{"id":657606,"date":"2015-07-02T00:00:00","date_gmt":"2015-07-02T00:00:00","guid":{"rendered":"https:\/\/stg-hemmetsjournal-stage.kinsta.cloud\/hemmetsjournal\/artiklar\/experterna\/20150701\/finns-det-ett-manligt-klimakterium\/"},"modified":"2016-05-15T16:56:26","modified_gmt":"2016-05-15T16:56:26","slug":"finns-det-ett-manligt-klimakterium","status":"publish","type":"post","link":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/artiklar\/experterna\/20150702\/finns-det-ett-manligt-klimakterium\/","title":{"rendered":"Finns det ett manligt klimakterium?"},"content":{"rendered":"<div>\n<div>\n<p>\u00c4r det bara kvinnor som kommer in i klimakteriet? Inte m\u00e4n? Jag jobbar p\u00e5 med vallningar och svettningar och kastar av mig t\u00e4cket p\u00e5 n\u00e4tterna. \u00d6ppnar f\u00f6nstren p\u00e5 vid gavel mitt i vintern! Min man skrattar \u00e5t det hela. Har han inget liknande att se fram emot?<\/p>\n<\/p><\/div>\n<\/div>\n<div><strong>Gynekolog Kristina Billberg svarar:<\/strong><\/p>\n<div>\n<p>Det \u00e4r tveksamt om man kan prata om ett manligt klimakterium.<\/p>\n<p>Det som kallas klimakterium hos kvinnor beror p\u00e5 att \u00e4ggstockarna runt 50-\u00e5rs\u00e5ldern slutar producera \u00f6strogen. Menstruationerna upph\u00f6r och under de kommande fem \u00e5ren sjunker kvinnans \u00f6strogenniv\u00e5er successivt f\u00f6r att sedan under resten av livet ligga p\u00e5 en konstant l\u00e5g niv\u00e5. Detta \u00e4r lika f\u00f6r alla, samma f\u00f6r\u00e4ndring sker hos alla kvinnor.<\/p>\n<p>Klimakteriella symptom hos kvinnor \u00e4r s\u00e5dana som kan kopplas direkt till sjunkande \u00f6strogener och \u00e4r framf\u00f6r allt vallningar, svettningar och torra slemhinnor i underlivet.<\/p>\n<p>Ett manligt klimakterium skulle d\u00e5 handla om sjunkande testosteronniv\u00e5er och symptom som beror p\u00e5 detta. Det har dock visat sig att 80 procent av friska m\u00e4n i stort sett bibeh\u00e5ller samma testosteronniv\u00e5er hela livet fr\u00e5n puberteten och fram\u00e5t. 20 procent av friska m\u00e4n har successivt sjunkande testosteroner fr\u00e5n 45 \u00e5rs \u00e5lder och kan med tiden drabbas av symptom som \u00e4r kopplade till l\u00e5ga testosteroner som tr\u00f6tthet, muskelsvaghet, \u00f6kad fettmassa, minskad skelettmassa och impotens. De flesta av dessa problem beror dock oftare p\u00e5 sjukdom eller normala \u00e5ldersf\u00f6r\u00e4ndringar \u00e4n p\u00e5 sjunkande hormoner.<\/p>\n<p>Den lilla gruppen m\u00e4n med l\u00e5ga testosteronniv\u00e5er kan ha god effekt av testosteronbehandling medan den stora gruppen m\u00e4n med samma symptom men med normala testosteronniv\u00e5er inte har n\u00e5gon som helst effekt av ett testosterontillskott. Det d\u00e4rf\u00f6r v\u00e4ldigt viktigt att alltid st\u00e4lla diagnos och s\u00e4kert konstatera testosteronbrist innan man inleder en behandling med testosteron.<\/p>\n<p>Eftersom det \u00e4r s\u00e5 stora skillnader p\u00e5 hormonf\u00f6r\u00e4ndringarna som sker hos kvinnor och hos m\u00e4n runt och efter 50-\u00e5rs\u00e5ldern har man inte tyckt att manligt klimakterium \u00e4r en korrekt term varf\u00f6r man undviker att anv\u00e4nda denna.<\/p>\n<p>Som jag n\u00e4mnde innan \u00e4r ju trots allt de flesta symtom hos mannen beroende p\u00e5 tilltagande \u00e5lder och inte hormonbrist. M\u00e5nga helt friska m\u00e4n med normala testosteronniv\u00e5er drabbas ocks\u00e5 p\u00e5 \u00e5lderns h\u00f6st av f\u00f6r\u00e4ndringar i kroppstemperaturtermostaten som sitter i hypotalamus i hj\u00e4rnan, varf\u00f6r de kan f\u00e5 liknande symptom som kvinnor med vallningar, svettningar och nedsatt tolerans f\u00f6r b\u00e5de v\u00e4rme och kyla.<\/p>\n<p>S\u00e5 vem vet \u2013 kanske din man ocks\u00e5 kommer att drabbas av svettningar?<\/p>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c4r det bara kvinnor som kommer in i klimakteriet? Inte m\u00e4n? Jag jobbar p\u00e5 med vallningar och svettningar och kastar av mig t\u00e4cket p\u00e5 n\u00e4tterna&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ep_exclude_from_search":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[136],"tags":[142],"class_list":["post-657606","post","type-post","status-publish","format-standard","hentry","category-experterna","tag-gynekologen"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-13 00:43:54","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/657606","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/comments?post=657606"}],"version-history":[{"count":0,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/657606\/revisions"}],"wp:attachment":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/media?parent=657606"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/categories?post=657606"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/tags?post=657606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}