With the problem of male menopause, you should contact an endocrinologist or andrologist. Before starting treatment, an examination is necessary to diagnose the severity of the condition and identify concomitant diseases that may affect the choice of therapy.
In addition, it may turn out that hypogonadism arose as a result of organic damage: a tumor, post-traumatic sclerotic change, obesity, chronic prostatitis – then the goal of treatment is the elimination or compensation of these diseases.
Examination for male menopause includes:
- elucidation of the history of the disease: when the symptoms began, what is the reason, according to the patient, their appearance, how they developed;
- physical data – weight, height, waist circumference, assessment of the constitution, type of hair growth and condition of the genitals, detection of breast enlargement;
- collection of complaints, which are sometimes objectified with the help of special questionnaires;
- laboratory tests: a study of the level of hormones, sugar and blood elements; if necessary, a genetic analysis can be performed;
- ultrasound, determination of bone density, nuclear magnetic resonance and others.
Treatment of male menopause includes methods combined in two main groups:
- hormone therapy;
- non-drug methods of correction of pathological manifestations.
Hormone therapy for male menopause
The main drug of replacement therapy is, of course, testosterone. It is produced in the form of tablets, injectable solutions, gels. The doctor selects the treatment regimen individually, focusing on the characteristics of the patient and the nature of the course of the disorder.
Testosterone in the form of tablets is rarely used – it is prescribed for the correction of mild disorders. Most often, intramuscular administration of an oily hormonal solution is used with a frequency of 1 time in 1-3 weeks. In no case should you arbitrarily increase the dosage – this can lead to serious complications with the risk of disability and death. Hormone therapy is carried out under the control of general well-being, the state of the prostate and a number of laboratory tests.
As an additional means, multivitamins with minerals are usually prescribed. If osteoporosis occurs, complex preparations containing calcium and vitamin D3 must be taken. All concomitant pathology of the heart, blood vessels, thyroid and pancreas is also subject to correction.
With the right treatment, sexual function improves, endurance and performance increase, blood pressure and heart function stabilize, irritability decreases, sleep returns to normal. Long-term adequate treatment helps to restore bone density, increase hemoglobin to normal levels, equalize blood lipid fractions with a decrease in cholesterol and low density lipoproteins.
If obesity acts as a concomitant pathology, it is necessary to draw up a weight loss plan – the elimination of excess fat in itself can significantly change the situation for the better.
Non-drug treatment of male menopause
To increase the effectiveness of hormone therapy, a number of other methods are usually used to strengthen and strengthen the result.
In some cases, when the symptoms of age-related hypogonadism have only just begun to appear, at first you can refrain from using hormonal drugs and limit yourself to non-drug treatment.
- Homeopathic treatment.
- Voll treatment.
- Osteopathy and manual therapy.
- Physiotherapy: massage, electrosleep, balneotherapy, galvanization, laser therapy.
- Anti-stress mesotherapy.
To maintain sexual function in men and correct hormonal status, ginseng, cordyceps, astragalus, bitterness, creeping tribulus, and nettle are used.
In addition to individual herbs in the arsenal of phytotherapists, there are special complexes – for example, impluvin. It contains extracts of guarana, deer antlers, ginkgo biloba, cordyceps. The composition of the drug is designed specifically for men and is aimed at improving the functioning of the reproductive system, and also has a tonic effect.
Male menopause lifestyle
A healthy lifestyle is a prerequisite for the comprehensive treatment of male menopause. Without correction of nutrition and daily routine, even the most effective drugs will not give the desired effect.
- Proper nutrition: should be built on the principle of the food pyramid. To maintain the functioning of the gonads within the framework of a balanced diet, it is recommended to consume more fish and seafood, berries, raw fruits and vegetables (especially pumpkin, citrus fruits, carrots, apricots, persimmons, pineapple, zucchini and eggplant, celery, cabbage, greens).
Of cereals, preference should be given to those varieties, which include coarse fiber – rice, buckwheat, barley, millet. Porridge from these cereals normalize stool, eliminating blood stasis in the small pelvis and improving the functioning of the prostate and testicles.
Do not forget about vegetable oil – it promotes the secretion of hormones and prevents the formation of atherosclerosis. But the use of animal fats and refined carbohydrates (sugars) should be limited. Their excess leads to excessive deposition of fat, and fat is a source of female sex hormones, which quite naturally neutralize the effect of testosterone.
During cooking, it is useful to add spices – cucumber, capsicum, garlic, onions, cardamom. These seasonings are a classic means of increasing masculine strength, used even in ancient India.
