Male menopause

A male climax is not a myth, it is a reality, and any man who has lived to the advanced age passes through him.

In this article, we will try to take a closer look at this physiological process.

[1], [2], [3]

Causes of the male menopause

Male climax develops as a result of physiological extinction of all functions of the male body as a result of aging. This period will have to go through every man. A number of factors can accelerate the onset of menopause:

• Hormonal disorders.
• Postponed various plan of injury, affecting both the reproductive area of men, and the hypothalamus area.
• Chronic or acute infectious diseases.
• Surgical intervention performed on the testicles or in the hypothalamus region.
• Radioactive irradiation.
• Stresses, nervous exhaustion of the body.
• Long-term use of a number of medications. For example, uncontrolled use of antibiotics.
• Hypodinamy, the consequence of sedentary work.
• Diabetes.
• Persistent high blood pressure.
• Chronic alcoholism.
• Atherosclerosis.
• Not the regularity of sex life.
• Inflammatory diseases of urogenital organs.
• Random sex life.
• Benign and malignant neoplasms of the testicles or hypothalamic-pituitary system.

[4], [5], [6], [7]

Pathogenesis

As in women, in men, on the average, by 40-45 years, the organism begins to be restructured due to changes occurring with the extinction of the hypothalamus and pituitary functions, disruption of the inverse biological connection with the testicles, resulting in a progressive decrease in testosterone levels in the blood. Tissue tissue is gradually replaced by fat cells, senile atrophy of testicles occurs.

With a decrease in testosterone in the body, there is an imbalance in the systemic work of the reproductive organs, glands of the endocrine system, which leads to a decrease in libido, a violation of metabolism.

[8], [9], [10], [11], [12]

Symptoms of the male menopause

Endocrinologists can identify the following main symptoms of male menopause

• The appearance of "tides": a rapid inflow to the face and head (less often the lower extremities) of the blood flow, expressed in the redness of the skin of these zones.
• After intense physical or emotional work, a man may feel dizzy.
• The appearance of "moths" in front of the eyes.
• Erectile dysfunction (decreased libido, up to impotence).
• The occurrence of causeless headaches, which can last several days in a row.
• Noise in ears.
• Persistent high blood pressure or sharp jumps.
• Urinary incontinence. This problem in this period affects up to 45% of men.
• Decreased sperm production.
• Premature ejaculation (more rapid release of seminal fluid at the time of coition).
• Increased sweating.
• Frequent urination.
• The appearance of problems with sleep.
• Possible manifestation of a female type of development - an increase in the mammary glands (gynecomastia).
• The appearance of gravity in the lower abdomen.
• An increase in fatty deposits by the female type: buttocks and thighs.
• The skin loses its elasticity and elasticity, becoming flabby. The same applies to muscle tissue.
• Increased irritability.
• Numbness of the upper and lower extremities, the appearance of tingling sensations in them.
• The work of the cardiovascular system is disrupted. The appearance of arrhythmia.
• Fast fatiguability.
• Appearance of shortness of breath.
• Deterioration of memory and absent-mindedness.
• Appearance of suspiciousness about your health.
• Indifference to the surrounding and the surrounding world.
• Low self-esteem.

But it's worth reassuring the men that this symptomatology is temporary. This process is purely individual: for some, this transition takes a couple of years, and someone has five.

More severe symptomatology is manifested in patients with unstable nervous system, in those who have a sedentary lifestyle and / or have a history of chronic diseases.

First signs

The most first signs of an approaching menopause in men in most cases are:

1. Rapid fatigue even with low loads. Appearance of shortness of breath and general weakness.
2. Frequent urge to urinate. In this case, the urine stream is weak. Perhaps the appearance of enuresis (bedwetting).
3. The emergence of emotional instability, frequent confusion in depressive states, increased irritability, sometimes unreasonable.
4. The appearance of problems with sex life.

[13], [14]

Mental disorders in men's menopause

Due to its higher psychological stability, men's menopause is less likely to be accompanied by neurological disorders, but this does not mean that these manifestations are completely absent.

Symptoms of mental disorders in men's menopause include such facts:

• Progressing neurasthenia. Emotional instability, manifested by a sharp change of mood from excessive gaiety to increased irritability. There is a depressive state.
• The appearance of problems with sleep. It is difficult for a person to fall asleep from the evening, he often wakes up during the night.
• The man begins to feel a rapid decline in strength even after minor physical exertion.
• There are memory problems.
• Some of the representatives of the stronger half lose interest in once-beloved work, family, and sometimes life ("all are bad and no one understands").
• At this time, a wife or girlfriend can watch his man raised, sometimes groundless, bouts of jealousy. There is a sense of doom.
• It was during this period that statistics show a surge in divorces. Men, clinging to the passing youth, leave their families, leaving for a younger lover or rushing "all the hard."

