Menopause virile
The term climacteric virile describes the period in a man's life in which his testosterone level drops rapidly. In this phase of life, which is part of the natural aging process, critical psychosocial stress often occurs and average sexual activity is declining.
The menopause virile in men is not the counterpart to the menopause in women (also known as menopause ). In both sexes, there is a hormonal change in mid-life. But while the female sex hormones no longer predominate after the climacteric end of the woman, the male sex hormones remain dominant in men. The terms andropause , ADAM ( Androgen Decline in the Aging Male , translated: Androgen decline in aging men) or PADAM (Partial androgen deficit in aging men) are also found in the written material with the same meaning as menopause virile .
Symptoms
Typical symptoms are a decline in mental and physical performance, sleep disorders, palpitations and a decrease in libido and potency . In this phase of life, critical psychosocial stress often occurs.
In men, the remains fertility in principle to the old age receive, but decreases the likelihood still sufficiently fertile sperm to produce and thus descendants testify to. In the "climacteric virile" the amount of ejaculate is reduced to less than 2 ml; in addition, the content of fructose and acid phosphatase decreases.
diagnosis
In addition to the blood count , the questionnaire is The Aging Males' Symptoms rating scale. (AMS) in use worldwide.
therapy
If undesirable symptoms occur in this physical phase of life, advice on healthy lifestyle, exercise and healthy diet is recommended. If the adaptation to the new phase of life does not succeed, this can lead to depression, loss of quality of life and disturbances in the partnership and make therapy necessary. Testosterone replacement therapy is not recommended as its effectiveness has not been proven and substitution involves considerable risks.
Individual evidence
- ↑ a b c P. Altmeyer: Therapielexikon Dermatologie und Allergologie. Springer, 2005, ISBN 3-540-23781-X , p. 460, online here
- ↑ a b c W. Hansen: Medicine of aging and of the old man. Schattauer Verlag, 2006, ISBN 3-7945-2428-4 , p. 303 ff., Online here
- ↑ Cultural and linguistic validation into English; Heinemann et al., The Aging Male 2001; 4 (1): 14-22.
- ^ GH Jacobi: Practice of men's health. Thieme Verlag, 2002, ISBN 3-13-132231-4 , p. 150, online here
- ↑ Marc B. Garnick. Testosterone Replacement Therapy Faces FDA Scrutiny . In: Journal of the American Medical Association . 313, 2015, pp. 563-564, doi : 10.1001 / jama.2014.17334 .
