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[The male climacteric from the practical viewpoint].

F Szarvas1

  • 1Endokrinologische Abteilung I. Medizinischen Universitätsklinik, Szeged, Ungarn.

Wiener Medizinische Wochenschrift (1946)
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Men experience a physiological phase akin to menopause, known as the male climacteric. This condition involves reduced testosterone and requires careful diagnosis and symptomatic treatment.

Area of Science:

  • Endocrinology
  • Andrology
  • Gerontology

Context:

  • Men undergo a physiological transition similar to menopause.
  • This phase, termed male climacteric, is associated with specific symptoms.
  • It involves hormonal changes impacting male health and vitality.

Purpose:

  • To describe the physiological changes during male climacteric.
  • To outline diagnostic criteria and differential diagnoses.
  • To discuss treatment and management strategies for male climacteric symptoms.

Summary:

  • Male climacteric involves decreased testosterone secretion and increased sex hormone-binding globulin (SHBG), leading to a low free androgen index.
  • Diagnosis is supported by elevated serum luteinizing hormone (LH) levels.

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  • Differential diagnoses include atherosclerosis, diabetes, liver damage, tumors, and prostate issues.

    • Impact:

    • Hormonal replacement therapy with testosterone can manage symptoms.
    • Anabolic steroids may be considered for osteoporosis prevention.
    • Symptomatic relief of associated vegetative phenomena is crucial for quality of life.