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Understanding Male Menopause

Yes, there is such a thing as MALE menopause. Time to know about it.

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It is generally accepted that a man’s sexuality changes as he ages — with the instant erections of, say, 18-year-olds replaced by diminished sexual urges, erections that take time to come on (and less rigid erections at that), and feebler ejaculations, among others.

What not many realize is that these signs, often seen as “normal,” may actually be signs of male menopause.

“Andropause is a normal condition that all men experience as they age,” says urologist Dr. Jose Reyes III, president of the Philippine Society for the Study of the Aging Male (PhiSSAM), to refer to male menopause/andropause, also known as male clamacteric, viropause, ADAM (Androgen Deficiency in the Aging Male) and PADAM (Partial Androgen Deficiency in the Aging Male). “It is used to describe any of the changes a man experiences as a consequence (when) the testes no longer, or only partially, secrete testosterone.”

For the majority of the male population, natural andropause usually occurs at the ages of between 40 and 55 – although it can occur as early as 35 or as late as 65, with some men “acquiring menopause due to trauma, cancer or congenital reasons,” some of the factors established as contributory to the condition. Others include obesity, excessive alcohol consumption, previous vasectomy, smoking, hypertension, hernia operations, mumps, prostatitis, prescription and non-prescription medications, poor diet, lack of exercise, varicocoele, poor circulation, and psychological problems.

ALL GENDERS

For Reyes, andropause is similar to women’s menopause, particularly since both menopauses are characterized by a marked drop in hormone levels—estrogen in women and testosterone in men. “However, there are no clear-cut signs (for men), thus, the difficulty in diagnosing it. Unlike women, men do not have a clear signal to mark their transition into andropause, such as the cessation of menstruation and, thus the ability to become pregnant, since men can continue to father children even after the age of 40. Instead, the onset of andropause occurs gradually, and is often accompanied by attitudinal and mood changes, as well as a decline in physical agility, and, perhaps more pronounced, in a man’s sex drive.”

AT A LOSS
“There is something shameful about losing one’s virility,” says the head of research of a popular monthly publication, who, due to this very shame, would rather remain unnamed. It is this shame that keeps discussions of andropause in the closet.

Noted symptoms include some degree of lethargy, depression, increased irritability, mood swings, hot flushes, insomnia, loss of both lean body mass and bone mass (which increases the susceptibility to hip fractures), and difficulty in attaining and sustaining erections (impotence). All these are expected to affect approximately 40% of men from 40 to 60 years old, according to www.andrology.com.

MID-LIFE CRISIS

A more accepted occurence in life among men—and also among women—is the mid-life crisis, described by Wikipedia.org as “an emotional state of doubt and anxiety in which a person becomes uncomfortable with the realization that life is halfway over. It commonly involves reflection on what the individual has done with his life up to that point, often with feelings that not enough was accomplished. The individual may feel boredom with their lives, jobs, or their partners, and may feel a strong desire to make changes in these areas.”

But mid-life crisis is a problem of “psychosocial adjustment,” while male menopause is a “physiological phenomenon” resulting from lowering of levels of testosterone, the dominant male hormone, which stimulates sexual development in the male infant, drives bone and muscle growth in adult males, kindles libido and aggression in the brain, and triggers hair growth, among others.

Understandably, even among healthy men, the amount of testosterone secreted into the bloodstream becomes significantly lower by the age of 55 compared to the level secreted 10 years earlier. In fact, by age 80, most male hormone levels decrease to pre-puberty levels.

Initially, this deficiency causes modest changes, such as an increase in weight (and growth of the “beer belly”), progressive aging of the face, weakening of the muscles, and weakening of bone tissue or osteoporosis.

If the lowered testosterone secretion continues, it affects many of the body organ functions, resulting in the failing of memory, irritability associated with general fatigue and higher estrogen levels in men, development of clogged arteries, varicose veins, hemorrhoids, high blood pressure and increased cholesterol levels.

TESTOSTERONE REPLACEMENT

“While all these physical and psychosocial changes men undergo (with andropause) can create a form of depression and may lead to strange behaviors,” says Reyes, “many men are not aware of the available treatment.”