Be careful with coffee, tea and other energy drinks. Remember: they do not give energy, but only deplete energy reserves, which means their excessive use will inhibit the energy-consuming functioning of the male reproductive system.
- Physical activity: should be adequate. Walk, run, take walks on a bicycle, visit the gym, but do not exhaust yourself – excess physical activity will weaken sexual strength and worsen overall well-being.
- Full relaxation and sleep. It is recommended that you sleep at least 7 hours a day. It is necessary to try to create good conditions for sleep.
- Sexual activity: important for preventing stagnation of blood in the pelvis and maintaining testosterone levels. But here, the adequacy of the load is important – sexual training should be measured, regular, but without strain.
- Alcohol: can be used with great care. Its minimum doses relax, calm the nervous system and have a beneficial effect on overall health and sexual function in particular. However, you should always remember the dose: the maximum is a glass of wine or one glass of a strong drink. Many doctors strongly recommend completely abandoning alcohol, and their opinion is justified: the risk of exceeding the useful dose with serious consequences for health and social status is too great.
- Psycho-emotional balance. Establish family relationships, work on yourself, do interesting things, find a way out for negative emotions – and you will achieve sufficient psycho-emotional calm.
Treatment of male menopause is a complex task, the resolution of which should be entrusted to a qualified specialist. But lifestyle correction is on the shoulder for almost everyone. The main thing is a real active desire for health. And it’s worth it!
Testosterone is the main hormone responsible for the development of male traits of the whole body. Testosterone is produced by the testes and is the main guide for the formation of secondary sexual characteristics in adolescence, when the penis and testicles increase, hair appears on the axillary hollows, pubic area and face, the voice becomes rough, strength, bone and muscle mass increase. In an adult male, testosterone determines sexual desire and potency, stimulates muscle activity and strength, and in addition, explains the characteristic male features of behavior. But the effect of testosterone is not limited to this: it supports and regulates the functioning of the pancreas and thyroid gland, the cardiovascular system, affects the functioning of the nervous system, and controls metabolism and blood formation.
A state of reduced testosterone production is called male hypogonadism (hypo – deficiency; gonads – sex glands). Hypogonadism can have various causes – congenital, arising as a result of developmental anomalies, obesity, inhibition of the pituitary gland function. Male menopause is age-related hypogonadism.
How does male menopause manifest?
- Sexual abuse. Manifestations of the male menopause affect not only the reproductive system, however, it is these symptoms that become the most characteristic and, as a rule, manifest themselves before everyone else. Male hypogonadism leads to a decrease in sexual desire, worsening of an erection (its frequency and quality), an orgasm disorder with difficulties in achieving it. Erectile dysfunction is one of the first symptoms that prompt a man to seek medical help.
- Psycho-emotional and intellectual disorders : depressive mood, irritability, impaired performance and memory, drowsiness and disturbance of night sleep, decreased attention and the ability to perceive new information.
- Damage to the autonomic nervous system : fluctuations in blood pressure, arrhythmias, cardialgia (heart pain), headache, sweating, sensation of fever, tendency to constipation.
- Metabolic disorders: an increase in body fat, a decrease in muscle strength and muscle volume, baldness (including a decrease in the intensity of hair on the body), atrophic changes in the skin, osteoporosis with brittle bones, inhibition of hematopoiesis with the development of anemia.
The early and abrupt onset of these symptoms can not only significantly reduce the quality of life, but also cause premature aging and the formation of serious diseases – diabetes, coronary heart disease with a high risk of heart attack, hypertension, cerebral arteriosclerosis.
Aging is an inevitable and physiological process. Normally, during a period of extinction, a person can lead a fully-fledged active life with slight restrictions. However, often withering of sexual function occurs too early or excessively sharply and then brings with it a lot of trouble and frustration. How can a man be helped during the so-called male menopause?
Male menopause is a whole range of changes in the functioning of organs and systems, due to an age-related decrease in testosterone levels. The age of 45 years is accepted as the norm for the beginning of such extinction – it is relevant for both men and women; however, it is clear that such an age framework is rather arbitrary – each person has his own reserve of adaptation and stability, therefore the age of the onset of aging can differ quite a lot.
So that a man’s body has time to adapt to a changing level of testosterone, a decrease in its level should not exceed 1-2% per year. Otherwise, multiple pathological symptoms occur, affecting several important organs at once – the heart, blood vessels, urinary and nervous systems, endocrine organs, etc.