Climacteric neurosis in men
Endocrinology / / August 12, 2017
Climacteric neurosis - a disease that manifests itself psychogenic and neuro-vegetative disorders developing in women in menopause.However, clarification of the role of menopausal adjustment in the genesis of these disorders is much more difficult than in women, and sometimes simply impossible.In women, the development of climacteric neurosis
Pathogenesis menopause in men
Several authors cites evidence in favor of lowering the value of testicular function in the genesis of climacteric neurosis.It is noted that when symptom of male menopause between the ages of 45-55 years, there are degenerative changes such as "senile testicles", which are absent in healthy individuals, even in the more advanced age without menopausal disorders.When testicular biopsy in men with symptoms of climacteric neurosis marked reduction in the size and activity of the seminiferous tubules, the decrease in the number of Leydig and some other changes to cells.Increased urinary excretion of gonadotropins in men suffering from climacteric neurosis.
phenomena climacteric neurosis also referred to as the age of 45-55 years.Meanwhile, the termination of the reproductive function in most men occurs at a later age.
Against the role of reduced testosterone production in the development of symptoms of climacteric neurosis say observation marking the emergence of symptoms of climacteric neurosis during aging in individuals castrated at a young age.
Symptoms of menopause in men
sudden sensation of flushing, with the rapid reddening of the face and a number of other accompanying "tide" of the nerve symptoms.In men, the typical hot flashes are rare and are usually less pronounced symptoms than women.A number of symptoms (nervousness, irritability, depression, fatigue, etc.) Are not specific enough to classify them as violations of menopause, and they are often also observed in other age periods and may be based on different etiological and pathogenic factors.
In rare cases of violations to the autonomic nervous symptoms in men, resembling the symptoms of neurosis menopausal women, it can be assumed and the total primary genesis of these disorders - the development of age-related changes in the hypothalamic centers, causing the characteristic autonomic nervous symptoms.
Clinic menopause in men
Symptoms of menopause include neurosis as psychogenic, and neuro-vegetative disorders.When menopausal disorders nervousness was observed in 90% of patients, irritability - in 80%, depression - 70%, memory loss - in 75%, worsening of sleep - 59%, the tides - in 29%, dizziness - at 46.5%scotoma - 26%, tremors, stupor - at 43.9%, tachycardia - at 51.8%, fatigue - at 80.2%.libido decrease is 80.5%, the reduction potency - 90%.Libido is disturbed less than potency.
However, neuro-psychiatric disorders (nervousness, irritability, memory loss, etc.) Can be in relation to the pathogenesis are not associated with menopause and can often be a manifestation of aging in general.Clearly expressed by the tides, different from vasomotor phenomena observed in the neuroses of other genesis, which could be clearly attributed to the symptoms of menopause, are found in men is relatively rare.All this makes a pretty convincing rare symptom of climacteric neurosis in men.
Diagnosis and differential diagnosis
diagnosis climacteric neurosis in men put on the basis obschenevroticheskih symptoms in the presence of vasomotor disturbances typical character of "the tides" with the rapid appearance of redness of the face and other concomitant autonomic nervous disorders with their fast end.In favor of the diagnosis of climacteric neurosis says the elimination of these violations as a result of testosterone or estrogen.In the differential diagnosis to rule out other forms of neurosis and age changes in the neuro-psychic sphere that go beyond menopause.
- Menopause (Menopause) and diseases of menopause in women
- Pathology of menopause (menopause).Climacteric neurosis
- primary testicular failure function
- male gonads.Embryology, anatomy and physiology
- diagnosis and treatment of climacteric neurosis
- menstrual cycle
- The use of estrogen for the treatment of climacteric neurosis
- The use of androgens in the treatment of climacteric neurosis
- Early puberty
- Menopause (Menopause) in men
Treatment menopause in men
When menopause symptom of neurosis is widely used intramuscular injection of testosterone propionate in an amount of 10-25 mg 2-3 times aweek.Apply these drugs for 4 weeks, followed by a decrease to half of this amount for the next month.However, there are slight variations in various dosages and frequency of testosterone propionate.
methyltestosterone used in an amount of 15 to 30 mg daily sublingual dose reduction followed by 2 times.The total duration of treatment - 2 months.Extension treatment is inappropriate because of the possible damaging effect of this drug on the testes.
methyltestosterone treatment option is the use of test bromletsita consisting of methyltestosterone, lecithin and bromurala, which has a particularly beneficial effect in vasomotor disorders and hypercholesterolemia.
If the treatment effect of testosterone drugs does not come from re-treatment should be discarded.
can be applied drugs reserpine group.Reserpine doses of 0.1-0.25 mg 2-3 times a day.Treatment should be under the control of blood pressure and heart rate in view of the possible occurrence of lowering blood pressure and bradycardia.Great caution is required in the application of reserpine in patients with chest complaint.Use of the drug is contraindicated in the presence of peptic ulcer disease and asthma.
necessary to apply therapeutic effects aimed at the treatment of every neurosis.