Santiago Brugo Olmedo M.D.
Medical Director
Seremas Medicine for men and women
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Aging Male


SPECIALTIES | Male Aging

Definition of Aging Male

SEREMAS department of Aging Male assists those patients who, in general, have reached the age of 50 years old and show some symptoms which can vary from certain sexual dysfunction to generalized tiredness, gradual decrease in muscle strength, insomnia, bad mood, lack of memory, increase in body fat to the detriment of muscle fibre, etc.

SEREMAS has a team of professionals who take care of this matter from different points of view and who become essential for the complete study and proper treatment of these issues, which are very frequent in men but which in general are not diagnosed in time.

Study and treatment of problems caused by Aging Male improve patients’ life quality and increase their life expectancy.

DEFINITION

Aging Male is defined as the clinical condition resulting from the gradual decrease in testosterone production (typical masculine hormone) as a consequence of normal process of aging.
This process of aging related to the deficit of androgens, is also defined as ADAM syndrome (Androgen Deficiency Aging Male). On many occasions, this deficiency is just partial, and can be called PADAM (Partial Androgen Deficiency of Aging Male).

AT WHAT AGE DOES IT APPEAR?

Even if changes in testosterone values start at about 40 years old, general symptoms can appear between 50 and 60 years old.

HOW IS IT DIAGNOSED?

Clinical diagnosis of Aging Male is not simple. It does not appear in every man. They appear neither at the same age, nor in such a remarkable way as it occurs in women with the loss of their menstrual cycles in menopause.
Clinical symptoms are varied. Decrease in sexual desire can be reported, just like decrease in erection quality, with disappearance of night erections. Changes in the mood can also be found, with decrease in intellectual activity, memory, space orientation, and fatigue, tendency to depression, emotional changes and irritability. It is related to the decrease in muscular fibre together with decrease in strength. There is loss of body hair and changes in the skin, decrease in bone density (osteoporosis) and increase and redistribution of body fat.
Confirmation of the clinical condition is given by testing, through a laboratory analysis, the decrease in testosterone active fraction in blood (typical masculine hormone). In the following list we can see some testosterone deficiency characteristic symptoms.

Vasomotor and Nervous Symptoms
Seremas Hot flashes (similar to those of menopause)..
Seremas Sweating episodes
Seremas Insomnia.
Seremas Nervousness.

Mood Disorders and Cognitive Function
Seremas Irritability and lethargy
Seremas Loss of welfare sensation.
Seremas Lack of motivation
Seremas Poor mental energy
Seremas Difficulty in short term memory
Seremas Depressive symptoms.
Seremas Decrease in self-esteem.
Seremas Unusual fear

Masculinity and Virility
Seremas Decrease in vigor and physical energy.
Seremas Decrease in body mass and muscular strength.
Seremas Loss of body hair.
Seremas Abdominal obesity.

Sexuality
Seremas Decrease in sexual interest or desire.
Seremas Reduction of sexual activity
Seremas Poor erectile function.
Seremas Reduced orgasmic quality.
Seremas Weakness in ejaculation.
Seremas Decrease in ejaculate volume.


WHEN AND HOW SHOULD IT BE TREATED?

The treatment, which is carried out with hormone replacement therapy, would be indicated for those cases where decrease in testosterone is noticeable and is associated with evident clinical changes and for those where there is no formal contra-indication of receiving it.
The main objective of the treatment is the recovery of testosterone level to restore sexual functions, achieving simultaneously other goals such as prevention of osteoporosis, keeping strength, physical vigor and intellectual capacity.
There are different ways to implement testosterone replacement treatment such as intramuscular, oral and more recently transdermic with gel administration. The treatment must always be supervised by a physician because of side effects which might appear. We therefore emphasize that periodical follow-up during testosterone therapy is mandatory and allows:

Seremas Testing if testosterone level reaches desired values.
Seremas Detecting adverse effects development.
Seremas Determine if symptoms have improved with the therapy.

We also remind you that treatment with testosterone may give important benefits for these men’s health and that it must only be administered under competent and careful medical surveillance, in order to identify adverse effects at an early stage.

SeremasSeremas | Medicine for men and women
SEREMASArenales 1954, 1st floor
Buenos Aires City
Phones: (00 54 11) 5032-3358 / 59 / 60 (Rotative lines)
E-mail: info@seremas.com
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