Powerless sex. Extra pounds - the cause of early male menopause

- How can you collect accurate statistics if men's consultations were liquidated more than 10 years ago, and there are urologists only in large state clinics?

- As such, there have never been male consultations. Such appeals had a therapeutic purpose and were commercial. The situation is currently changing rapidly. In some regions, projects are already being implemented to preserve men's health. However, they are scattered and proactive. The Ministry of Health and the Federation Council are actively preparing a federal program within the framework of the National Demography Project.

As for the number of urologists, the point is not that there are few of them, but that in our country there is an established system of curative medicine, there are no screening and preventive measures. Men have to seek help from private medical centers, but the economic system is built on the doctor's interest in treatment, not prevention.

Meanwhile, men are more susceptible to social risks, including the male life expectancy in our country is 10 years shorter than the female one (this is the highest indicator in Europe). This is a feature of physiology: a man is a sprinter, and a woman is a stayer. But the main thing is the length of a healthy life.

- How is men's health related to longevity?

- A study conducted in our center has shown that, for example, erectile dysfunction (sexual impotence) not only depresses self-esteem, but also serves as a dangerous prognostic sign. It has been proven that men with erectile dysfunction are much more likely to experience myocardial infarction (within 5-7 years from the onset of its development).

The extinction of sexual functions also negatively affects the performance of a man. During menopause, a man loses interest in life, loses leadership qualities, perseverance and enterprise, and many diseases that are not detected in time provoke an early male menopause.

- For a long time it was believed that the male climax simply does not exist in

- Menopause - the natural extinction of sexual and reproductive function - is inevitable for both women and men. But in the male half of the population, it occurs later and manifests itself differently than in women.

One of the significant signs of male menopause is the appearance of prostate adenoma, which develops in all men after 45-50 years.

If a person is physiologically healthy, prostate adenoma develops later and does not cause changes that require surgery. Today it is possible to treat BPH conservatively. But this is possible provided that the man seeks a doctor before complications develop. Unfortunately, most men come for help when surgery can no longer be avoided.

Another feature of the male climax is a large age range. Normally, in a healthy man, menopause occurs after 70 years, but the current trend suggests that the male menopause is "younger" and develops in men after 40 years.

And those who have spent a turbulent youth are at risk. For men, excess weight is extremely dangerous, the cause of which is primarily physical inactivity. Obesity is formed by the female type, fatty deposits in the abdomen work like an endocrine gland: they secrete estrogens, which suppress male sex hormones. Such a man actually castrates himself: he becomes lethargic, effeminate, depressed, loses interest in sex and becomes unpromising from a reproductive point of view.

- It is believed that the female reproductive system is extremely vulnerable, and a man can become a father at any age and in any condition ..

- This is not the case. The ability to conceive in men really persists for a long time (up to 65-80 years). However, with age, diseases, genetic breakdowns, toxins accumulate, which degrade the quality of the genetic material and lead to the birth of children with severe pathology. Therefore, the best that a father can do for his child is to conceive him young (up to 40-49 years old).

A man can also become sterile and make a woman sterile. Diseases such as chlamydia, trichomoniasis and mycoplasmosis prevent pregnancy and cause early termination. Or the development of the fetus occurs, but the child is born with abnormalities. Human papillomavirus causes cervical cancer in young women, but is no less dangerous for men. This disease is one of the leading causes of death in women of reproductive age.

Sexually transmitted diseases are detected quite often in men of reproductive age. Today the age of male sexual debut is 16-17 years (and in 20% of cases - 14 years), and the age of marriage is 26-28 years. Before marriage, a man on average has a relationship with 3-10 so-called sexual partners.

- But they say that long-term abstinence is harmful for men

- Abstinence has less harm than extramarital sex. In addition, the norms are largely determined by the male sexual constitution. It is better to discuss what is harmful and beneficial for a man with a doctor.

- At what age does a man need to see a doctor?

- On behalf of the Minister of Healthcare Skvortsova V.I., we are preparing proposals for the concept of the program "Male and female reproductive health and active social longevity" dispensary examination at the age of 18 to 49 years, followed by a step of 4 years at the expense of compulsory medical insurance. The age range of dispensary observation is also proposed. The first visit is from 18 to 25 years old to assess their functional and reproductive abilities. The most common diseases at this age are sexually transmitted diseases and injuries (fracture of the pelvic bones, rupture of the urethra).

The second mandatory examination is at the age of 40-45, when disorders of sexual function are most often noted. The third - in adulthood (55+), in which there are degenerative processes associated with aging, diseases of the prostate gland, cancer.

However, if you experience pain, discomfort, sexual dysfunction and urination, you should consult a doctor immediately. Since only early detection of diseases can save you from dangerous complications.