A man of forty is calmer than a man of thirty, and more interesting than a man of fifty. They are mature and wise, successful in their careers and happy in their families. This period is their golden age. However, from a physiological point of view, it may be another picture.
The man in the golden age may be experiencing or preparing to undergo an important physiological turning point, and at this time, he may be in trouble and unable to get rid of it. Careful family members will find that he seems to have become strange, anxious and irritable all day. What happened?
In fact, this is a clinical syndrome related to male aging.
I remember that one afternoon, a middle-aged couple came into my consulting room and asked for help. The reason was that my husband was over 40 years old, his temperament changed greatly, he was always angry, and he had not had sex for a long time. His wife was very worried, doubting whether her husband had an affair or even considered divorce. Only when she realized that her husband might be out of condition and went to the hospital, did she find that it was "male menopause" that caused the disaster. With the help of doctors, the husband was restored to health and the marriage was saved.
Do you have these symptoms?
Decreased interest in sex (decreased libido), erectile dysfunction, decreased erectile rigidity, decreased ability and frequency of sexual life?
Do you often feel tired, poor memory, and less concentrated than before?
Is it prone to hot flashes, sweatiness, chest tightness and shortness of breath, poor sleep quality or obvious blood pressure fluctuation?
Sometimes you feel nervous, depressed, irritable or irritable?
What is male menopause?
"Male menopause" is not a new term. As early as 1938, the Western scholar Walker put forward the concept of "male menopausal syndrome", which is used to describe the uncomfortable symptoms of middle-aged and elderly men. In 2002, the International Association of Older Men renamed this syndrome "delayed hypogonadism", also known as "age-related testosterone deficiency syndrome".
This is a clinical and biochemical syndrome associated with aging. It is characterized by certain clinical symptoms and decreased serum bioactive testosterone level. This state seriously affects the quality of life and adversely affects the functions of various organs and systems of the body.
Do you know about male menopause?
The public almost knows nothing about "female menopause", but why is there little about "male menopause"? The reason may be easy to understand.
First of all, women's menopause has obvious signs, that is, menstruation disorder until menopause, when women know that their menopause is coming. At this time, the estrogen level of women suddenly dropped, and various menopausal symptoms followed, and the feeling was very obvious. Moreover, women's social role orientation is more likely to arouse our sympathy and concern.
The male menopause has no similar obvious signs, so it is difficult to judge themselves. The male androgen level decreased slowly, and the symptoms of menopause were mild, and the feeling was not obvious. In addition, because of the high social image of men in the traditional society for a long time, even if there are related problems, they are easy to avoid problems and are unwilling to take the initiative to seek the help of professional doctors.
Why does male menopause come early?
As the age increases, the male hormone secretion begins to decline, causing the hypothalamus-pituitary-gonad axis to lose balance, resulting in restlessness, irritability, palpitation, dyspnea, numbness of hands and feet, headache and other symptoms. The following conditions can easily induce the early occurrence of "male menopause":
Unhealthy lifestyle: such as smoking, drinking, etc;
Overweight: diet and exercise imbalance lead to overweight or obesity;
Lack of exercise: people who engage in mental work but seldom exercise their bodies, or those who have been engaged in intense sports before but suddenly stop;
Chronic disease or poor living environment.
On the contrary, men who have a healthy lifestyle, more opportunities to go out, or who often exercise, have a late menopause.
How to successfully pass the male menopause?
Exclusion of other diseases: It is recommended that men who consider that menopause causes various physical changes should first go to the urology department or andrology department of a regular hospital for symptom screening and evaluation, serum testosterone determination and experimental testosterone supplement treatment response, and then a professional doctor should make a comprehensive diagnosis combining the three to eliminate the possibility of other diseases. For the original chronic basic disease, it should be actively treated;
Establish a healthy life model: balanced diet and nutrition, active participation in physical exercise, and exercise are very helpful for alleviating male menopausal mood;
Weight control: obesity is an important risk factor for male menopausal syndrome;
Others: If accompanied by severe osteoporosis or psychosis, you should seek professional guidance and help from a doctor.
Some people can properly supplement androgen
For individuals with androgen deficiency in menopause, androgen supplementation can improve the level of testosterone in the body, effectively improve various symptoms, improve sexual desire, quality of sexual life, reduce fat content and increase bone density, and even improve depression and other adverse emotions.
Androgen supplement is a double-edged sword. For middle-aged and elderly men, the cardiovascular system, prostatic hyperplasia and prostate cancer are closely related to androgens, so many people are worried about whether this will have a negative impact on health?
Current research shows that there is no evidence to show that for patients who lack androgen in "male menopause", proper androgen supplementation will increase the risk of prostate cancer. However, this method is not suitable for every middle-aged and elderly male, and should be carried out under the guidance of a doctor.
Male menopause is a transitional stage of life, not the end of a happy life, but the beginning of a new life. It is an important turning point in life. Like female menopause, it has rich implications. Let's accept this new journey happily and frankly.