One of the most important current issues facing modern Uro-Andrologists is aging and sturdiness in men. Uro-Andrologists, endocrinologists and cardiologists are working for a longevity healthy and quality life style in men. Problems related to aging men and men’s health in many countries are included in the state program. Males aging is a physiological process. It has its own regularities and laws known: unclear reasons. If the reasons are known, we have a chance against him!!! Major Factors of mens premature aging as follows: Sun damage, lack of sleep, stress, alcohol consumption, poor diet, facial expressions – frowning and squinting, pollutants and free radicals and smoking. Men’s Health compared to women: Men have higher rates of fatal illnesses, Men have more toxic occupational exposure, Men have higher rates of injuries (both intentional and non-intentional). Women live longer than men, an average of 5 years longer, but they tend to be “sicker” than men. Longer life expectancy holds across ethnic groups and nations, but the gap is decreasing. When social discrimination decreases, women’s life expectancy increases.
– Anamnestic, physical examination;
– Auxiliary examination;
– USM full, uro-andrological;
– EKG, EKO EKG;
– General clinical tests: koagülogram, blood chemistry, ALT, AST, phosphatases, general bilirubin fractions; General lipids: total cholesterol, triglycerides, HDL, LDL, creatinine, glucose, vitamin D;
– Hormonal balance: FSH, LH, T-general, T-free, estradiol (E2), inhibin-β, SHBQ, prolactin, insulin, leptin, C-peptide;
– Markers: PSA, CEA, AFP;
– Research sexually transmitted infection: culture, PZR;
– Expert of the comment: İnternist, endocrinologist, cardiologist, urologist and psychologist.
Testosterone is the most important androgen (male sex hormone) in men and it is needed for normal reproductive and sexual function. Testosterone is important for the physical changes that happen during male puberty, such as development of the penis and testes, and for the features typical of adult men such as facial and body hair. Testosterone also acts on cells in the testes to make sperm. Testosterone is also important for overall good health. It helps the growth of bones and muscles, and it affects mood, libido (sex drive) and certain aspects of mental ability. The pituitary gland and the hypothalamus, located at the base of the brain, control the production of male hormones and sperm. Luteinizing hormone (LH) and follicle stimulating hormone (FSH) are the two important messenger hormones made by the pituitary gland that act on the testes. LH is needed for the Leydig cells in the testes to make testosterone. If low testosterone is diagnosed, the missing hormones can be replaced with hormone replacement therapy to bring the body’s testosterone levels back to normal. This should remove symptoms of hypogonadism and related sexual problems. Testosterone replacement therapy can be given in different forms. A doctor will discuss the different options before deciding which one is most appropriate. Testosterone levels may need to be checked after treatment begins so the right dose can be given. Regular injections are given deep into a muscle, called intramuscular injections. Depending on the type of injection recommended, these can be every two to three weeks to every three months. These may be injected by a doctor or practice nurse, self-injected or done by a partner. Carried out correctly, these shouldn’t be too painful. Cylindrical pellets are inserted in the abdomen, buttock or thigh by a doctor under local anaesthetic once every three to six months. These are swallowed on a daily basis but give a lower dose of hormones than other methods. These work similar to nicotine patches for people trying to quit smoking and deliver testosterone gradually through the skin using a new patch each day. Testosterone gum is put in the mouth above the front teeth. Gel is applied to the skin, usually on the shoulder, arm or abdomen. This need to be used after showering to stop it washing off too soon.