Male menopause, check the hormone supplementation kidney

  Huangdi Nei Jing – Su Wen has this description: “husband eight years old, kidney qi real, hair long teeth more; two eight, kidney qi Sheng, heavenly sebum to, essence overflow, yin and Yang and, so can have children; …… five eight, kidney qi failure, hair fall teeth haggard; six eight, Yang qi exhaustion on the top, face scorched, hair and temples issued white; seven eight, liver qi Seven or eight, the liver is weak, the tendons can not move, the sky is exhausted, the essence of less, the kidney collection failure, the shape of the body are extremely; eight or eight, the teeth and hair to go.” It means that when a man is eight years old, the kidney energy begins to fill, hair growth, teeth replacement. At the age of sixteen, kidney qi is full, and the essence of the kidney promotes growth and development and reproduction of the essence of micro substances gradually increased, prompting male maturity, essence overflowing, and able to reproduce. At the age of forty, the kidney energy declines, hair begins to fall out and teeth dry up; at the age of forty-eight, the face is emaciated and the hair is gray at the temples; at the age of fifty-six, the limbs are not moving well, the kidney essence gradually fails and the body feels afflicted by disease; at the age of sixty-four, the teeth and hair fall out. The image describes the physiological changes of men from early childhood to old age.  Most men begin to experience a series of physiological and psychological changes when they reach the age of five or eight, such as decreased physical ability, easy fatigue, memory loss, poor concentration, irritability, depression, insomnia, hot flashes and sweating, and reduced sexual function, as well as some feminization symptoms, such as breast enlargement, etc. Modern medicine is called male menopause syndrome, also known as partial androgen deficiency in middle-aged and older men (PADAM), and androgen deficiency in middle-aged and older men (PADAM). It is also known as partial deficiency of androgens in middle-aged and older men (PADAM), deficiency of androgens in middle-aged and older men (ADAM), and delayed hypogonadism (LOH). The current academic tendency is to use the term LOH and to consider male menopause as an age-related testicular hypofunction that occurs in middle-aged and older men.  In men, testicular atrophy begins after the age of 40, with a slow decline in testicular weight, which becomes more pronounced after the age of 60 and is equivalent to the size of an 11-12 year old boy’s testicle at age 70. The level of testosterone, the main androgen in men’s body, starts to decrease from the age of 30, decreasing by about 1.6% per year, or 17% in ten years. For men, testosterone is not only associated with secondary sexual characteristics, libido and sexual performance, but also widely affects mood and intelligence, red blood cell production, bone metabolism, protein and muscle synthesis, and fat distribution. Decreased blood testosterone levels can cause fatigue, decreased muscle mass, osteoporosis, anemia, and mood and cognitive changes, in addition to lower libido and reduced sexual function. Patients with testosterone deficiency have a significantly higher mortality rate than those with normal testosterone levels. The progression of symptoms in men going through menopause correlates with the degree of testosterone deficiency. In addition to physiological decreases in testosterone levels, there are a number of chronic diseases that can lower testosterone levels, such as diabetes, chronic obstructive pulmonary disease, chronic arthritis, kidney disease and secondary diseases caused by HIV infection.  For men over 40 years old with menopausal symptoms, we commonly use the Aging Male Symptom Questionnaire (AMS) and the Androgen Deficiency in Middle-Aged Men (ADAM) questionnaire for screening, followed by testosterone level testing and, if necessary, testosterone supplementation therapy. Testosterone supplementation therapy can induce differentiation of stem cells to myocytes, reduce visceral fat and increase muscle content, as well as improve insulin sensitivity, promote bone metabolism, prevent osteoporosis, increase bone mass, maintain normal sexual function, and improve male menopausal symptoms. Currently, androgen preparations include oral preparations, patches, gels, injections, and skin burials, and their effects have their own characteristics. Contraindications to androgen supplementation include patients with prostate cancer or breast cancer, patients with erythrocytosis, patients with severe sleep apnea syndrome, and patients with benign prostatic hyperplasia with severe lower urinary tract symptoms. Androgen supplementation therapy should be carried out under medical supervision.  Although Chinese medicine does not have a name for male menopause, it has extensive experience in improving the evidence of kidney deficiency that occurs with age. Modern research has confirmed that kidney tonic herbs such as Epimedium, Lycium and Cistanches can regulate the hypothalamic-pituitary-gonadal axis, promote testosterone secretion and delay aging, and can be applied under the guidance of a doctor. In addition to medication, male menopausal patients should pay attention to self-care. As stated in the Yellow Emperor’s Classic of Internal Medicine, “If you eat and drink in moderation, if you live and work in a normal manner, and if you do not make any delusions, you will be able to keep your body and mind together and live out your natural life to the fullest, and you will be 100 years old before you leave.” Pay attention to diet control, control basic diseases, regular rest and rest, moderate physical activities, regulate emotions and maintain a good mental and psychological state, and you can successfully go through menopause.