factors, but require consultation with a doctor, in particular, a urologist, to prevent the development of enuresis.
Late treatment of male menopause can lead to such consequences as coronary heart disease, angina, stroke - on the part of the cardiovascular system. This is a state of neglect, when no measures were taken to treat, at least symptomatic.
Tumors of a different nature can develop in the testicles and prostate gland, psychosomatic diseases and Alzheimer's disease. If the symptoms seriously disturb and disturb the habitual way of life, diagnosis and treatment are required.
Treat climatic manifestations need to be comprehensive. To this end, the patient work with:
- Psychologist for the treatment of psychosomatic abnormalities,
Medication is prescribed hormonal drugs for the correction of hormonal levels, immunomodulators and sedatives. Antidepressants and medicinal herbs can be prescribed.
Testosterone-based hormonal drugs help get rid of most of the symptoms of menopause and survive this period quite calmly.
When detecting developing on the background of menopause diseases prescribed targeted treatment. In general, it is possible to treat menopause at home, ensuring a complete diet, rest, moderate exercise and eliminating processing.
Do menopause in men
Yes, menopause occurs not only in women, but also in men. In medicine, male menopause is called "age-related androgen deficiency" or "partial androgen deficiency", and the name menopause is also found in men as "andropause". Doctors associate its manifestation with a sharp decrease in the level of testosterone in the blood.
Climax is observed in about a third of men; in the rest it is almost asymptomatic. Androgenic deficiency can occur at the age of 45 and at 85, it is extremely difficult to predict it, except to investigate the hereditary history of testosterone reduction, but in any case, its causes are individual.
And, unfortunately, in modern society with all the environmental and social problems, many men simply do not have time to live until the onset of menopause.
Climax in men is a normal manifestation of the physiological process of aging of the body, unless it is accompanied by complaints and clinical manifestations.
Climax, manifested at the age of 45 years is called early, after 60 years - late. In the event of complaints and changes in the cardiovascular, nervous and urogenital systems, menopause is called pathological.
With partial androgen deficiency, the amount of testosterone secretion decreases, but the male reproductive function remains. It should be noted that this occurs gradually, without a sharp drop, as in women.
In addition, do not confuse menopause with impotence - with the onset of menopause, fertility and libido are reduced, but the erection remains unchanged. And with impotence, it is erectile dysfunction that is observed, which makes it impossible to perform sexual intercourse.
Factors contributing to the early development of menopause
The level of testosterone in men begins to gradually decline after 35-40 years, but this process can be accelerated due to bad habits and other negative factors:
- excessive drinking,
- drug use
- eating disorders, poorly balanced diet,
- overweight, obesity problems,
- emotional stress, stress, depression,
- sedentary lifestyle, lack of physical activity,
- long period of abstaining from sex,
- frequent change of sexual partners.
Accordingly, in order to delay as much as possible the manifestation of male menopause, exclude the listed factors.
Health problems only worsen the course of male menopause:
- oncological diseases, especially genital organs,
- toxic and radiation damage to the body,
- diseases of the genitourinary system (congenital abnormalities, hypogonadism, cryptochorism),
- diseases of the cardiovascular system (hypertension, diabetes, atherosclerosis),
Manifestations of age androgen deficiency
Signs of manifestation of male menopause vary depending on the general state of health, physical and sexual activity of a man, etc. Often, partial androgen deficiency may not have pronounced symptoms.
Symptoms of male menopause
Otherwise, they may be as follows:
- increased nervous irritability, irritability,
- reduced vitality, lethargy, apathy,
- mood swings, depression,
- anxiety, feeling of depression, unreasonable fears,
- deterioration of concentration and memory,
- sleep problems (insomnia),
- decreased performance, fatigue,
- dry skin
- increased sweating.
Disruption of body functions
More serious signs of menopause affect the normal functioning of the body:
- blood pressure drops
- heart rhythm disorders (arrhythmia, tachycardia, etc.),
- feeling short of breath,
- frequent headaches, especially in the occipital region,
- hot flashes - sharp bouts of heat with profuse sweating, reddening of the face, neck,
- weight gain, deposition of fat in the abdomen and thighs,
- problems urinating.
Separately, it is necessary to single out manifestations of sexual dysfunction, which are individual in nature and can occur rather slowly:
- reducing the duration of sexual intercourse,
- decrease in sexual desire
- quick ejaculation
- deterioration of orgasm or its disappearance,
- a decrease in sperm and sperm.
In the body, everything is interconnected, and often some of the symptoms listed above manifest themselves not because of, in fact, a decrease in testosterone production, but because of unnecessary experiences, stresses and "twisting." Excessively quivering and nervous attitude to the age-related changes of the body can aggravate the development of menopause.
And vice versa. Do not ignore any of the listed symptoms and write off everything on age. Some of them may also be indicative of diabetes. For an accurate diagnosis and choice of treatment, it is necessary to consult a doctor.
To determine the climax, the doctor prescribes a blood test for serum testosterone levels. Upon reaching 50 years old, regardless of the symptoms, it is necessary to visit a urologist, andrologist, and a psychologist. It is also useful to visit a cardiologist and a neurologist.
- You can take care of your health before the manifestation of menopause symptoms. Medics proved that menopause is more difficult for loving men with a high level of testosterone. Therefore, if possible, direct your energy not only to the sexual mainstream.
- Moderate physical exertion will be useful for the whole body, so do not be lazy to do exercises in the morning (with dumbbells, weights, elastic bandage and other projectiles), do not refuse to run, hike, swim. Do not feel sorry for yourself and go upstairs to the apartment, and not on the elevator.
- Constantly maintain mental activity - read more, learn, learn more. To maintain an optimal state of the nervous system, build long-term prospects, plan and implement ideas. This may be the study of a foreign language, yoga, travel.
- Keep track of food - add to the diet of greens, vegetables and fruits, natural products, limit the consumption of foods high in carbohydrates, reduce the use of salt, alcohol (especially beer).
- Do not forget about the psychological aspect - treat the natural age-related changes naturally. Gray hair, slight changes in the figure, a decrease in sexual desire do not make a man worse. For sex, experience is more important than the opportunity to become a champion of a sex marathon. If the exploits still want, for the appointment of appropriate drugs that increase sexual activity, it is better to consult a doctor.
Andropause will be later and less noticeable if you take up your lifestyle in time, optimize physical and mental stress, and adjust your diet.
Monitor your health and consult a doctor on time.
See you in the next article!