By Malcolm Carruthers
Simply what's the andropause? even though attractiveness of the andropause suggestion via the scientific neighborhood is growing to be, it's nonetheless a hotly debated factor. yet as a hectic clinician you've sufferers to regard and also you desire info. So the place are you able to locate the data you want to comprehend, diagnose, and deal with this ? Androgen Deficiency within the grownup Male: motives, prognosis and therapy distills the information received through writer Dr. Malcolm Carruthers in his 25 years of analysis and medical event in diagnosing and treating the andropause right into a accomplished, precise scientific resource.
Dr. Carruthers files the historical past of the hunt for testosterone therapy from antiquity to the awarding of the Nobel Prize to Adolf Butenandt and Leopold Ruzicka for synthesizing testosterone and patenting its construction a few 4,000 years later. He discusses the motives of androgen deficiency, the male menopause or andropause, and up to date advances in its prognosis. The textual content contains reports of the literature in every one part and a fund of bibliographic references gleaned from the author's years of analysis during this box. this mix of good points makes Androgen Deficiency within the grownup Male: explanations, prognosis and remedy a useful and useful scientific advisor, an entire and precise reference quantity, and a cohesive and readable textbook.
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Additional resources for Androgen deficiency in the adult male : causes, diagnosis, and treatment
It considered that this would raise major social, economic and ethical issues worldwide, and might strain to the limit the health, socioeconomic and even political infrastructures of many countries. Therefore, it was suggested, the promotion of healthy aging and the prevention, or drastic reduction, of morbidity and disability of the elderly must assume a central role in the formation of the health and social policies of many, if not all, countries in the next century. The report included in its recommendations that, as interventions such as HRT may favorably influence many of the diseases associated with male aging, as had been shown in women, there was an ‘urgent need’ to obtain such information in men.
The most prevalent time for this decline of gonadal function to occur in man is in later life, approximately from the ages of 45 to 55. 2 years, with 68% in the 45–55 age range (Appendix 3). Usually, as Dr Werner described in this report, those cases occurring in men under the age of 40 have a predisposing cause, such as primary hypogonadism from late or poor testicular descent, or damage due to severe mumps orchitis or following herniorrhaphy. The paper is an excellent summary of his clinical experience in this field over the previous 8 years, and Dr Werner’s list of symptoms became the standard means of diagnosing the andropause, or ‘male climacteric’ as it was then called, throughout the 1940s, and was routinely quoted by other physicians for diagnostic and treatment purposes14,15.
As an important part of this drive, there were many more papers directly supporting testosterone treatment, and reporting good results and a high level of safety with it. The best overall view of this was probably given by the interactive voting session organized and sponsored by the Ferring AG Pharmaceutical Company. The jury, 400 leading experts in the field, mainly urologists, endocrinologists, gynecologists and research scientists from all over the world, invited to a symposium called ‘Testosterone Deficiency as a Real Clinical Issue in the Aging Male Population’, came out overwhelmingly in favor of testosterone treatment being important and beneficial.
Androgen deficiency in the adult male : causes, diagnosis, and treatment by Malcolm Carruthers