Diagnosis of hypogonadism
In the diagnosis of age-related hypogonadism primarily
It should focus on the presence of certain clinical
symptoms. To facilitate diagnostic procedures exist
different profiles, allowing a high degree of probability to identify
men for further examination and treatment.
Age hypogonadism in men can be suspected when:
Having one of the manifestations:
- decreased sexual drive
- reduction in force or intensity of erections
At least three or more of the following expressions:
- vigor decline
- decrease in strength and endurance
- growth decline
- reduction of curiosity and the desire for pleasure
- feelings of guilt or sadness
- decrease in endurance sports and activities
- afternoon drowsiness
- reduction career disability
There are indirect manifestations of the age of hypogonadism:
- enlargement of the prostate
- Decrease of prostatic juice, citric acid
- crystallization of secret loses its characteristic for healthy males structure
- reduction in the level of fructose in semen
In order to clarify the diagnosis of age-related hypogonadism is necessary to determine the level of sex hormones.
In this case, the main hormone is testosterone. at
confirmation of the diagnosis should consult a doctor who will prescribe
the necessary treatment.
Treatment of hypogonadism
The mainstay of treatment is to normalize the age of hypogonadism
Testosterone levels in serum. carrying out
testosteronsoderzhaschimi replacement therapy drugs and holding
stimulating therapy aimed at stimulating the synthesis of its own
The main preparations for androgen
therapy in men are products of natural testosterone. In
testosterone replacement therapy (TRT), there are several
modifications as oral, injectable and transdermal
application. A decision on the treatment form, its duration and dosage
accepted by the skilled physician, taking into account the particular characteristics of the patient,
his age and clinical symptoms.
Adequate dosing regimen testosterone preparations in a form of intramuscular injection one time per 3-4 weeks.
Can microencapsulated form of action of the drug 3-4
months, from which after injection is gradually released testosterone.
Testosterone may be used in the form of crystalline
implants injected under the skin, which provide uniform
hormone release within 6 months.
For drugs for transdermal administration include gels
testosterone and dihydrotestosterone, and patches. Plasters
There are two types - for everyday sticking to the skin of the body or
the skin of the scrotum.
The preparation of testosterone in a gel applied to the skin. Daily
the dose is calculated individually and depends on the production of endogenous
Thus, the specific tactics and scheme
androgen therapy are selected individually for each
patient and depend on the clinical manifestations of the age of hypogonadism,
testosterone levels, as well as the set of therapy and possible targets
Absolute contraindications for growth hormone
androgen therapy are breast cancer and prostate cancer. TO
relative contraindications include sleep disorders as sleep apnea,
dyslipidemia, obstructive bronchopulmonary disease, intensive
Normalization of testosterone levels return man self-confidence,
willingness and ability to continue to lead an active life, to push the
process of physical and mental extinction.
The sooner you see your doctor-andrologist, the faster
It is able to solve many of the problems caused by age