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Al igual que la mujer, quien a cierta edad llega al periodo de la menopausia, los hombres manifiestan algunos cambios hormonales que alteran la vida física, emocional y sexual, a esta etapa durante la cual se presentan estos cambios se llama andropausia o climaterio masculino.
La andropausia puede provocar diversos conflictos emocionales en los hombres, y la falta de información sobre este tema, los hace pensar que los cambios se deben a la edad.
Literalmente andropausia quiere decir: fin de la virilidad. Es un síndrome y con ello se quiere decir que es un conjunto de síntomas muy variados, que van desde los orgánicos hasta los psicológicos, 
Constituye un periodo más o menos largo, dependiendo de la naturaleza de cada individuo.

En términos generales estos cambios comienzan a ser evidentes más o menos a los 40 años de edad pero pueden presentarse progresivamente entre los 40 y 70 años.
Se puede observar que la andropausia abarca en el hombre un lapso de tiempo bastante mayor que el de la menopausia en la mujer.


Durante el periodo de la andropausia el hombre puede manifestar cambios físicos y psicológicos, como por ejemplo:

Disminución de la libido
Insomnio o fatiga
Angustia que puede llevar a la depresión
Ansiedad, nerviosismo e irritabilidad
Flacidez del pene
Disminución de la producción de esperma y testosterona
Pérdida de masa muscular (alrededor de 10 kilogramos)
Disminución de la capacidad visual y auditiva
Pérdida y/o encanecimiento del cabello
Crecimiento de vello en cejas y fosas nasales.
Deterioro óseo (osteoporosis)
Dolores musculares
Arrugas y resequedad en la piel
Todos estos cambios orgánicos impactan la esfera emocional o psicológica del hombre que se encuentra en esta etapa del desarrollo y a fin de compensarlos, presentará cambios en su conducta y en sus actitudes que podrán ir desde muy leves y progresivos hasta otros muy drásticos e intempestivos dependiendo de la estabilidad psicológica de esa persona. 


Los cambios que se presentan, se atribuyen a la disminución de los niveles de la hormona masculina (testosterona). Sin embargo, hay otros factores que precipitan el inicio de la etapa del climaterio como son:

Estrés físico y psicológico
Enfermedades cardiovasculares
Exceso de alcohol y tabaco
Diabetes mellitus
Disfunción tiroidea
Consumo de drogas

Cada hombre es diferente, por tal motivo cada caso de andropausia debe tratarse de forma individual con el propósito de lograr una mejor calidad de vida.
Es importante que el hombre acuda con el médico para aminorar los síntomas, pero será el urólogo quien recomendará un tratamiento dirigido a tratar las disfunciones sexuales por medio del uso de medicamentos para ayudar al paciente a lograr una erección al momento de la relación sexual.
Es importante señalar que en este caso los medicamentos son paliativos (atienden al asíntoma) y no curativos.


La andropausia es un proceso natural e irreversible no sujeto de prevención o cura, pues no es ni enfermedad ni defecto, simplemente es una etapa en el transcurso de la vida del hombre. 
Sin embargo, se pueden evitar los factores que aceleran su aparición y acudir al médico regularmente después de los 40 años. 

Los hombres a quienes los síntomas de la andropausia amenazan con afectar su vida cotidiana podrán buscar apoyo profesional multidisciplinario, que incluya apoyo psicológico para facilitar el desarrollo de aquellas áreas de su personalidad cuya falta de crecimiento pudieran estar incidiendo en sus dificultades para enfrentar los retos característicos de esta etapa. mediks
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