It is about this state of men in the people say - "gray hair in a beard, a demon in the rib."

Early male menopause

To provoke the development of early male menopause are such factors:

• Inflammatory diseases that occur in the genital area of men and the pelvic area.
• Violation of the circulation of the genital area, including testes.
• Inflammatory processes affecting the hypothalamic region.
• Radiation irradiation.
• Chronic alcoholism.
• Operative intervention, which led to excision of testicles.
• General intoxication of the body.
• Irregular sex life.

With the timely application of a consultation to a doctor - andrologist or endocrinologist, you can stop the aging of the male body and improve its general condition.

[15], [16]

Complications and consequences

Consequences of this period are frequent colds and infectious diseases, which indicates a decrease in the body's immune forces.

On the background of the course of men's menopause, the following complications may occur:

1. Violation of the cardiovascular system increases the likelihood of developing coronary heart disease, including unstable angina and myocardial infarction.
2. Disturbances in the vascular system, changes in blood flow in the brain region contribute to the appearance of a hemorrhage - stroke.
3. The development of Alzheimer's disease
4. Development of malignant neoplasms of the urinary system (testicular cancer, prostate gland etc.).
5. The appearance of psychosomatic diseases.

[17], [18]

Diagnostics of the male menopause

Diagnosis of male menopause begins with an analysis of the patient's complaints.

• Complaints of a man.
• Inspection of the patient.
• Conducting laboratory studies:
• Conducting additional instrumental research:
  • Ultrasound examination of the prostate, bladder.
  • Electrocardiogram and echocardiography.
  • Magnetic resonance imaging of the brain.
• Differential diagnostics.

[19]

Analyzes

Geriatric together with a urologist can appoint the following tests:

• Analysis of urine.
• General blood analysis.
• Immunogram.
• Analyzes for oncomarkers (blood test for a prostate specific antigen (PSA) ..
• Blood chemistry.

[20]

Instrumental diagnostics

Instrumental diagnostics are the most informative and highly accurate methods of research. In this case, it is assigned:

• Ultrasound examination of small pelvis, prostate, kidney.
• Electrocardiogram.
• Ultrasound examination of the thyroid gland.
• Carrying out magnetic resonance imaging of the brain. In this case, the attending physician is interested in the pituitary gland area.
• If necessary, other examinations.

Differential diagnosis

Differentiate men's menopause with all the diseases that can develop in isolation from the men's menopause:

• Depressive disorders.
• Sleep disturbances.
• Prostate cancer.
• Urinary incontinence.
• Endocrinological diseases, provoked by the pathology of the pituitary and hypothalamus.

Treatment of the male menopause

For the treatment of men's menopause, it is necessary to seek help from a doctor-andrologue, and consultation of other specialists: an endocrinologist, urologist, cardiologist and other related specialists, will not be superfluous.

The essence of the complexity in the approach to the therapy of men's menopause:

• Psychological aspect of treatment. If necessary, a professional psychologist works with the patient.
• Drug treatment, depending on the symptoms, may be prescribed hormonal maintenance drugs (correction of hormonal disorders), biogenic adaptogenes, immunomodulators, sedatives and antispasmodics. With severe depression, antidepressants may be prescribed. It is possible to use medicinal herbs.
•  Adequate exercise with a full rest.
• Physiotherapy treatment.
• Good results with the correct approach are shown and auto-training.
• Correction of diet and diet.

If a man has already diagnosed complications, for example, in the form of coronary heart disease, then treated with special cardiopreparations. Prevention of Alzheimer's disease.

Testosterone-containing pharmacological agents will allow normalizing the hormonal background of a man.

Medications

Medications used to treat menopause are replacement therapy or therapy that eliminates the symptoms of male menopause.

Pharmacological agents are prescribed to the patient only with the pathological manifestation of menopause.

To remove a deep depressive state of the patient, the attending physician prescribes to the patient the preparations of the group of antidepressants. It can be: pyrozidol, vero-amitropryline, miansan, befol, gidifen, bioxetine, depenone, trazodone, mianserin, nialamide, efetine, tryprisol and others.

The drug that reduces the depressive state, tri-prizol, is added to the treatment protocol only in severe cases, since it has a wide spectrum of action and has a large list of side effects that may appear when it is taken.

It is prescribed starting dosage from 0.025 to 0.050 g. It is recommended to the patient to use triraspol orally just before bedtime, washing down with a small amount of water. Do not crush the tablet. To reduce irritation of the mucous organs of the digestive tract, doctors recommend taking the drug immediately after a meal.