Treatment, in andropause’s case, comes in the form of testosterone replacement therapy (TRT), which is the replenishment of the lost hormone to enable the body to function as before. Currently, existing forms include weekly injections, transdermal patches, implants, and gel and oral forms.

Injectable testosterone undercanoate Nebido, for one, replaces testosterone in the body to treat various male problems caused by the lack of testosterone (hypogonadism), including impotence, tiredness, bone loss, depressive mood, and low sex drive. Other products to deal with andropause include Testocreme, a patch delivery system of natural testosterone that is applied on the shaved scrotum, and Androderm, a very similar preparation which can be applied anywhere.

A note of warning: While testosterone administration is now widely done, it may cause health problems among older men, as it causes enlargement of the prostate (thereby accelerating progression of undiagnosed prostate cancer), increased hematocrit (the ratio of the volume occupied by packed red blood cells to the volume of the whole blood as measured by an instrument called by the same name), and triggers a variety of liver lesions, among others. As such, TRT must be administered by proper medical professionals.

At the end of the day, it has to do with aging gracefully. And as women – whose menopausal experiences are more documented – show, it can be done. Andropausal men only need learn how.

SELECT REFERENCES

  1. “Low Serum Testosterone: a Cardiovascular Risk in Elderly Men” by Conrad Swartz, Geriatric Medicine Today Vol 7. No 12/Dec. 1988.
  2. “Transdermal Testosterone Substitution Therapy for Male Hypogonadism” by Bals-Pratsch, Yoo Y.D., Knuth V.A., Nieschlag E. Lancet 4/943-946. 1986.
  3. “Transdermal Delivery of Testosterone” by Findlay J.C., Place V., Snyder P.J. Journal of Clinical Endocrinolology 64; 266-268. 1989.
  4. The Merck Manual of Diagnosis and Therapy, 15th edition, Berkow, Robert, MD, Editor, Merck Sharp & Dohme Research Laboratories, Rahway, NJ, 1987.
  5. “Morning Erections and Testosterone Cream: A Clinical Study in Men with Erectile Dysfunction” by Abraham H. Kryger, DMD, MD. Self-published, 1998.
  6. “Pumped Up and Strung Out” by Bower, Bruce, Science News, Vol.140, No. 2, July 13, 1991.
  7. Barnhart, Edward R., Publisher, Physicians’ Desk Reference, 45th edition, Medical Economics Data, Oradell, NJ, 1991.
  8. “Anabolic Steroid Abuse” by Erinoff, Lynda, Editor, and Lin, Geraline C., Editor. National Institute on Drug Abuse Research Monograph Series, US Dept. of Health and Human Services, Washington.

A registered nurse, “Ching” – as many fondly call Rachelle Grace – believes that a holistic approach to health and wellness is what everyone should aim for. She is, therefore, always on the lookout for what could help achieve this. And yes, she shares them openly, believing “knowledge about what works won’t be much use if it’s not known by as many as possible”.

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Health

Self-care for sick days

To help navigate this cough, cold and flu season, consider these tips.

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Cooler weather inevitably means cough, cold and flu season isn’t far behind. Now is the time to take precautions and set yourself up with healthy habits.

“As much as we try, avoiding viruses, bacteria and germs to prevent getting sick can be a challenge,” Dr. Tim Tiutan, MD, said. “However, being prepared with the right remedies, listening to your body and its symptoms and remaining diligent with a healthy routine is just as important as treating symptoms head on.”

To help navigate this cough, cold and flu season, consider these tips from Tiutan and the experts at Mucinex.

Prepare and Prevent
You won’t find a foolproof way to keep germs away, but you can lessen your chances of getting sick and make sure you’re equipped to weather an illness.

