Reduced Testosterone Hormone
The testosterone level is measured by taking a blood sample. This should be done between 08:00 and 10:00 in the morning. Because at this time, the male hormone becomes most intense.
If testosterone levels are low and the symptoms of the disease are seen, the person is diagnosed with andropause and testosterone hormone replacement is started.
5 years ago, it was thought that testosterone replacement (replacing the decreased hormone) would increase the risk of prostate cancer. However, research has shown that this claim does not reflect the truth.
Today, it may be possible to perform testosterone replacement even for people with prostate cancer.
Hormone replacement does not increase the risk of prostate cancer, but there are recent publications that prostate cancer patients do not increase cancer progression.
However, testosterone replacement in men with breast cancer, sleep apnea and some other diseases that may be affected by this condition is inconvenient.
Aging Man Syndrome
“Aging man syndrome” is also referred to as male menopause, andropause, or aging man as hypogonodism. Each man loses 10 per cent of testosterone in his blood and 10 per cent after the age of 50 every 10 years after his 30s.
Although testosterone is the first thing that comes to mind, it’s not just a sexual hormone. Testosterone regulates the mood in both men and women.
Courage, well-being, intellectual activity, muscle strength, weight loss in the abdomen and weight gain are related to this hormone.
The psychology of the testosterone-falling male is adversely affected, muscles lose weight, fat deposits in the belly area and intellectual activity weaken.
However, depressive mood, sleep disorders, skin changes, sexual reluctance and erection problems also occur.
Although not a definite age, all men should be followed up urologically after 45 years of age. This is important for early diagnosis of prostate cancer and “aging man syndrome”.
Same as the signs of the aging process!
As the follow-up of andropause and prostate cancer is different, evaluations should be performed separately. Andropause is different from prostate diseases.
In andropause, the decrease in aging and male hormone testosterone levels are observed together. Although the habit of being examined for prostate diseases after 45 years of age, androposis is not evaluated under this examination.
Because the disease is not very well known. This situation is not over-emphasized, as attenuation of intellectual activity, fat burning around the navel and muscle weakening are seen as a natural result of aging.
However, since andropause is an important health problem, all these symptoms should be considered and necessary precautions should be taken.
Are there similarities between testosterone and estrogen?
Since male and female mechanisms are different, estrogen and testosterone are used together in women. Because estrogen is required for testosterone to be active.
In men, however, this is not the case only testosterone replacement is done. There are different methods to implement replacement. Replacement can be done by oral, intravenous, or skin-riding.
This app is one of the most simple and common, riding gel on skin among techniques. The patient should apply the gel on his skin, once a day, in the morning. There is no age limitation in the treatment, it can also last a lifetime.
10 signs of early andropause in men
Andropause is the name given to late-onset testosterone deficiency in aging men. Although men start to be seen in their 40s, testosterone levels decrease in their 50s.
Andropause is a complex of general psychological, biological, physical, and sexual symptoms in which testosterone production and testosterone are present in the blood.
Andropause is not preventable. However, it is not seen in every man over 50 years old. It occurs in 20-30 percent of men.
It is of utmost importance to go to treatment and to present the symptoms with andropause rather than preventing andropause.
Testosterone level in the diagnosis of andropause is measured by taking a blood sample. This should be done in the early morning hours (08.00 – 10.00). Because at this time, the male hormone becomes most intense.
If there is a low level of testosterone in the measurement and symptoms of the disease are seen, the person is diagnosed with andropause and testosterone hormone replacement is started.
Andropause manifests with the following symptoms:
- Reduction of sexual drive,
- Less hardening,
- Decrease in daily life energy,
- Reduction of strength and endurance,
- Length reduction,
- Less enjoyment of life,
- Being sad and depressed,
- Decrease of sports skills,
- Sleeping after eating,
- Decrease in business performance.
What is infertility?
For couples to have children; female spawning, the male to produce healthy sperm (normal sperm), the baby to settle and grow in the uterus to be a structural obstacle and at least one of the uterine channels should be open and functional.
Infertility is defined as the inability to conceive despite having regular and unprotected sexual intercourse for one year. Young couples may have longer waiting times.
