The termination of menstruation in women is called menopause. British researchers have found that men also have menopause similar to women, which is called; The difference is that women's menopause is the end of menstruation. The average age is about 48 years old. At this time, estrogen is significantly reduced, while men's menopause is a slow and stable decrease in androgen. Generally, it starts from about 35 years old. Some symptoms appear earlier, some symptoms appear later, and the degree of symptoms varies. The older the age, the lower the level of androgen.
Male infertility is characterized by decreased sexual impulse, penis erectile dysfunction, fatigue, neuroticism, inattention, anxiety, depression, and decreased memory. This is due to the androgens secreted by the testicles; In addition to age, alcohol, testicular diseases, drugs, spermatorrhea, vasectomy, and even the increase of estrogen content in water sources are the causes of lower testosterone levels. Like estrogen replacement therapy for postmenopausal women, testosterone replacement therapy can also be used for male infertility, that is, to supplement exogenous testosterone. This method has been widely used in clinic because of the consensus of male scientific experts.
Because the reduction of testosterone is a slow and gradual process, testosterone replacement therapy should also be individualized. The purpose of replacement therapy is only to supplement part of its deficiency, not to completely replace the function of testicular androgen secretion, so the dose of testosterone supplement should not be too large, so as to avoid side effects. The decision on whether to supplement testosterone can only be made based on the detailed physical examination and laboratory results. Testosterone replacement therapy can only be carried out if the diagnosis is that the level of testosterone is low and there are no obvious diseases such as prostate hypertrophy, prostate cancer, and increased blood viscosity.
At present, there are many kinds of testosterone preparations available, among which oral preparations, transdermal preparations and ester intramuscular injections are the most commonly used. No matter what drug dosage form, how much dose, and the time of use, the drug should be used strictly according to the clinical examination results and the doctor's instructions. It is not allowed to make a decision and act on its own.