  • Practice healthy habits. Keeping your body in prime condition can help ensure you’re in the best condition possible to fight back when germs attack. That means keeping up with exercise and ensuring you’re getting enough vitamins and nutrients through a well-balanced diet.
  • Get a flu shot. The flu shot gives your body a head start in fighting back against flu bugs. If you’re exposed to the flu after receiving the shot, your body can immediately go on the offensive against those germs. You may not stay completely symptom-free, but you’re more likely to experience a mild case and be back on your feet quicker.
  • Restock the medicine cabinet. The start of cough, cold and flu season is an ideal time to dig through your medicine cabinet. Start by discarding any medications that are out of date and make a list of anything you need to replenish. Be sure to include pain relievers, fever reducers, decongestants, antihistamines and cough syrups to fight symptoms. It’s also a good time to restock items like tissues, cough drops, hand sanitizer and anti-bacterial soap.

Treat Symptoms
Although the flu can hit fast, it’s often hard to tell at first whether your symptoms are due to a simple cough, cold or a case of the flu. Either way, managing symptoms like a cough can bring relief and help you keep comfortable and get plenty of rest.

  • Give your body time to heal. Sleep plays an important role in your overall health, especially when you’re under the weather. On average, you need 7-9 hours each night to give your body enough time to fully recharge. When you’re sick, you likely need even more, and it’s a good idea to dial back your activity level, too. Pushing your physical limits often only delays your recovery time.
  • Take medications as directed. Nagging symptoms can often keep you from getting the sleep you need. One way to give your body the break it needs is to effectively manage symptoms. A hacking cough is a common symptom that can be painful and disrupt your sleep. Consider an option like Mucinex DM 12-Hour, a cough suppresent which relieves chest congestion and thins and loosens mucus, giving you an extended reprieve. It’s clinically proven to last up to 12 hours, provides relief for chest congestion and makes coughs more productive.

Prevent Spread
Getting sick may be beyond your complete control, but you can take steps to protect others from germs when you’re feeling ill.

  • Keep germs to yourself. Washing your hands often, covering your nose and mouth with a tissue when you cough or sneeze and sneezing into your elbow if you don’t have a tissue are simple ways you can limit the spread of germs, especially within your home or workspace. Frequently wiping down high-touch surfaces can also help reduce the spread of germs.
  • Skip socializing. If you’re feeling under the weather, stay home. Even a mild cold can easily spread, and an illness that affects you mildly could cause significant distress for someone else. Avoid unnecessary errands and take advantage of services like curbside pickup if you must get out. Also check with your employer about working remotely if you’re up to it.

Cold vs. Flu
There’s a lot of overlap between cold and flu symptoms, so it can be tricky to figure out whether the bug you’re fighting is a cold or influenza and how to tackle it.

While both the common cold and the flu are respiratory illnesses, they are not caused by the same viruses. Although colds are inconvenient, they are far less likely to develop into anything more serious, as the flu can.

What is a Cold?
Generally, colds are milder than the flu, and more likely to cause runny or stuffy noses (while the flu can cause stuffy or runny noses, it’s less likely to do so). You won’t feel good, but you’ll probably be able to do some or all of your daily tasks. The flu typically hits harder, making it difficult to go to work or follow your usual routine.

What is the Flu?
The flu often feels worse than a cold; you might experience the same symptoms but amplified. The flu comes with more pain and fever than a cold. Common flu symptoms include sore throat, chills, fever, runny or stuffy nose, muscle fatigue or aches and headaches. The flu can also develop into more serious conditions and complications, making it more dangerous than the average cold. While the common cold is rarely serious, the flu can be dangerous for young children, the elderly, pregnant women and people with compromised immune systems.

Treating a Cold vs. Flu
You can be vaccinated against the flu. There is no such vaccine for common colds. If your provider recommends it, getting the flu vaccine each year can go a long way toward preventing sickness.

Whether you have a cold or the flu, symptom relief is largely the same. Get plenty of rest, drink plenty of fluids and take over-the-counter medicines to relieve symptoms. Stay home to avoid spreading sickness. Wash your hands frequently and cover your mouth when you cough or sneeze.

Watch for shortness of breath, chest or abdomen pain, confusion, sudden dizziness, severe or persistent vomiting and flu symptoms that improve then return with fever and worse cough. If you experience any of these symptoms, consult a doctor.

Find more ways to stay healthy and limit symptoms by visiting Mucinex.com.

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Health

5 Tips For Proper Oral Care

It’s crucial that you practice proper oral care, by following these habits.

