Men and women develop similar complaints while aging
1. Men experience like women an age-related decline of physical and
mental capacity. They observe symptoms such as impaired memory, lack
of concentration, nervousness, depression, insomnia, periodic sweating
or hot flushes, bone & joint complaints, and reduction of muscle
mass.
Unlike in women, complaints in aging males were - in the past
- rarely put into the perspective of hormonal involution, although Werner
[
1 ] reported the similarity of male complaints with those of women
in this age span as early as in the 1940s. The debate about male climacteric as well as its compatibility
with the female situation have been discussed ever since. [
2 ] [
3 ] [
4 ]
This requires discussion of the indication of hormone replacement also
in males, and diagnostic instruments to assess changes of quality of
life (QoL) related to treatment options.
2. Sensations of sweating occurring suddenly and unexpectedly, especially
at night, but also during the day, seem to be similarly common and men
and women (Tab). It is our hypothesis that episodes of sweating might
be an important symptom of changes in the course of aging presumably
for males just as for females. However, the number of sweating attacks
per week is higher in women.
[ Figure
1 ]
3. AMS was developed in response to the lack of standardized scales
to measure the severity of aging-symptoms and their impact on the HRQoL
in males in the late 1990s.
[1]. Werner AA. The male climacteric:
report of 273 cases. JAMA 1946; 132:188-94.
[2]. Bauer J. The male climacteric - a misnomer. JAMA 1944; 126: 914-18
.
[3]. Degenhardt A. Wechseljahre beim Mann, gibt es sie? In: Fischer
S, Streb-Lieder & Vogt, eds. Wechseljahre für Fortgeschrittene.
Frankfurt: Verlag für akademische Schriften. 1995: 104-18.
[4]. McKinlay JB, Longscope CH, Gray A. The questionable phys.
and epidemiologic basis for a male climac-teric syndrome: preliminary
results from the Massachusetts Male Aging Study. Maturitas 1989; 11:103-5.