Men’s menopause health tips
For a long time, people used to use the term “menopause” to describe the transition period from the middle age to the old age.
At the same time, in recent decades, people have found that some women’s menopausal symptoms can also be found in some middle-aged and old men, thus fever, restlessness, sweating and other symptoms of vasomotor dysfunction, as well as sensitivity, forgetfulness, attentionForce is not concentrated, worried, irritable, temper tantrum, depression and other mental and psychological symptoms, many people will have sexual dysfunction.
Therefore, many people, including some doctors, habitually refer to this period as the “menopause” of men.
In fact, the word is not accurate for men, it is easy for some people to notice the real cause of the above symptoms in men.
”Men is more correct”: LOH (late onset of hypogonadism) “male menopausal syndrome”, originally proposed in the 1940s.
By 1944, some medical scientists pointed out that the male climacteric syndrome was named “inappropriate words.”
Because men have hot flashes, depression, irritability and other symptoms after the age of 50, the culprit is that the level of acetate in men decreases with age.
Professor Deng Chunhua, director of the Department of Urology of the First Affiliated Hospital of Sun Yat-sen University, told the Life Times that testosterone is the androgen secreted by male gonads (secretion pills) and is the most important substance that determines male characteristics.Its physiological effects are extensive, reproductive, urinary, skin, bone, muscle, hematopoietic, cardiovascular and nervous system and other hormone receptors, so it has a significant impact on the quality of life of men, known as “to create a man’s hormone.”
The study found that elevated levels of thyroid ketones in the body decreased with age, which is one of the main factors in men with similar symptoms of female menopause.
During the period of 30 to 90 years of age, the average level of renal ketones in the body decreased by 1% to 2% per year, and the total decline was as high as 30% to 50%.
About 30% to 40% of men aged 40-70 have one or several “menopause” symptoms, and the number of symptoms increases with age.
After the age of 80, almost 80% – 90% of men in Dublin have more or less different degrees of symptoms.
Therefore, in 1994, it was proposed that the male menopause was renamed “PSTM for middle-aged and elderly men”
(PADAM) and was widely recognized.
In 2002, the International Institute of Geriatric Men renamed it and finally got a new and most scientific term – delayed hypogonadism (LOH).
It is called “late onset” because there are many reasons for hypogonadism, which is called “primary gonadal dysfunction” in the gonad itself, and “secondary gonads” caused by insufficient secretion of pituitary gonadotropin”Low function”, and for men in the middle-aged period is called “late-onset hypogonadism”.
LOH knows that the rate is too low. In 2002, a survey of more than 2,000 men aged 40-70 in Shanghai, Jiangsu, and Anhui showed 55.
Twenty-eight percent of the respondents had different symptoms of insulin ketone deficiency, but the respondents had less than 40% awareness of spinal ketone deficiency and the proportion of treatment received.
In February 2009, “Life Times” reporter randomly interviewed 79 men in the Tuanjiehu area of Beijing, and found that only one person can talk about irritability, fatigue, decreased muscle strength, loss of libido and other symptoms after middle age.Lack of relevance.
No one believes that retinoic ketone deficiency is a disease that requires treatment.
Deng Chunhua pointed out that thyroid ketone has direct or indirect physiological effects on various systemic systems. Retinal ketone deficiency will cause pathophysiological changes in bones, muscles, emotional and cognitive functions, sexual functions, blood and cardiovascular organs, and thus affectThe quality of life will trigger a series of diseases.
For example, bone is one of the target organs of spinal ketone.
The bone mineral density of men with thyroid ketone deficiency is lower than that of others; in male patients with fractures caused by osteoporosis, 7%-30% have renal ketone deficiency.
In 2005, an analysis of 748 men over the age of 50 found that people with low lactate levels had a higher risk of depression.
Middle-aged men with mild anemia are more common, one of the reasons is low serum thyroid ketone levels.
In addition, coronary angiography studies of angina have found that plasma insulin levels are significantly reduced in patients with coronary artery disease; epidemiological investigations have shown that elevated plasma insulin levels can increase anti-atherosclerosis.
In addition to the above adverse effects, retinal ketone deficiency is also inextricably linked to diabetes, cognitive dysfunction, and sexual dysfunction.
Treatment of LOH, supplementation of thyroid ketone is the key in the interview, experts suggest that middle-aged and older men re-appear LOH-related symptoms, should go to the hospital to detect ketone levels in the body, if found below the standard value, it is necessary to take appropriate measures.
In general, the diagnosis of LOH includes three aspects: symptom assessment, determination of serum thyroid ketone levels, and response to experimental thyroid ketone supplementation.
The three are unified and complement each other. Patients with simple symptoms or serum thyroid ketone levels but who do not respond to thyroid ketone supplement therapy cannot be diagnosed as LOH. Other causes of symptoms may be further examined.
At present, the main method for the treatment of LOH is “deficiency and deficiency” – exogenously supplementing plasma ketone.
A commonly used drug is an oral formulation of undecanoic thyroxone (Antel).
Its metabolites in the human body are the same as the main endogenous androgens in the human body.
In addition to comprehensively and effectively alleviating the symptoms of LOH and improving the quality of life, it is an oral dosage form, which is convenient to carry, the dosage can be adjusted at any time, and the effect disappears rapidly after stopping the drug, and does not cause long-term adverse consequences.
The drug has been marketed in more than 80 countries and regions and has nearly 30 years of experience in safe medication.
Deng Chunhua is obese. After experiencing the process of aging society, people should strengthen their understanding and understanding of LOH, and make early diagnosis, prevention and treatment, reduce the incidence of symptoms and alleviate the severity of clinical symptoms.
“Chronic diseases, unhealthy lifestyles and a serious living environment are all causes of a decline in kidney ketone levels.
After the age of 40, men should check the insulin level regularly; if they are found to be bad, they should go to the hospital in time.”