保健 - 第50期 - page 54

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Yang Rui-Min
RELATIONSHIP BETWEEN
OSTEOPOROSIS AND SEX
HORMONES
After the menopause, women may
look shorter or even tend to have a hunch
back. Later on, past the age of 70, men
may also be less vigorous, the memory
gradually worsens and sexual driVe also
diminishes. Both men and women tend
to fall and sustain hip fractures, signify-
ing osteoporosis. ln the 21st Century, as
the population ages rapidly, such prob-
lems will accentuate. For those women
with significant menopausal symptoms,
hormone replacement therapy under the
guidance of your doctor may be consid-
ered - osteoporosis improves, so is the
quality of life. ln men, as much as 4O7"
aged 40-70 would have symptoms of
male hormone deficiency or "part andro-
gen deficiency in aging males" (PADAM);
for those 60-70, only 37o do not have
PADAM. Except that the age of occur-
rence is much higher, PADAM has close
similarity to the menopause of women
and management is also on similar lines
- calcium, vitamin D supplements and
hormone replacement (testosterone).
However, as many elderly males tend to
have prostate gland enlargeinent, extra
caution musl be exercised, for fear of
worsening urinary symptoms and even
causing cancer. Your doctor may take
blood regularly for prostate-specific anti-
gen (PSA) and to perform ultra-sound
examination of the prostate for
monitoring. Above all, any hormone re-
placement musl be undertaken and di-
rected by your doctor.
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