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They’re incredibly important, yet so many people take them for granted—our teeth. A healthy smile is an important part of your overall health since your teeth are such an important and useful part of your body.

It’s crucial that you practice proper oral care, by following these habits.

Always Brush Before Bed

Dentists recommend brushing your teeth three times a day to ensure you remove harmful buildup. However, not everyone manages to make it to three, which isn’t the end of the world. Yet, if there’s one of these three brushing times that you absolutely can’t get away with skipping, it’s nighttime.

At night, your teeth have all of the food that you ate throughout the day, and also germs that cause bad breath. When you go to bed without brushing you’re allowing all of that to sit on your teeth for the duration of however long you sleep, which is usually about 8 hours. Yuck!

Visit Your Dentist

Brushing your teeth daily is already a great step towards overall tooth health. However, there are some things that a toothbrush simply can’t do. It’s important that you see a dentist regularly to get cleanings and address dental issues.

Sometimes despite our best efforts to brush, we still develop cavities. Unfortunately, this is just the way things are. A dentist can help us identify these cavities, and fill them as soon as possible so they don’t turn into something more serious like a root canal.

Floss

Despite having the best toothbrush on the market, there are crevices and cracks in your mouth that even the best toothbrush can’t touch. In addition to brushing, you should make sure that you floss.

Flossing won’t just reduce your risk of developing cavities, but it can significantly improve your breath. There are all sorts of germs and bacteria lurking in between your teeth, and flossing can get rid of that. If you notice that your breath still isn’t entirely fresh even after brushing, then pull out the floss and you’ll notice a big difference.

Avoid Sugar

There are plenty of things that are less than ideal for your health. However, most health professionals agree that one of the worst things for you is sugar and your dentist feels the same. The less sugar you eat, the healthier your teeth will be, as sugar eats away at your tooth enamel.

If you do eat sugar, make sure that you brush your teeth after. One of the worst things you can do is eat sticky candy which leaves behind residue on your teeth and is the perfect recipe for cavities.

Avoid Acidic Foods

In addition to sugary foods, acidic foods are also your teeth’s worst enemy. From coffee to citrus fruits, limit the number of acidic beverages and foods you consume, and your tooth enamel will greatly thank you for it!

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Health

Tips for walking 20,000 steps a day

To walk 20,000 steps a day you’ll need to cover a total of 10 miles. This may seem like a lot, but it’s actually not as difficult as it sounds.

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Photo by Sincerely Media from Unsplash.com

To walk 20,000 steps a day you’ll need to cover a total of 10 miles. This may seem like a lot, but it’s actually not as difficult as it sounds. Here are a few tips to help you reach your goal:

Invest in a Good Pair of Shoes

The first step to walking 20,000 steps a day is to make sure you have the right equipment. Investing in a good pair of walking shoes will help to prevent blisters and injuries, and make the walk more comfortable overall.

Make Walking Part of Your Daily Routine

To reach your 10-mile goal every day, make walking a part of your daily routine. This might mean taking the stairs at work instead of the elevator, or parking farther away from where you’re going so that you have to walk more. You can also try waking up a few minutes earlier each morning to fit in a walk before you start your day.

Join a Walking Group

If you’re having trouble finding time to fit in 10 miles each day, consider joining a walking group or taking part in a local 5k race. This will help keep you motivated and provide social support along the way.

Start Small

Don’t try to walk 20,000 steps all at once. Start with a smaller goal, such as 5,000 steps per day, and gradually increase your mileage as you become more fit. This will help you avoid injury and burnout.

Stay Hydrated

Make sure to stay hydrated while walking by drinking plenty of water throughout the day. This will help you feel more energized and prevent dehydration-related issues, such as muscle cramps or fatigue.

The Bottom Line – BetterMe Can Help You Walk More, Every Day

If you’re looking to improve your overall health, walking 20,000 steps a day can help. This simple form of exercise offers a host of health benefits, from improved sleep and digestion to reduced stress and anxiety. To reach your goal, use the BetterMe Blog as a guide and stay committed every day. With enough dedication, you can achieve your fitness goals and transform your body for the better.

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