Update: December 2018
The urgency of problems associated with aging in
modern medicine has greatly increased. This is pretty much
due to the demographic situation that has changed over the past
For example, compared with the beginning of the twentieth century, the number of 65-year-old men
The age has increased 7 times, and the 85-year-old – 31 times. Traditionally
it is believed that the onset of aging is associated with the termination
This period in women is called menopause, menopause (cessation
menstruation), and in men (by analogy) – male menopause,
andropause (termination of secretion of sex hormones). What it is
and how is menopause manifested in men?
Клинические проявления — симптомы climax
If menopause in women has been studied in sufficiently complete
мере, то в вопросах мужского climax много неясных вопросов, а
systematic treatment with medicine was offered only in
last 10 years The most accepted name of this period is
syndrome (complex of symptoms) testosterone deficiency (SDT).
Incorrect is the saying that male menopause
happens “in the head, not in physiology.”
TDS is defined as the age-related decline in the body of men.
production of the hormone testosterone, determined by biochemical
analyzes and manifested a number of clinical signs. By the 80s
its blood content is 43% compared with men
25 years of age. This decline occurs after 30 years
постепенно (приблизительно на 1 — 3% в год), а симптомы climax у
men 40 – 70 years of age are noted in 30 – 70%.
Testosterone, whose concentration in the blood exceeds other
Androgenic compounds are the main male sex hormone.
90% of it is synthesized in the testes, the remaining 10% – in the adrenal glands.
ATлияние тестостерона на организм выражается в:
- the degree of development of the genitals, sexual attraction and
- stimulation of the sexual function of organs, activation of spermatogenesis,
effects on erection and ejaculation;
- the formation of secondary sexual characteristics (type of hair distribution,
coarsening of the voice, the distribution of subcutaneous tissue,
male-shaped skeleton formation);
- build muscle and bone density;
- activation of metabolic processes, fat, carbohydrate,
- effects on blood formation and cholesterol metabolism.
Based on this, it becomes clear that a gradual decline
testosterone levels lead to a decrease in sexual function, slowing down
metabolic processes and the emergence of certain symptoms. Main
симптомы мужского climax:
- Endocrine and trophic disorders
the deposition of fat in the area of the mammary glands (gynecomastia) and abdomen,
laxity of muscles and skin, dry skin, hair loss,
osteoporosis (bone loss, see causes and symptoms
osteoporosis), muscle soreness, increased blood levels
lipoproteins (development of atherosclerosis, see treatment of atherosclerosis
brain vessels) and a protein that binds sex hormones,
anemia of varying severity.
- ATегетативно-сосудистые расстройства
blood pressure instability with a tendency to
hypertensive crises, heart rhythm disturbances, aching pain in
areas of the heart, a sense of lack of air, “tides” of heat to
head, face and hands, sudden sweating and redness of the skin of the face,
neck and upper thorax, dizziness, constipation.
mood imbalance with a tendency to depression, decrease
memory and difficulty concentrating and thinking, loss of interest
and disability, sleep disorders, unmotivated
fear and anxiety, apathy, irritability, reduced
- Urinary Disorders
decrease in sexual desire and sensitivity in the genital area
organs, decreased testicles, decreased mobility and number
sperm with normal structure, urination disorders
(increased urination, incontinence), benign
prostatic hyperplasia (by the age of 60 in 60%).
ATзаимосвязь систем в организме
Climacteric period is a natural physiological
stage of aging, during which age occurs
the restructuring of the whole organism. Initially, young people level
testosterone in the blood is different, depending on the individual
features, diseases, type of food and lifestyle, etc.
In the presence of aggravating factors, the content of testosterone by 10 –
15% lower, but the age rates of its decline are the same. By reducing
hormone in the blood signals are received in regulatory structures
brain (pituitary and hypothalamus), in response to which they
produce an increased amount of luteinizing hormone,
testosterone stimulating testicular production.
With age, self-regulation and sensitivity of the testes to
stimulating hormone reduced. Since the decline in testosterone
it happens quite slowly and smoothly, many men do not
experiencing no subjective feelings in this regard. AT
In certain cases, the decrease in testosterone does not occur smoothly, but
faster, than necessary, which leads to the corresponding
With menopause in men of the same age, the severity
symptoms are not the same. It completely correlates with the magnitude and
the rate of decline in testosterone. Abundance and diversity of symptoms
– This is not just a harmless manifestation of the process. It testifies
about the involvement and full interdependence of all systems and
Decreased sex hormones leads to changes in the function of the cortex.
brain, manifested in the psycho-emotional sphere, to
disorders of the regulatory function of the central nervous system, to
the development of vascular atherosclerosis and coronary heart disease, to
hypertension, heart failure and other
The function of the digestive tract and endocrine glands also changes.
