Andropause (male menopause, androgen deficiency)
this is the age of climacteric syndrome observed in men (over 50 years) and is characterized by a reduction in the level of testosterone in the blood. Male menopause causes significant biochemical changes associated with the transition from sexual activity to a weakening of the reproductive system.
Climax in males can lead to tangible change and even deterioration in many aspects of personal life, and negatively affect many systems of the body. However, andropause develops later and is transferred to men much easier than menopause in women.
The immediate cause of andropause is a decrease in the production of testosterone in the male body. This process is associated with age-related changes in the function of the hypothalamus (one of the key parts of the brain), which controls the pituitary gland. The pituitary gland is the main endocrine gland of our body, produces hormones that regulate the function of sexual glands (testicles) in men. To the same, age-related factors affect the structure of testicular tissue which partly replaced by adipose and connective.
Disruption of male sex glands, and the age – related degeneration is a lead to reduced testosterone production. Testosterone affects not only directly on all elements of the reproductive system among men and and has a powerful influence on the function of the whole organism. In addition to the fall in the level of testosterone in the blood, the development of menopause in men stimulates many age-related diseases such as hypertension, atherosclerosis and diabetes.
Usually in men the first symptoms of menopause appear at a later age, when they are not very noticeable, especially against the background of aging of the organism. Complaints of abrupt and uncomfortable changes received from about 20% of patients, and in other cases, there is male menopause, the symptoms of which are mild. Among the symptoms, in addition to lowering sexual activity and the weakening of libido, it is possible to allocate
- a sudden feeling of heat, with the intensification of sweating
- changes in blood pressure, shortness of breath, tachycardia, dizziness
- chest pain (aching, usually in the left region), manifested in stress
- anxiety, poor concentration, irritability, memory loss and nervousness (leading to lethargy).
Decrease androgen saturation leads to external changes of the male body, for example, the skin becomes more flabby, weak muscles, fat deposits occur in traditionally female areas (Breasts, thighs and buttocks), disturbed function of the thyroid gland.
The main problem associated with the time of onset of andropause psychological. The loss or significant weakening of erection, loss of fertility (infertility) and difficult or involuntary urination, these effects may strongly upset the man who led an active lifestyle.
Andropause, treatment of which was unsuccessful, can lead to fixation attention of the patient on age problems that can greatly complicate psychological discomfort to psikhonevrologicheskoe pathology. Often (about 80% of men), male menopause is manifested by weakening of sexual attraction and potency, and reduces the secretion of semen. This leads to male infertility (loss of fertility) almost all men over 65-70 years.
The decline in production of testosterone can cause strong changes in the structure and function of the prostate gland (prostate). This can cause a increase and development of BPH. 50-year-old men prostatitis is observed roughly 50 %, and this ratio is maintained in the future.
For the timely detection of the development of andropause, all men older than 50 years should regularly undergo a wide survey of the condition and operation of the body. With the full diagnosis of the male climacteric period is recommended following laboratory procedures
- the fractional analysis of testosterone (total and bioactive testosterone)
- detection of globulin capable of binding to the natural steroids of the reproductive system
- biochemical and General blood tests.
Accurate study for diagnosis and treatment, it is able to demand and various other tests, for example, the doctor may conduct a study of a bone to determine osteoporosis.
Andropause, especially given her age period, against the backdrop of aging of the male body and associated with this endocrinopathy. In addition to reducing the amount of testosterone in the blood decreases the level and other important hormones, e.g., melatonin or growth hormone, and DHEAS, DHEAS and others. In therapeutic terms, the correction of androgenic saturation of the organism of the man are medication and it is the appointment of drugs that stimulate the production of testosterone and other hormones.
To soften the masculine climax treatment which does not ensure the desired clinical results, can be assigned to substitution therapy, with the aim of restoring the androgen balance. However, for example, synthetic testosterone is not recommended to take more than six months, because in this case very increases the risk of prostate, baldness and obesity. Testosterone given orally and by injection, and there are special testosterone patches.
It is important to pay more attention to the psychological aspect of the problem to prevent complications of mental and emotional nature. The situation when the menopause in men, which treatment is carried out only in one plane invalid. Therefore, only a comprehensive approach and constant monitoring, will mitigate such negative form of androgen deficiency.