Middle-aged men's new perspective on sex

For men, ED (erectile dysfunction) and premature ejaculation are already familiar terms. Once similar symptoms appear in their bodies, they will rush to give themselves a certain "title".

Although men are paying more and more attention to their health, many middle-aged people have overlooked a very important issue: testosterone deficiency. Testosterone is a steroid hormone secreted by male testicles and female ovaries. The adrenal glands also secrete a small amount of testosterone. As a major sex hormone, testosterone has an important impact on men's health. It has the effects of enhancing sexual desire, strengthening immune function, and fighting osteoporosis. Moreover, the effects of testosterone on male reproductive organs and other important organs are quite complex, affecting many body systems and functions, including blood production, calcium balance in the body, bone mineralization, prostate growth and fat, blood sugar metabolism, etc.

"Women and men are physiologically different. When women reach their 50s, 100% of them have ovarian dysfunction. But in theory, some men over 50 still retain their sexual ability. Even at 80, a small number of people still have sexual ability. This is related to the normal secretion of testosterone. However, what we see now is that many men over 50 will have symptoms of testosterone deficiency. This is a disease called delayed hypogonadism (LOH). It is not only related to the decline in androgen levels, which will significantly change the quality of life, but also has adverse effects on the functions of multiple organ systems."

A survey of Chinese men over 50 years old showed that nearly 90% of people with LOH will experience decreased libido and lack of energy, about 80% will experience ED and memory loss, and more than 70% will experience hair loss, mood changes, and decreased endurance. The muscle mass of middle-aged and elderly men is slowly decreasing, but LOH will increase the occurrence of sarcopenia, causing patients to become weak, increase the risk of falling, and even become disabled. At the same time, low testosterone levels are related to increased leptin levels. LOH promotes the occurrence of obesity, which is related to increased cardiovascular disease and overall mortality. In medicine, low serum testosterone levels are considered an independent predictor of visceral obesity in men. It can be seen that testosterone deficiency is one of the health issues that men should pay most attention to.

There are many reasons for male testosterone deficiency. Some of them are congenital factors, such as some people are born with low sensitivity to androgen genes. But more of them are acquired bad lifestyle habits, such as smoking, drinking, irregular diet and lack of exercise.

Since the public is not well aware of LOH, many middle-aged and elderly men are not aware that they have the disease. If there are no other physical changes, the following four problems should be paid attention to: first, sexual dysfunction; second, mental decline; third, obvious decline in physical fitness; fourth, hot flashes, sweating and other symptoms due to vascular dilation. Once these symptoms are found, go to the hospital to test the testosterone level. If it is lower than the standard value, treatment measures should be taken.

At present, the most effective treatment for LOH is exogenous testosterone supplementation. The common method internationally is mainly drug treatment. The commonly used drug is oral testosterone undecanoate capsules (trade name Andriol), whose metabolites in the human body are the same as the main endogenous androgens in the human body. This drug has been used for clinical treatment in more than 80 countries and regions in the world, and is also recommended by the my country Middle-aged and Elderly Men's Health Research Association as the first choice for the treatment of LOH in China. "If men want to stay healthy, the most important thing is to reasonably and scientifically regulate themselves in daily life and maintain good living habits. This is the only way to stay healthy.

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