Hormone Replacement Therapy - Men too have their days

It sounds almost a bit mocking when it says that even men can have their "days". But mockery is not appropriate, because there are hormonal changes in the male sex. Although they do not make themselves felt in a 28-day rhythm, the male counterpart to the menopausal years with the "climacterium virile" treats the men as well as the menopause.

Partial androgen deficiency

"PADAM": This stands for partial androgen deficiency, the hormone deficiency of the aging man (PEDAM - Partial Endocrine Deficiency Syndrome). The mid-life crisis, in which men are said to suffer more than women, always coincides with hormonal changes. Only this aspect of men's lives has hardly been discussed so far. In addition, there is no "men's doctor" who - like the gynecologist for women's health - exclusively cares for medical men's affairs.

The consequences of the hormone deficiency, which is generally slow in men, are quite similar to those of women: hair loss, sweating, loss of libido and depression. Unlike women, men are not particularly well prepared for these changes and often do not know how to handle them.

Menopause - many do not address the issue

The so-called menopausal years of the man begin gradually, about the age of thirty-five, and make themselves felt individually between 40 and 55. In addition to the physical changes, men often suffer from sleep and concentration disorders or are more likely to get upset. Also tachycardia and hot flashes occur.

However, this is rarely mentioned at the doctor's visit. In fact, only 15 percent of men aged 45 and over go to the health check and prostate cancer screening every two years. It would be the opportunity to address such complaints - the urologist is often the only port of call for many men.

The principle of hen and egg

Are we getting old because we lack the hormones or are the hormones missing because we are getting old? In answering this question, there are two very different approaches. From the acceptance of a natural, genetically programmed aging process is a hormonally determined anti-aging therapy, which in turn replaces cosmetics, tanning beds and potency pill.

In the case of women, the data on hormone replacement therapy (HET) has once again turned into a serious imbalance, and women and gynecologists are now uncertain about the dosage and duration of hormone replacement. Current studies suggest that hormone replacement therapy in women should only be used in cases where all other remedies are no longer helpful - and then only for a limited time, because the risks and side effects are too great.

For men research and experience in this sector are still in their infancy! Therefore, extreme caution is required in premature hormone replacement therapy in men.

Determine hormone status

The hormonal balance varies from person to person and also much slower than the woman. The testosterone decreases in men from 35 to about 1 percent per year. However, menopausal symptoms may not necessarily be related to the fall in testosterone, but may also have many other causes. Therefore, laboratory studies with a large blood count and hormone status, which also takes into account the thyroid and adrenal levels, are particularly important in a comprehensive diagnosis.

Gynecologists - Men's doctors?

The andrologist - so the "men's doctor" analogous to the gynecologist, the gynecologist - does not exist in this form. Thus a special contact person for the men is missing. This situation may change as part of the upcoming health care reform if GPs are given a stronger coordination role. Until then, however, three specialists should definitely be included in the interpretation of the laboratory values: internist, urologist and endocrinologist (hormone specialist).

If any hormone supplements are considered, "man" should be very well informed about the benefits and risks. Testosterone can stimulate the growth of prostate cancer cells. DHEA, the precursor of sex hormones, is under similar suspicion. In addition, long-term studies on how hormone supplements affect men have so far been completely lacking.

In numerous anti-age books, the growth hormone HGH is also touted as a true miracle weapon against aging: Allegedly, the effect of growth hormone reverses the physical appearance of 10 to 20 years aging after six months of treatment. It is promised that gray hair will turn black again, wrinkles on the hands and face disappear, the fat apron melts in front of the belly and the tissue becomes firmer. These miracle effects are at most limited scientifically proven.

Relieving stress is important!

As with women, the modern man needs a rethinking and lifestyle change. Healthier diet, less alcohol and more exercise are a better anti-aging concept than hormones and pills. One of the key factors is stress reduction, which has a positive effect on the male hormones through more exercise and exercise.

In addition, during sports, endorphins, so-called happiness hormones, are released, which act against mental moods and physical tension. So before hormones are swallowed, sports and stress reduction are definitely worth a long-term attempt.

Information and talks

If "man" has the feeling of having come to menopause, he should first contact his family doctor, urologist or an internist. Potency pills, obscure drugs over the Internet or even hormone preparations without prescription and medical control are not announced. But more than pills could possibly also help other behaviors. Talking about the changes and a positive reorientation in the face of the creeping aging process could also be beneficial.

And finally, men too can be treated for depression! Again, they often come too short today.

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