If necessary, the dosage can be increased to 0.15-0.2 g daily, divided into three doses. Duration of treatment is prescribed by a doctor individually, but this period can be up to three months.

Contraindication to the purpose of the drug in question is increased individual sensitivity to one or more components of the composition of the pharmacological agent, as well as if the patient has a history of myocardial infarction, acute form of alcohol intoxication, severe cardiac pathology, angle-closure glaucoma and several others.

If the depression is not so pronounced, mild sedatives can be prescribed: new-passit, valerian, allapinin, myolastan, agri, sibazon, mint tablets, barboval, nitrazepam, amitriptyline, validol, dimedrol, siduxen, phenazepam, flormidal and many others.

Novo-Passi is taken orally on a single tablet three times throughout the day. The medicine should be taken before meals. If there is a medical need, the dosage of the drug can be doubled.

Do not prescribe the medication in question to the patient if he has an increased individual sensitivity to one or more components of Novo-Passit.

 Barbovan is taken orally with a sufficient amount of liquid in a dose of 30 to 50 ml. The duration of drug therapy is ten to fifteen days. If necessary, the course can be repeated.

The drug is not allowed to use only in case of hypersensitivity to the components of the drug.

Depending on the results of the analysis, hormone replacement therapy may be prescribed. Testosterone-containing drugs may be prescribed: nouvir, testosterone, andriol, testosterone propionate.

Methyltestosterone containing medicines may be prescribed: methyltestosterone and methyltestosterone-NS.

Can be appointed sustanon, durandron.

The hormone testosterone drug is prescribed by the treating doctor in a strictly individual dosage. It depends on the level of deficiency of this hormone in the body of a man. Starting it can be a dose of 25 ml, taken twice - three times a day. The duration of the therapeutic course is from one to two months.

Contraindications for this drug include increased individual intolerance to one or more of the components of the drug, as well as if the patient has a history of kidney disease, hypertrophy or prostate cancer, diabetes mellitus, severe liver dysfunction, and so on.

With a weakened erection, biogenic adaptogenes are appointed: amrit, gynrozine, immunal, lucram, echinacea herbion, rodacon, panaxel and others.

Immunal take one tablet three times - four times throughout the day.

Contraindications for this medication include individual intolerance to one or more of the components of the drug, as well as if there is an HIV infection in the patient's history, pathologies of an autoimmune nature, multiple sclerosis, blood disease, tuberculosis.

When a pain syndrome occurs, the patient receives one of the anesthetics: nurofen, spasmalgol, apizarthron, amidopyrine, diclofenacol, spasmalgin, feloran, influenet, paracitamol and a number of others.

Paracetamol is prescribed to the patient in a dosage - one - two tablets two - four times a day, but the daily amount of medication taken should not exceed 4 g.

Contraindications for paracetamol include severe kidney and / or liver dysfunction, alcoholism, anemia, hypersensitivity to the components of the drug.

Alternative treatment

The methods of alternative treatment can reduce the negative manifestations of menopause in men. They will increase immunity, effectively fight infections, stop pain syndrome, normalize blood pressure, lead to regression of the inflammatory process.

But people's treatment can be applied only with the permission of the attending physician, because if they are unreasonably applied, they can do more harm than cure.

Mono herbs or collections from them are used mainly in medicinal prescriptions used in the problem under consideration.

[21], [22]

Herbal Treatment

Here are a number of recipes for herbal treatment that allow to mitigate or reduce the intensity of symptoms, manifested during the course of men's menopause.

 Recipe # 1

1. 30 g of vegetable raw material, which is a shepherd's bag, soak 200 ml of boiling water only.
2. Leave for an hour, then drain.
3. Drink half a glass three times throughout the day.

This infusion can be taken both at the time of onset of menopause, and as a preventive tool to prevent the development of negative symptoms associated with the onset of men's menopause.

Recipe No. 2

1. Gather the color of hawthorn. To prepare the infusion, you need three tablespoons of raw materials, which are placed in a container.
2. Pour 600 ml of raw room temperature water over.
3. Put in a darkened place and forget for eight to ten hours.
4. After the time has elapsed put on the fire and from the moment of boiling to survive no more than seven minutes.
5. The container with the "medicine" should be wrapped and let stand for half an hour.
6. Strain and take 200 ml before the first meal, the rest of the day more effective will be the reception after eating.

This broth reduces the intensity of climacteric manifestations.

