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MALE MENOPAUSE
- IS IT AN ISSUE OF MIND OVER MATTER?
 
The Urology team in CGH takes care of menopausal patients: (from left) Dr Sam Peh, Dr Chin Chong Min, Dr Peter Lim, Dr Ng Foo Cheong & Dr Ng Kok Kit.
 

While the spirit soars to great heights, the human body is subject to physical limitations. Male menopause is a physical condition which, unfortunately, cannot be simply wished away or be dismissed as a matter of the mind... as we find out...

Good dietary habits with adequate minerals, vitamin, essential fatty acids and essential amino acids ensure a fit and healthy body. Many times, adopting simple lifestyle changes like exercising regularly and embracing a sexuality that emphasises on friendship, love, intimacy and spirituality can help the man tide over the difficult period.

Male Menopause -The condition that has previously been dismissed as impossible in men has been recognised by doctors as an ailment that affects men of age between forty and fifty-five. Andropause, the male equivalent of menopause, is caused by hormonal and physiological changes in the male's body.

From the age of 35 onwards, production of certain hormones in the male body become low and they start to dip drastically in middle age. By the time a person reaches 40, both in men and women, the reproductive powers swing significantly downwards and body cells no longer repair themselves as rapidly. This explains why with increasing age, the body's capacity for self-maintenance drops and it can no longer tolerate physical and chemical abuse.

Growth hormones are especially important because aging is caused by the decline in production of growth hormones which can start as early as the 30's. These hormonal changes cause the development of many symptoms of male menopause. Hormones like Human Growth Hormone, Melatonin, DHEA (dihydoepiandrosterone), Thyroid Hormone and prolactin also go on the downswing.

Effects of DHEA falling, for example, will lead to a decline in feelings of well-being. Certain lowered thyroxine levels cause declining energy levels whilst Melatonin levels fall during the aging process. This also explains why older people often have difficulty falling asleep.

Treatment of male menopause varies according to the patient's condition. Taking testosterone (androgens) has only proven beneficial in men who have low levels of hormones. It can also be unsuitable for some and has its accompanying risks. Many times, a change in lifestyle and mindset can ease a man's condition and benefit him significantly during menopause.

Good dietary habits with adequate minerals, vitamin, essential fatty acids and essential amino acids ensure a fit and healthy body. Many times, adopting simple lifestyle changes like exercising regularly and embracing a sexuality that emphasises on friendship, love, intimacy and spirituality can help the man tide over the difficult period. At the same time, losing weight also helps.

Sometimes, patients who are suffering from male menopause may refuse to admit it because they fear that they are no longer manly. But this may cost him his health. Moreover, male menopause, also known as andropause or viropausem is caused by changes in the blood hormone level of a man, which can be compensated. To compensate for the reduction in testosterone and other growth hormone, follicle stimulating hormone and leutinizing hormone are increased. It is best to consult a doctor to find the appropfiate treatment.
WHAT ARE THE
SYMPTOMS OF MALE MENOPAUSE


Psychological

  • Lack of mental energy
  • Decreased of cognitive functions
  • Decreased feelings of general well-being
  • Irritability
  • Inability to concentrate
  • Depression
  • Nervousness


Physical

  • Generalised weakness
  • Lack of physical energy
  • Decrease in muscle mass
  • Decreased body hair
  • Feeling fat
  • Gaining weight
  • Taking longer to recover from injuries and illnesses
  • Less endurance for physical activity


Vasomotor

  • Excessive sweating
  • Occasional hot flushes
  • Insomnia
  • Palpitation


Sexual

  • Decrease in sexual activity
  • Loss of libido
  • Erectile dysfunction
  • Reduce interest in sex
  • Increased anxiety and fear about losing sexual potency