Identifying hypogonadism in men

This article is professionally consulted by Dr. Nguyen Van Thanh - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Nha Trang International General Hospital. The doctor has many years of experience in the field of Obstetrics and Gynecology.

Hypogonadism is a common condition in men aged 40 and over. Male hypogonadism is caused by a decrease in the hormone testosterone, leading to the inability of men to achieve an erection and ejaculate.

1. Signs of hypogonadism in men

Hypogonadism is also known as male hypogonadism or male hypogonadism. This is a common syndrome, accounting for nearly half of men aged 40 and over.
Male hypogonadism can be secondary to a systemic cause, as can the abuse of certain drugs. Men suffer from certain diseases of the genitourinary, urinary, endocrine or psychological systems that can lead to an inability to get an erection or to ejaculate, or even both.
Some signs of male hypogonadism are:
Decreased sex drive combined with erectile dysfunction Lack of enthusiasm, lack of persistence, discomfort, easily angered and frustrated emotions , decreased interest in life, feeling unwell Frequent insomnia, trouble sleeping, but showing signs of drowsiness right after eating Vasomotor disturbances, hot flashes, dizziness, or hot flashes

Bốc hỏa ở nam giới — Suy tuyến sinh dục khiến nam giới hay bị bừng nóng, bốc hỏa

Decrease, loss of sensitivity at the tip of the penis, penis and testicles show signs of shrinking Male breasts are enlarged, fatter, fat develops in the abdomen and waist There is a phenomenon of osteoporosis, easy fractures, even There are signs of hypopituitarism, chronic diseases such as diabetes, asthma, obesity, high blood pressure are at risk of development and acquisition.

2. Classification of hypogonadism in men

Male hypogonadism is classified as follows:
2.1 Erectile dysfunction This condition is caused by a decrease in testosterone levels, however a decrease in testosterone is not the cause of erectile dysfunction in men. The cause of this hypogonadism may be a tumor in the pituitary gland.
2.2 Loss of libido Due to androgen deficiency, psychological disorders, drug abuse lead to loss of libido in men, decreased gonadal function, no ejaculation.
In addition, the lack of pleasure is often psychological if the man still has desire and still cannot get an erection
2.3 No ejaculation Men have difficulty in ejaculating, or retrograde ejaculation.

Xuất tinh ngược dòng — Nam giới bị xuất tinh ngược dòng

3. Causes of male hypogonadism

There are two causes leading to hypogonadism in men:
3.1 Primary causes Male without testicles, mumps virus infection, after orchiectomy, radiation treatment, Klinefelter's syndrome (shrink, hard, spermless testicles), undescended testicles.
3.2 Secondary causes Men have testicular cancer, impaired pituitary gland function, posterior cranial fossa tumor, malnutrition, thyroid dysfunction, chronic adrenal insufficiency, diabetes...

4. Treatment of male hypogonadism

When detecting signs of hypogonadism, men need blood tests and a gynecological examination to accurately diagnose the condition and have timely and appropriate treatment. Currently, to treat hypogonadism in men, testosterone supplementation is the most effective treatment. This is a way to increase vitality, increase libido, improve erection, improve morale, reduce sadness, anger and fatigue in men. This treatment also helps increase muscle mass, reduce fat, increase strength, muscle endurance, reduce bone mass loss, reduce cardiovascular risk in men.

Cân bằng testosterone — Bổ sung testosterone để điều trị suy tuyến sinh dục ở nam giới

Depending on the condition and the doctor will appoint a testosterone supplement lasting from 3-6 months. Testosterone supplementation is an effective treatment, suitable for most men with hypogonadism.
However, men with prostate cancer, liver disease, heart disease, edema, prostate enlargement, kidney disease, diabetes should not take testosterone supplements, need to be treated under the guidance of a specialist. .
To limit the decline of gonads, men need to have an active lifestyle such as changing a reasonable diet, not smoking, alcohol, stimulants. Besides, regular exercise, minimizing stress is the best way to treat and limit gonadal decline in men.

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Bài viết này được viết cho người đọc tại Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.