Hormone Replacement Therapy - Men too have their days

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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, but the male counterpart to the menopausal years with the "climacterium virile" makes the men as much as the climacteric women.

Partial androgen deficiency

"PADAM": This stands for partial androgen deficiency, the hormone deficiency of the aging man (PEDAM - Partial Endocrine Deficiency Syndrome). The Midlife crisis, men reportedly suffer more than women, and hormonal changes always occur. 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 hormone deficiency, which is generally slow in men, are quite similar to those of women: hair loss, sweats, libido and depression. Unlike women, men are not well prepared for these changes and often do not know how to handle them.

Menopause - many do not address the topic

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 physical changes, men often suffer from sleep and concentration problems 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 every two years Prostate Cancer early Detection at the urologist. It would be an 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? There are two very different approaches to answering this question. 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.

For women, the data for the Hormone Replacement Therapy (HET) again get into a violent imbalance and now women and gynecologists are unsure about the dosage and duration of hormone replacement. Current studies suggest that women's hormone replacement therapy 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 hormone balance varies from person to person and also much slower than the woman. Testosterone decreases in men over 35 by 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 examinations with a large blood count and hormone status, which also takes into account the thyroid and adrenal glands, are particularly important in the context of 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 may change in the context of the upcoming health care reform if GPs are given a stronger coordination role. Until then, however, three specialist doctors 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 turns back the physical symptoms of 10 to 20 years of 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 abdomen and the tissue becomes firmer. These miracle effects are at most limited scientifically proven.

Relieving stress is important!

As with the woman is also the modern man a rethinking and the Changing the way of life necessary. Healthier diet, less alcohol and more exercise are a better anti-aging concept than hormones and pills. One of the key factors is the reduction of stress, which also has a positive effect on the male hormones through more exercise and exercise.

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

Information and talks

If "man" feels he has come into menopause, he should first consult his family doctor, urologist or internist. Power 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 are allowed too depressions Seek medical! Again, they often come too short today.

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