Mr. Li, who is 55 years old this year, pays more attention to health preservation in his daily life, but he has recently found that he is prone to feeling tired

Mr. Li, who is 55 years old this year, pays more attention to health preservation in his daily life, but he has recently found that he is prone to feeling tired. After taking a few steps, he feelsThe muscles in the legs are sore and always irritableHe wanted to lose his temper, and for this reason, he and his wife have been in a cold war for several days without speaking.

Mr. Li didn't feel quite right, so he went to the hospital for an examination. The examination found that his serum testicular level was below 9.0nmol/L. Based on his recent symptoms, the doctor determined that he had male menopause.

Mr. Li expressed disbelief,Tell the doctor that he knows that women have menopause, how can men also have menopause?

After listening, the doctor replied that men also have menopause. When these four symptoms appear in the body, menopause may already have occurred, but it is easy for male friends to overlook it. Therefore, men after the age of 50 should understand.

As we age, various aspects of the bodyThe function of organs will gradually decrease, causing the hormone levels in the male body to gradually decrease,The decrease in hormones can cause more changes in the body, and this period of change becomes male menopause.

Male menopause was first proposed by researchers in the UKAround 1930, the medical community in Western countries began to pay attention to the issue of male menopause.

In 1939, Werner first proposed the concept of male menopause, which is based on the fact that some males over the age of 50 may experience clinical symptoms similar to female menopausal syndromeSuch as becoming irritable and losing attention.

And with the increasing degree of population aging, the incidence rate of male climacteric syndrome also has an increasing trend

According to estimates from the US Food and Drug Administration (FDA), 4 to 5 million US men may suffer from male menopausal syndrome.The incidence of menopause in men over 80 years old is 5-10 times higher than that in men under 50 years old.

It is estimated that 57.5 million men in the United States are currently experiencing male menopause,The number of men experiencing male menopause in the world has reached 690 million.

The main symptom of male menopause is a decrease in testosterone, and at the same time, the body will show corresponding symptoms. When middle-aged and elderly men experience the following four symptoms, it is necessary to pay attention to whether menopause is approaching.

The first possible symptom of low testosterone is decreased libido.

A decrease in testosterone levels can lead to decreased libido or erectile dysfunction in men. The occurrence of this situation is related to multiple factors, butThe decrease in testosterone levels is one of the important reasons

Testosterone has a nutritional effect on the smooth muscle of the corpus cavernosum of the penis, which can relax and promote blood circulation around the penis,It is a necessary condition that cannot be lacking during the process of penile erection

Moreover, physiological concentrations of testosterone can inhibit the opening of calcium ion channels in arterial smooth muscle cells, inducing vasodilation by reducing calcium ion influx,

Decreased physical strength caused by low testosterone, mainly manifested as walkingWhen the leg suddenly becomes weakWalking for a period of time will cause muscle damageMeat sorenessAs we age, various aspects of the body

And in our human bones,There are two channels through which androgens exert physiological effects. The first channel is the androgen itself,It can bind to receptors of bone cells and exert its effects;The second channel is that it can be metabolized and transformed within the body,

Moreover, androgen can promote the differentiation and proliferation of osteoblasts, promote the synthesis of bone matrix proteins, and inhibit the differentiation of osteoclast,Thereby promoting bone formation

In addition, androgens are like estrogenIt can stimulate the rapid development of puberty and make male muscles develop,D

In addition, testosterone reduction will reduce androgen, and androgen can promote the secretion of Calcitonin in calcium load. Androgen deficiency in menopausal men can lead to a decrease in the sensitivity of Calcitonin to bone, indicating that the role of Calcitonin depends on androgen. Therefore,

But when testosterone levels decrease, its physiological function also decreases, leading to the loss of muscle and bone in menopausal men, which in turn leads to a decrease in physical strength. Over time,

This study used the Anxiety Self Test Scale and the Depression Self Test Scale,Evaluate the mental and psychological status of 86 middle-aged individuals and measure their serum total testosterone levels

Results and ratings display,

Obesity in middle-aged and elderly men

Even for men who have no illnesses but are relatively overweight,

And,Obese patients are more likely to have sleep apnea syndrome,In other words, during sleep, there may be a five second pause in breathing, leading to hypoxia in human tissues and insufficient energy supply for testosterone producing tissues,

And fat accumulates in the body, causing overweight and obesityObesity is a major issue affecting the health of elderly men,Not only does it affect the occurrence of various diseases, but it also affects their quality of life in later years, which can cause low androgen levels and other hormone abnormalities,2

In addition, normal testosterone levels in malesAt 9.0-45.8mol/L

In principle>350ngdL <230ng/dL230350ng/dL

2-3

However, it should be noted that during the process of supplementing testosterone, it may cause irritation to the prostate, therebyAggravating potential or existing prostate diseases, such as benign prostatic hyperplasia

Also, it is important to remind male friends that,As one ages, the incidence of prostate diseases also increases,

And pay attention to the rules of lifeIn addition, keep happy and stable mood, avoid strong mental stimulation, and maintain optimism

Finally, it is important to remind male friends that,After the age of 50, males should increase their serum testosterone testing during their annual physical examination to monitor for androgen deficiency,

reference:

[1] Li Hongjun, Peng Jing. Routine Diagnosis and Treatment of Andrology [M]. Beijing. China Medical Science and Technology Press. 20:82-83

[2] Zou Ruzheng, editor in chief. Diagnosis and treatment strategies of traditional Chinese and Western medicine for male diseases [M]. Beijing. China Science and Technology Press. 2019: 226-227

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