Recipe # 3

1. Well-proven and St. John's wort, which for this recipe is enough 15 g.
2. Mix herbal raw materials with a glass of water and place on a water bath. From the moment of boiling water, under the lid to sustain a quarter of an hour.
3. Will leave and give another 45 minutes to stand. To strain.
4. Drink one tablespoon, taking six meals throughout the day.

Removes menopausal symptoms.

Recipe No. 4

1. In this case, it is first necessary to collect the collection: the blackberry leaf - 25 g, the herbage motherwort - 20 g, the yeadry scentfish - 20 g, the cotton swine powder - 15 g, the hawthorn color - 10 g. All the ingredients are placed in one container, crushed and thoroughly mixed.
2. One tablespoon of phytospora is needed, filled with a glass of steep boiling water.
3. Wrap up and leave for an hour.
4. Strain and take as tea throughout the day.

It is enough to drink this healing collection for ten days so that the man feels much better.

Homeopathy

At the onset of menopause in men, homeopathy is able to offer such drugs:
Testis compositum is recommended for taking one of the following schemes:

• At 2.2 ml (once) in two to three doses for a week.
• If the situation worsens, this amount should be taken daily for three days. Then, 2.2 ml (one-time) in two to three doses throughout the week.

To the contraindications of taking the test, compositum refers only to increased individual sensitivity to the patient's organisms to one or several components of the formulation.

Analogues of the drug considered are impluvin, tetracin calcium, ginseng, tetlong-250, extract of cordyceps , ginkgo biloba, silenium , tetraspan and every day there are new homeopathic medicines.

Diet in men's menopause

It is easier to transfer the "hard period" diet will help with men's menopause:

• A good source, stimulating the production of the male hormone, is fish and seafood. A special place here is occupied by crustaceans and mollusks.
• A man must have a sufficient amount of fruit in his diet . Consume them should be in raw form. Give priority to the fruits of green, yellow or orange shades. Such gifts of nature are rich in lutein, which, along with testosterone, activates and produces growth hormone.
• Without heat treatment should be taken and part of the vegetables. Number one of this list is pumpkin. It should not be ignored by any man. You should also remember zucchini (sodium deposit), yellow pepper, eggplant, all green cabbage varieties (source of indole-3-carbinol), celery and avocado (the strongest biologically active vegetables, activate the production of androsterone), all greens.
• Berries. In this regard, the most useful: watermelon, blueberries, cherries, pomegranate, raspberries, strawberries, cranberries, black currants.
• Do not forget about cereal cereal. Here in the first place go the grains of rice, then comes the pearl barley, buckwheat, millet (coarse cereals with high fiber content).
• Excellent proven themselves and spices, which are today a great variety. In our case, the most acceptable are onions, cardamom, curry, turmeric, green peppers and garlic.
• The activation of the production of male sex hormones is promoted by various varieties of vegetable oil. The most effective is walnut oil, from sesame and olives.
• Not bad restore the libido chocolate, coffee, beekeeping products, walnuts.
• It is necessary to reduce consumption of salts, carbohydrates, smoked products, fast food products and semi-finished products.
• Red dry wine in small doses.

[23], [24]

Prevention

Timely preventive maintenance will prevent or smooth out the emerging pathological symptoms. Experts recommend:

• Review your diet by checking it with the recommendations of nutritionists.
• It is necessary to fully and timely take therapy for inflammatory and infectious diseases.
• To lead a healthy lifestyle, to abandon bad habits.
• Avoid stressful situations.
• Watch your weight, not allowing both a sharp weight loss, and a set of extra pounds.
• Maintain a regular sex life.
• Avoid contact with epidemiologically unreliable social strata.
• Being picky in choosing a partner, it is desirable that he be alone, this will reduce the risk of "catching" serious sexually transmitted diseases.
• Refuse from uncontrolled use of medicines, especially with regard to antibiotics.
• Movable way of life, recreation in nature.
• Doing sports.
• Moderate loads should alternate with a full rest.
• Regularly visit a doctor for preventive examination.
• When there are first signs of menopause, it is not superfluous to seek advice from a specialist.
• It is unacceptable to wear underwear that blocks movement.

[25], [26], [27]

Forecast

At once it is necessary to recollect, that the man's climax is not disease, and natural physiological process of reorganization of an organism. Therefore, the forecast for the period under consideration is quite favorable.

Many men do not even admit the idea that they are able to climax, copying, this fact on the female fate. But if a person understands the problem, he is not always ready to share it even with a doctor, which is fundamentally not true. Male menopause can be experienced in different ways: independently with severe pathological symptoms or with the assistance of a qualified doctor, leading a habitual full-fledged life. Choose you! But is not quality life worth it, to implement a little more effort to implement it!

[28]