Many people say that a man is a flower at thirty and forty! This year, 37-year-old Wang is the age of this flower: in the family is the backbone, the world of human affairs to manage like a fish in water; in the unit is the backbone of the business, the work is also doing a good job. But from last year, he continued to appear easy fatigue, anxiety, irritability, forgetfulness of large and small things, sexual function is reduced and other symptoms, the feeling of masculinity is no longer. He always thought it was the pressure of responsibility, reluctantly! It is really outsiders look “a flower”, they struggle to hold it up! In fact, this may be suffering from symptoms related to “male hypogonadism”, which is quite prevalent in the modern city “white-collar”. Don’t confuse testosterone deficiency symptoms with “aging” and delay treatment. These symptoms include: (1) changes in mood and state of mind. Depression, sadness, irritability, and restlessness. Often distracted, fidgety, and like to lose their temper. Often get angry over the slightest thing, and sometimes have unexplained and nameless outbursts of anger, showing unprecedented irritability. (2) The plant nerves are easily disturbed. There is often dizziness; there is a feeling of breathlessness, localized numbness and tingling; gastrointestinal function is sometimes disturbed, and insomnia is frequent; sometimes there is excessive thinking, often distraction and fear; when nervous, there are palpitations, tinnitus, black eyes and other symptoms, and certain parts of the body also produce variable pain, etc. (3) Memory loss. Often lose three or four; attention is not easily concentrated, energy is easily dispersed, interest in external things is significantly reduced; reluctance to participate in outdoor activities, showing a clear state of laziness. (4) In interpersonal relationships, sometimes suspicious,; unwilling to interact with others, lonely, showing obvious tendency to misfit; willing to act alone, self-righteous, unable to listen to others’ advice. In the family, poor handling of interpersonal relationships in the family, often quarrel with spouse and children, for a little thing will be a storm, for a sentence will be half a day sulking. (5) Decrease in sexual desire and sexual ability. Sometimes show obvious aversion to sexual life. Many people simply attribute some symptoms to “discomfort caused by changes in life and work”, “too much stress lately” or “this is how it is at an older age”, which is not worth making a fuss about. This is a misconception that needs to be corrected. The aforementioned Xiao Wang was also until the unit body check testosterone, only to understand what is going on? It turns out that his androgen is low, leading to what we call “male hypogonadism” symptoms, which used to be called “male menopause”. The reason for this is the presence of a very important hormone in the male body – testosterone, which regulates the normal physiological activities of men by acting on numerous target organs. Many of you will say, “I thought menopause was not until you were about 50 years old? I’m only in my 30s or 40s! It is true that menopause, as it used to be called, occurs around the age of 50, but this term is actually very inaccurate. This is because some men experience an early decline in testosterone due to poor health. Men, like women, experience a range of clinical symptoms as they age due to a gradual decline in their hormone production levels. However, they are not identical, for example, men do not have signs of the onset of menopause such as menopause, the development of symptoms is not obvious, and the endocrine metabolic mechanism is different from that of women. And there are large individual differences in the decline of male gonads, some may start to drop by their thirties and the rhythm of their secretion may change. More recently, a relative decrease in free testosterone in the blood has been found to be more associated with these symptoms. Therefore, it is completely understandable that some people in their thirties and forties have a series of symptoms that cause discomfort in the body due to the decline of androgens, which is why the symptoms of testosterone deficiency are normatively named as “male hypogonadism”. It is not a terrible condition. The treatment of choice is testosterone replacement, in addition to skin patches, intramuscular preparations, and oral preparations.