male menopause syndrome
Introduction
Introduction to male menopausal syndrome Male climacteric syndrome is caused by atrophy of testicles, decreased secretion of testosterone, feedback to stimulate the secretion function of the pituitary gland, decreased response of the atrophic testis to gonadotropin, and a series of symptoms caused by imbalance in the regulation of sex hormones in the body. The age difference is also large (51-64 years old), mainly manifested as mental and psychological symptoms: lack of concentration, memory loss, depression, anxiety, irritability, suspicious, nervous, and decreased ability to work. Symptoms of vasomotor symptoms: palpitations, hot flashes, and sweating. Symptoms of sexuality: reduced sexual interest, decreased sexual desire, impotence. Physiological symptoms: reduced sleep, fatigue, loss of appetite, bone and joint pain. basic knowledge The proportion of illness: 0.002% Susceptible people: male Mode of infection: non-infectious Complications: loss of libido, impotence, premature ejaculation, tinnitus, insomnia
Cause
Causes of male menopausal syndrome
Testicular function deterioration (60%)
The shape and function of the testes are reduced, and the androgen is reduced, and the spermatogenic function is impeded. Menopausal syndrome due to arteriosclerosis of the testicular spermatic cord, insufficient oxygen supply, resulting in decreased activity of the enzyme system associated with male hormones in the spermatic vein.
Gonadotropin reduction (10%)
The gonadotropin secreted by the pituitary gland slowly declines, and its function is parallel with the hormone level. The concentration of sex hormone free testosterone decreases with age.
Prevention
Male climacteric syndrome prevention
First, life conditioning
Strengthen exercise, enhance physical fitness, improve the body's ability to adapt, daily life, and sexual intercourse, to maintain kidney essence, diet light, care for the spleen and stomach, quit smoking and alcohol, comfort, reduce anxiety, and shun blood.
Second, diet conditioning
At the same time of syndrome differentiation, diet conditioning can not be ignored, because the pathogenesis of male menopausal syndrome is simply kidney deficiency, so diet should use foods that nourish the effect of kidney essence, while diet should be light, easy to digest, eat less fried Fatty products, avoid spicy and stimulating diet.
Third, spiritual conditioning
Strengthen ideological cultivation, always maintain optimism, overcome psychological tensions, establish a firm belief in life, and exercise perseverance.
Complication
Male climacteric syndrome complications Complications, libido, impotence, premature ejaculation, tinnitus, insomnia
Although the male climacteric syndrome has more clinical symptoms, the root cause of the disease is due to the sharp decrease of the level of scorpio, which leads to the visceral disorder in the body and the disorder of yin and yang. It is only appropriate according to the yin and yang imbalance of the patient. With positive psychological counseling, the body can gradually reach a new balance of yin and yang at a lower level of Scorpio, thus safely crossing this period, but a small number of patients continue to intensify due to imbalance between yin and yang, which can cause more serious organic diseases. Cause enough attention.
Symptom
Male menopausal syndrome symptoms Common symptoms Physical "blessing" Tinnitus forgetfulness Insomnia Loss of appetite, low mood, slow response, more dreams, red night sweats
1, mental symptoms: mainly temperament changes, such as low mood, sadness, sadness, dull, crying, or nervous, nervous, moody, or cranky, catching the wind, lack of trust.
2, autonomic dysfunction: mainly cardiovascular symptoms, such as heart palpitations, pre-cardiac discomfort, or blood pressure fluctuations, dizziness, tinnitus, hot sweating; gastrointestinal symptoms, such as loss of appetite, abdominal cramps, suffocation, stool Time secrets vent; neurasthenia manifestations, such as insomnia, less dreams, easy to wake up, memory loss, forgetfulness, slow response.
3, sexual dysfunction: common loss of libido, impotence, premature ejaculation, less semen.
4, body changes: the whole body muscles began to relax, subcutaneous fat is richer than before, the body becomes fat, showing a "blessing state."
Examine
Examination of male menopausal syndrome
Laboratory routine examination: blood routine, urine routine, stool routine, liver function, renal function, myocardial enzymes, electrolytes, blood lipids, blood sugar, six blood clots, four infectious diseases, folic acid, vitamin B12, five items of qigong.
Auxiliary examination: electrocardiogram, color ultrasound, magnetic resonance, radiography, etc. In general, the clinical examination indicators of the patients are normal, and the relevant examinations can be selectively performed according to the specific conditions of the patients.
Diagnosis
Diagnosis and identification of male climacteric syndrome
Differential diagnosis
First, mania and depression
Mania is often fatigue, irritability, irritability, severe insomnia, long-term emotional upswing, often accompanied by increased language movements and exaggerated thinking content, depression, feelings of indifference, insomnia, fatigue, Loss of appetite, long-term depression, etc., the age of these two diseases is earlier, and the initial age is mostly young and middle-aged.
Second, cardiac neurosis
With heart palpitations, chest pain, fatigue, nervousness as a prominent performance, more common in women and young people, middle-aged people, aged between 20 and 40 years old, may have tachycardia, insomnia, multiple dreams and other symptoms, heart x-ray Check, ECG and laboratory tests are more normal.
Third, hypertension
Can occur at any age, especially in people over 40 to 50 years old, slow-onset hypertension is often found in the early physical examination, headache, dizziness, insomnia, memory loss, inattention, fatigue, Symptoms such as palpitations are prominent, multiple examinations of blood pressure and intermittent chest penetration, ECG examination can be identified.
Fourth, diabetes
Some adult-type diabetes can occur after the age of 45, more common in obese people, may have fatigue, loss of libido, waist and leg pain, genital itching, etc., quite a lot of people "three more than one less" symptoms are not obvious, according to blood sugar The urine sugar test results are judged.
Five, Yangshuo
It can be seen at any age after marriage, with yin and yang being soft or not as strong as the main card. Many young or middle-aged patients, middle and old people have more impotence associated with certain organic diseases.
Sixth, gastrointestinal dysfunction
It is a type of neurosis, mainly gastrointestinal symptoms, can be limited to the pharynx, esophagus or stomach, but the most common intestinal symptoms, but also accompanied by other common symptoms of neurosis, such as burnout , forgetfulness, inattention, nervousness, insomnia, dreams, headache, night sweats, anxiety, nocturnal emission, etc., but the disease is more common in young adults, and mental factors play an important role in the occurrence and development of this disease.
Seven, coronary heart disease
Heart palpitations, sputum sputum, suffocation in the heart area, electrocardiogram and laboratory tests can be identified.