If the woman is above 35 years of age, or if there is any evidence that may be associated with infertility in history and physical examination, research should be initiated earlier. The first infertility assessment of men is done by examination called semen analysis.
In order to achieve standardization in semen analysis, the man is asked to perform a 3-5 day sexual diet before the examination. Two samples are taken at least 2-3 week intervals to give an opinion about a semen analysis.
A sperm evaluation according to the World Health Organization criteria must be more than 20 million in milliliters, above 50% in mobility and at least 70% in normal form. Semen analysis may vary depending on the cause and degree of impairment.
Varicocele is one of the most important causes of male infertility. 41.2% of men who cannot have children have problems due to varicocele.
Other causes of infertility in men can be listed as follows:
- Obstruction: 18.8 percent
- Testicular insufficiency: 16.4 percent
- Undescended testes: 2.2 percent
- Ejaculation disorder: 2.4 percent
- Testicular tumor: 1.6 percent
- Gonadotoxins: 1.2 percent
- XYY: 0.6 percent
- Non-testicular cancer: 0.4 percent
Does Prostate Cancer Develop Without any Symptoms?
Prostate is a serious and important health problem for men. Prostate cancer is diagnosed early.
However, sometimes many misconceptions that are accepted as true among the public are late in the diagnosis of the disease.
For this reason, prostate examination should be done at certain intervals, especially after the age of 50.
Common misconceptions about the prostate :
Prostate cancer happens only in older men.
Although prostate cancer is mostly seen in older men, a significant proportion of patients are 50 years of age and younger. This inaccurate information sometimes causes delay in early diagnosis and therefore treatment.
I don’t have a complaint, I don’t need control.
Prostate cancer does not give any symptoms in the early period. In addition, it is one of the cancer types that cause the least complaint in cancers. In case of complaints of prostate cancer, the disease is advanced.
There’s no such problem in my family. I don’t have to go to check.
A significant proportion of prostate cancers are not family or racial prostate cancer. Yes, the risk increases in the family, but it is still the most common cancer in men over the age of 50 years.
I only have a PSA test, if the test is normal, I’m not cancer.
This thought is perhaps one of the biggest mistakes. Some aggressive prostate cancers do not increase PSA levels in the blood.
Only one fourth of prostate cancers can be omitted in controls with PSA. PSA may also increase in non-cancerous conditions, such as prostate enlargement or inflammatory diseases.
The high PSA does not always indicate cancer, but the low level does not indicate 100 percent cancer. Therefore, it is the only method to diagnose some prostate cancers!
Prostate cancer progresses slowly, does not kill.
It is true that there is a slow progression in some prostate cancers as in some other types of cancer. However, it should be noted that some of them are very aggressive and progressing fast! These characteristics can only be determined by the expert urologist’s view.
Prostate cancer can spread to my wife or to my surroundings.
Prostate cancer is not an infectious disease like an infectious disease. It is not possible to be involved in sexual intercourse.
Impotence and urinary incontinence after prostate surgery.
Maybe it’s the most common and one of the mistakes that has prevented people from going to control.
Surgical treatments or cancer operations performed in benign growth of the prostate can be applied by advanced technology methods.
Therefore, the side effects of the applied methods are very few.
If I eat right and use vitamins, I don’t have cancer.
Although it is known that nutrition and lifestyle have positive effects on cancer formation processes in general, this information should not cause disruption of the controls that should be done after certain ages.
Prostate treatment is surgery only.
In prostate cancer, there are many alternative treatment approaches besides surgical treatments.
The urologist will offer you a choice according to the degree of urinary problems that impair the quality of life.
In prostate cancer, cancer can sometimes be applied in active follow-up, taking into account age, accompanying diseases and life expectancy.
Sexual intercourse causes prostate cancer
Unfortunately, this information cannot go beyond the legends of the city and scientific information, which have no value.
Today, the most important risks for prostate cancer in scientific studies are genetic familial predisposition and black race.
Prostate cancer in a first-degree male relative increases the risk of prostate cancer 2-3 times, and in 2 first-degree relatives 4-6 times.
