GUESTS" CECILE R.

DELA PAZ INTERNAL MEDICINE-ENDOCRINOLOGY EAST AVE MEDICAL CENTER VRP MEDICAL CENTER 5314911 LOC 138

AMBROSIO BRABANTE JR ORTHOPEDIC & ARTHRITIS SURGEON PAIN INTERVENTION SPECIALIST NORTHPOINT HEALTH CENTER 7355341 TO 44 EXT 275

part 2 a

0110 Philippine Society for the Study of The Aging Male Foundation, Inc. The PhiSSAM is a local affiliate society of the International Society for the Study of the Aging Male (ISSAM). in europe Andropause is the male equivalent of female menopause part 2b

WOMEN in the Asia Pacific live longer than men, and consequently, there are more widows than widowers.

Many men view going to the doctor as a sign of weakness Men have this macho self-image that they think they can deal with the minor stuff. One of the goals of PhiSSAM: To project and identify the most important issues that affect both Life Expectancy and Health Expectancyof the aging male .

2 44 Andropause is a decline in the male hormone testosterone. SIGNS AND SYMPTOMS: - Diminished sexual desire - erectile quality or erectile dysfunction - Bone density decreases resulting in osteoporosis - Lean body mass reduces along with muscle mass and strength. - Mood changes 4 11 medical condition can be a factor to decrease the level of male hormones rapidly Men will experience decreasing of testosterones but the symptoms doesn't happen to everyone Andropause is fairly common, and chances of getting it increase the older they get. At 40-49 years of age, about 2% to 5% of men have it. part 3 Men With Erectile Dysfunction have chances of getting heart attack or cardiovascular diseases part 3 b 1 04 Remedies to slow down its symptoms - avoid getting diabetes - healthy lifestyle - avoid overweight - avoid smoking and drinking

6 a5 Drink moderately Red wine contains resveratrol, a strong anti oxidants that stimulates anti aging in the body part 4

Diagnostics and management 0051 When symptoms persist, consult a doctor to have a testosterone test before asking for a prescription. Self-treatment may result in serious side-effects. Sildenafil citrate, sold as Viagra, Revatio and under various other trade names, is a drug used to treat erectile dysfunction and pulmonary arterial hypertension (PAH)

3 49 taking Sildenafil (oral) must be prescribed by doctors.

Medical doctors that concern in males problems such as urologist general practitioner or internist or specialist in andropause. 643 Treatment: Replacement therapy include oral capsules or injection. Injection is the best than oral because it may harm the liver

9 46 Management: - Changes in diet and having a healthy lifestyle - More vegetable, Less meat , More fruits - Better to eat red meat, which is source of iron (heavy metal) than pills form, because the body cant absorb easily.

part 5

casual plug marjorie walter folded ng hung