By Malcolm Carruthers
Simply what's the andropause? even if popularity of the andropause idea via the clinical group is transforming into, it's nonetheless a hotly debated factor. yet as a hectic clinician you've gotten sufferers to regard and also you desire info. So the place are you able to locate the data you must comprehend, diagnose, and deal with this situation? Androgen Deficiency within the grownup Male: motives, analysis and remedy distills the information received through writer Dr. Malcolm Carruthers in his 25 years of study and scientific event in diagnosing and treating the andropause right into a complete, exact scientific resource.
Dr. Carruthers records 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 reasons of androgen deficiency, the male menopause or andropause, and up to date advances in its prognosis. The textual content comprises experiences 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 gains makes Androgen Deficiency within the grownup Male: explanations, analysis and therapy a useful and useful scientific consultant, an entire and unique reference quantity, and a cohesive and readable textbook.
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Extra resources for Androgen deficiency in the adult male : causes, diagnosis, and treatment
Occur irregularly. The symptoms which are mental and psychic . . are usually more constant. The climacteric disturbance may be so severe in some men that they become despondent and develop a psychosis with thoughts of self destruction. It is very probable that many men have committed suicide and no one could understand the reason for their having done so. Of the effects of treatment with 10 mg of testosterone propionate (Perandren®; Ciba) in 1 ml oil given intramuscularly three times a week, he wrote: Adequate clinical treatment with testosterone propionate was causally associated with remarkable clinical improvement characterised by a marked increase in erectile capacity and sensitivity of the penis, in the strength of the sex urge and in the capacity to respond with the proper emotions not only to intercourse but also to other acts such as kissing or embracing .
34 ANDROGEN DEFICIENCY IN THE ADULT MALE From 1977 onwards I made many visits to his clinic in Copenhagen, and saw for myself the dramatic benefits of testosterone treatment to the circulation, especially in the legs. Also, I went with him as he went round Europe in his capacity of President of the EOCCD, holding meetings in London, Luxembourg, Strasbourg, Bonn, Berlin and Munich. We visited many eminent authorities throughout Europe, and he achieved a great deal of scientific support for his ideas.
It had soon been found that, because it was an oily substance which did not dissolve readily in water, in the pure form it could not be absorbed by mouth. A slow-release form that could be given by injection, testosterone propionate, was one of the most widely used, and proved very successful in patients whose testes were insufficiently active for a variety of reasons. Rather like the insulin injections for diabetics which had been introduced 15 years earlier, it was dramatically effective in relieving symptoms of the ‘male climacteric’8.
Androgen deficiency in the adult male : causes, diagnosis, and treatment by Malcolm Carruthers