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Climacteric in modern women and men - Sexology and Health

The climacteric in women

It is the period of transition between the reproductive stage to the non-reproductive one, and this period begins approximately 5 years before the menopause and its duration is from 10 to 15 years.

Menopause refers to the last menstruation, and is defined as such, after having had 12 months without menstruating. Meanwhile, climacteric is a whole stage in a woman's life, which begins before menopause and continues for 5 to 10 years afterward.

They are produced by the decrease in the production of female sex hormones such as estradiol and estrogen. This hormonal cessation generates multiple changes that each woman will experience according to her own personality.

At the beginning and then in the continuity of the climacteric, characteristic signs and symptoms will appear:

Irregularity in the menstrual cycle

Hot flashes or "hot flashes" characterized by hot flashes, which may be accompanied by sweating and increased heart rate

Irritability, anguish, sudden emotional changes

Anxiety

Difficulty concentrating 

Marked increase in general body dryness (mucosa, vagina, mouth, eyes, skin)

Pain during sexual intercourse due to vaginal dryness with loss of sexual appetite (for various reasons, including pain caused by intercourse)

The risk of osteoporosis and cardiovascular diseases can also be increased by ceasing the protection that estrogens provide.

There are body changes with redistribution of fatty tissue, and difficulty to eliminate it​

It will be fundamental at this stage, the acceptance of it, knowing what these symptoms will be, their cause, how to manage them, a good diet, accompaniment of the couple and the family, change of exercise and eating habits, specialized periodic controls, and information to avoid fears: fear of loss of fertility, fear of the unknown, fear of feeling belittled or "disposable", among many others. Knowing before or during, what it is about, will make this stage a more bearable life experience, and feeling supported and accompanied will be essential to overcome it without problems. 

The climacteric in the male

From the age of approximately 50, men also experience a progressive decrease in testosterone production, although not as markedly as in women. This can generate physical, emotional, sexual performance changes, among other things, which with the appropriate monitoring, the necessary controls, and clinical, urological, and sexological medical management will ensure that this stage does not alter normal life or does so in a manageable way, without having to have sudden or important changes in your life in general, maintaining normal physical activity, frequent and satisfactory sexual relations, and free of diseases related to the climacteric.

Sex Chip

Hormone replacement therapy through Bioidentical hormone implantation is somewhat fashionable and is used to improve symptoms caused by the natural decrease in testosterone and estrogen. The biggest challenge is to use this therapy in those patients who are really free from the risk of side effects, since multiple oncological diseases are hormone-dependent, and their exogenous contribution can trigger unwanted complications. 

In our centers, we are not going to implant any hormonal pellet without a rigorous and exhaustive prior analysis. And in the slightest doubt, our indication will be not to use them. When patients come determined to have a "chip" implanted as the media publicizes them, knowing this data and becoming aware, they feel calmer and safer when we advise against their implantation.

When we consider that the benefit will be higher than the risks, it is indicated without problems, under strict monitoring.

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