PERSPECTIVES ON MALE AGING AND THERAPEUTIC IMPLICATIONS

Y. Fedorchenko, B. Koçyiğit
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Abstract

This article provides an in-depth analysis of the molecular and cellular alterations linked to the aging process in males. It elucidates the physiological disruptions that give rise to different diseases and a decrease in functional ability. The inquiry explores the complex correlation between aging, sexual dysfunction, and infertility in males, with a focus on the physiological alterations in spermatogonial stem cells and the impact of oxidative stress on male reproductive capacity. The function of testosterone replacement therapy and its potential advantages in enhancing sexual activity, bone density, and overall health in older males are highlighted. Nevertheless, it is prudent to exercise caution as there is a correlation between testosterone replacement therapy and heightened cardiovascular risk. The article summarizes rehabilitation options for elderly men, specifically focusing on exercise regimens and cardiac rehabilitation, as means to tackle erectile dysfunction and mitigate mortality risks. The advantages of yoga in enhancing mental and physical well-being in males, particularly those grappling with prostate cancer or infertility are mentioned. The significance of adopting a comprehensive and interdisciplinary strategy towards men's health is emphasized, with particular attention given to the contributions of primary care physicians, urologists, and nurses. The significance of customized communication tactics for males and the necessity of periodic examinations for promoting healthier aging are emphasized.
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对男性衰老的看法和治疗意义
本文深入分析了与男性衰老过程相关的分子和细胞变化。它阐明了导致不同疾病和功能下降的生理紊乱。文章探讨了男性衰老、性功能障碍和不育之间的复杂关联,重点关注精原干细胞的生理改变以及氧化应激对男性生殖能力的影响。重点介绍了睾酮替代疗法的功能及其在增强老年男性的性活动、骨密度和整体健康方面的潜在优势。不过,由于睾酮替代疗法与心血管风险增加之间存在相关性,因此应谨慎行事。文章总结了老年男性的康复选择,特别侧重于运动疗法和心脏康复,以此来解决勃起功能障碍并降低死亡风险。文章还提到了瑜伽在提高男性身心健康方面的优势,尤其是那些患有前列腺癌或不育症的男性。强调了对男性健康采取全面和跨学科策略的重要性,特别关注了初级保健医生、泌尿科医生和护士的贡献。强调了为男性量身定制沟通策略的重要性,以及定期检查对促进健康老龄化的必要性。
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