(pancreas, thyroid, parathyroid), which is often
is manifested by thyrotoxicosis, the development of osteoporosis of bones, sugar
diabetes. The immune status of the organism also decreases.
But at the same time, the presence of chronic diseases already contributes
earlier emergence and faster development of menopause and
aging of the body.
For example, Polish medical university specialists in
Wroclaw conducted studies and found that the symptoms
androgen deficiency occur 4 times more often in men with
heart failure, and the signs of male menopause
expressed much stronger.
Its development is influenced not only by many chronic diseases,
especially myocardial infarction, hypertension, thyrotoxicosis and
hypothyroidism, liver disease, but also:
- poor nutrition and alimentary obesity;
- intoxication on “harmful” industries, as well as chronic
nicotine, narcotic and alcohol intoxication, ionizing
- adverse environmental environment (air,
- frequent stress states and chronic neuropsychiatric
- benign and malignant prostate diseases,
trauma and inflammation of the testes and prostate;
- receiving anti-tuberculosis, glucocorticoid and anabolic,
antiepileptic 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 conducting
spermograms and clinical tests, the establishment of hormonal
blood profile (total and free testosterone, luteinizing and
follicle-stimulating hormones, prolactin, estradiol), on ultrasound
pelvic organs, computed tomography of the skull, to identify
concomitant chronic diseases.
One of the main tests is plasma testing.
blood testosterone, which is carried out on an empty stomach in the morning. AT
the normal lower limit of total testosterone is 12 nmol / l,
free – 250 pmol / l. These analyzes are repeated to evaluate
Principles of treatment for age androgen deficiency take into account
multifactorial violations and are in an integrated approach.
This approach includes:
- Testosterone derivative replacement therapy. These drugs
with menopause, men are prescribed by reducing total testosterone
below 8 nmol / l, free – below 180 pmol / l. AT редких случаях их
prescribed and in the absence of a pronounced decrease in testosterone, so
how can peripheral sensitivity to it be reduced
- Drugs that stimulate the synthesis of their own genital
- Sedatives and antidepressants.
- Correction of erectile dysfunction.
- Treatment of concomitant or arising in connection with menopause
diseases and functional disorders.
- Nutrition correction, vitamin therapy and exercise therapy.
It is more convenient to buy drugs to increase potency.
online pharmacies (like here), because it is anonymous and prices are more
The main testosterone drugs for male menopause:
- in capsules – Andriol;
- injectable – Sustanon (a mixture of 4 testosterone esters),
Omnadren, Sustaretard, Testosterone Propionate, Tetrasterone and
- transdermal (in the form of skin patch with androgens),
dihydrotestosterone applied to the skin in the form of a gel.
Folk remedies in the treatment of male menopause
In the absence of allergies to medicinal plants, you can
use for treatment the following fees, which you can drink 1 -2
of the month.
- The fruits of cumin, fennel, valerian root, motherwort herb – 1
dining room l. collection (in the same proportions of each plant) pour
1 tbsp. boiling water, insist, then strain. Drink half a cup 3
p / day.
- 2 parts of chamomile pharmaceutical, 3 parts of peppermint and roots
valerian, 4 parts of three-leaf watch sheet, the infusion is prepared as
previous, take half a glass at night and in the morning.
- Motherwort grass, lemon balm leaves, hawthorn flowers, herbs
white mistletoe – 2 parts and 1 part of buckthorn bark and viburnum. Infusion
also cook and take as previous.
- You can use and such fees: elecampane rhizome, herbs
oregano, succession, woodruff, chamomile and calendula flowers, motherwort,
flax seeds, fennel fruits.
- Calendula flowers, herbs Veronica, marjoram, groundwort.
- Herbs mint, sage, train, hawthorn leaves, angelica and shoots
The onset of old age is inevitable. Every person is not interested
just prolonging life, and maximally maintaining your
physical, sexual, intellectual and
creative activity. Climax should be treated and can be. Efficiency
treatment is largely related to timely access to