Men’s Middle age physical and mental changes are important to be considered because they, to a great extent, attribute to either future well-being or future illness especially that men by this age are usually subjected to more stress and unhealthy lifestyle with higher responsibilities both in work and personal life.
IT'S MEN'S TIME
LET'S CHANGE GEARS
Men go to the doctor less than women and are more likely to have a serious condition when they do go. If you’re feeling healthy, a little planning can help you stay that way.
lethargic, listless, lacking of energy, tired, worn out, weary, exhausted, malaise, or feeling run down?
These are expressions heard by the doctors when patients describe fatigue.
fatigue is a normal response to physical and mental activity; in most normal individuals it is quickly relieved by reducing the activity, it’s usually relieved in hours to about a day, depending on the intensity of the activity.
Looking at the clinical aspect of fatigue, it’s lack of energy and motivation (both physical and mental). This is different than drowsiness, a term that describes the need to sleep. Fatigue is a very common complaint and it is important to remember that it is a symptom and not a disease. Many illnesses can result in the complaint of fatigue and they can be physical, psychological, or a combination of both so underlying illness should be investigated. Fatigue could be presented clinically by one or more of the following symptoms:
- Post-exertion malaise
- Impaired memory or concentration
- Non-refreshing sleep
- Muscle pain
- Multi-joint pain without redness or swelling
Easy fatigability is a very common complaint of middle aged men and could be a good sign for hormonal imbalance and / or metabolic disorder after excluding other underlying illnesses.
Erectile dysfunction (ED) is a multidimensional man’s health problem affecting men occasionally
ED is not a disease by itself as it is a clinical finding which could draw the attention to an underlying illness. Importantly, erectile dysfunction is no longer simply confined to sexual activities but acts as an indicator of systemic endothelial dysfunction which in turn will lead to major cardiovascular complications. From a clinical standpoint, erectile dysfunction often precedes cardiovascular events and can be used as an early marker to identify men at high risk of major cardiovascular disease
male sexual dysfunction involves an alteration in any of the components of the erectile response, including organic, relational and psychological
By definition Erectile dysfunction (ED) is the inability to achieve or maintain an erection that is sufficient for satisfactory sexual performance, ED affects a considerable proportion of men at least occasionally throughout their life. Two major aspects are involved in male erection:
- Reflex erection
- Psychogenic erection
Both can be involved in the dysfunction and are subject to therapeutic intervention; the reflex erection is achieved by directly touching the penile shaft and is under the control of the peripheral nerves and the lower parts of the spinal cord; and the psychogenic erection is achieved by erotic or emotional stimuli, and uses the limbic system of the brain,
Apart from those two aspects we can alternatively classify ED etiology to the following:
- Non-endocrine (neurogenic, vasculogenic, psychogenic and iatrogenic)
- Endocrine pathways
both could be involved either solitary or combined in developing ED.
Many studies showed that there is a common link between low androgenic levels and erectile dysfunction for older patients complaining of ED, testosterone levels in men drop down steadily as man advances in age, it has to be noticed here that the low testosterone levels does not mean that man will develop erectile dysfunction but have to be considered if there is ED.
What if you’re doing everything the same as you always do, and your weight still goes up?
It’s time to delve a little deeper into what else might be going on.
Gaining weight is a hot title for both genders, all people are talking about it as a HOT CATCHY TOPIC but none of those people is a medical specialist. Moreover there are several theories and explanations being generated by those non-specialised people to this phenomenon, Added to that, this topic is being well promoted and commercialised by many food processing restaurants, companies, Gyms…etc. All of that by time generated a lot of confusions and myths between people.
Now let’s dig medically behind this topic:
Your body shape changes naturally as you age, there are several changes to your body systems take place as you get older as well as changes in the lifestyle and prolonged exposure to the environmental changes. You cannot avoid some of these changes, but your lifestyle choices may slow or speed up the process.
As you advance in age, your body tend to lose lean tissue due to the slowdown of the regeneration process which is taking place throughout your life in attempt to replace the lost cells due to the wear and tear. Your muscles, liver, kidney, and other organs may lose some of their cells. This process of muscle loss is called atrophy.
The amount of body fat goes up steadily after age 30. Older people may have almost one third more fat compared to when they were younger. Fat tissue builds up toward the center of the body, including around the internal organs.
Here it should be highlighted and noticed that the internal fat around the body organs is more harmful and dangerous than the fat we see under the skin.
Hormones are playing a vital role in keeping our bodies coping with changes we meet in our life like lifestyle, diet, environmental exposure and stress, so it is obvious that any hormonal imbalance could participate in the process of weight gain by a way or another. for example, when life’s demands get too intense, our bodies go into survival mode, Cortisol as the stress hormone is secreted in higher rates, which causes an increase in appetite and re-distribution of body fat. This combination is a perfect breeding ground for weight gain.
Understanding of the metabolic roles of sex steroids in men has evolved substantially over recent decades. Whereas testosterone once was believed to contribute to metabolic risk in men, the importance of adequate androgen exposure for the maintenance of metabolic health has been demonstrated unequivocally.
Metabolism is an important player affecting directly the process of weight gain, the basal metabolic rate starts to decline gradually at average age of 30 years and onward.
All what is mentioned is variable from a man to another and affecting men on different degrees so it is important to be looked at all together then the doctor design the plan of management for each patient individually.
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