Publicado por: sosortomolecular | 12 de Agosto de 2009

ANDROPAUSA

Tanto o termo andropausa quanto Climatério Masculino, pode ser clinicamente inadequado. Na menopausa, de onde se faz a analogia com andropausa, ocorre invariavelmente a falência dos ovários e o fim do ciclo reprodutivo da mulher. No homem, com o avançar da idade, diminui a produção de vários hormônios, principalmente dos chamados esteróides sexuais. O que realmente existe é uma síndrome caracterizada por deficiência. Mas, como o termo já adquiriu status de verdade creio podermos usá-lo sem maiores prejuízos da ciência.

No homem, a chegada do envelhecimento físico pode vir junto com a falta desejo sexual, esta última muito ligada ao fator psicológico e, em alguns casos, à diminuição da produção de testosterona, o hormônio sexual masculino. Essa fase pode ser chamada de andropausa.

A andropausa não é igual para todos os homens, mas todos experimentam alguma diferença no modo de sentir a vida à medida que a velhice vai chegando. Embora a idade seja a causa da andropausa, os homens mais emotivos, menos autoconfiantes e seguros de si estão mais predispostos aos efeitos da apatia.

A produção do hormônio testosterona costuma diminuir, de forma discreta, quando os homens ultrapassam os 50 anos. Isso é fisiológico e natural. Depois dos 40 anos, a testosterona começa a diminuir cerca de 1% ao ano, entretanto, quando essa queda é mais acentuada, o fenômeno leva o nome de andropausa e alguns homens podem apresentar problemas.

Portanto, a andropausa seria o resultado das disfunções sexuais e os problemas físicos provocados pela diminuição do nível de testosterona que atinge homens com mais de 50 anos.

O “climatério masculino”, ou andropausa, foi descrito pela primeira vez em 1939, onde se caracterizou como o declínio da testosterona plasmática em homens acima de 50 anos. A partir dos anos sessenta, inúmeros trabalhos científicos confirmaram estas descobertas e identificaram uma redução da perfusão sanguínea (fluxo) nos testículos, com redução significativa da síntese de testosterona.

A andropausa é a versão masculina da menopausa na mulher e, neste período do envelhecimento, o homem é marcado por mudanças fisiológicas e psicológicas. Mas, por maior que seja a queda da testosterona no homem, ela não se compara à queda dos hormônios femininos na mulher na menopausa. No homem os sintomas se instalam lenta e progressivamente, diferentemente da menopausa na mulher.

Nessa fase, em 15% dos casos surgem sintomas como perda de interesse sexual, problemas de ereção, falta de concentração, queda de pêlos, aumento de peso, irritabilidade e insônia, entre outros. O medo de enfrentar desafios, seja na vida particular ou profissional, é um dos sintomas mais comum.

Quando é a insônia que mais importuna o paciente, deve ser tratada, quando são os distúrbios de ereção, é isso que deve receber tratamento, ou a depressão, o ganho de peso e assim por diante.

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