Auraton mein testosterone

Testosterone hormonon ke aik giroh ka hissa hai jise androgens kehte hain. British Menopause Society kehti hai ke menopause se pehle auratein testosterone aur estrogen donon banati hain, aur yeh ke androgens aurat ke jinsi aaza ke banne aur theek rehne, aur jinsi rawayye ke liye zaroori hain. European Menopause and Andropause Society (EMAS) mazeed kehti hai ke auraton mein ise ande daniyan aur adrenal glands banate hain.

Urdu mein is ka English naam hi chalta hai, ٹیسٹوسٹیرون, jaise Urdu ke sehat ke pamphlets mein estrogen ka.

Bohat si auraton ko kuch bhi mehsoos nahin hota. BMS kehti hai ke bohat si auratein jin ka testosterone kam hota hai, unhein khwahish ki koi takleef deh kami ya koi aur alamat nahin hoti, seedha poochne par bhi nahin. Women's Health Concern kehta hai ke kuch auratein is tabdeeli ko doosron se zyada mehsoos karti hain.

Hidayat jis alamat ko testosterone se jorti hain, woh jinsi khwahish mein kami hai jo musalsal rahe aur sach much takleef de. Pakistan Menopause Society is haalat ko, jise hypoactive sexual desire disorder kehte hain, jinsi khwahish ki aisi musalsal ya baar baar ki kami batati hai jo bohat takleef ya miyan biwi mein mushkil ka sabab bane, aur jis ki koi aur wajah ise behtar taur par na samjhati ho (1.5.3).

Miqdar aahista aahista girti hai. BMS kehti hai ke yeh kami umar ke saath aati lagti hai, kuch is liye ke ande daniyan aahista ho jati hain, aur operation se hone wale menopause ya tibbi ilaaj se hone wale menopause ke baad, jaise chemotherapy ke baad, zyada tez ho sakti hai. Women's Health Concern kehta hai ke jin kam umar auraton ki ande daniyan nikali ja chuki hon, ya jinhein ande dani ka waqt se pehle kaam chhor dena (POI) ho, woh is tabdeeli ko zyada mehsoos kar sakti hain.

Pehle baqi wajoohat

Women's Health Concern kehta hai ke menopause ke aas paas khwahish kam hone ki wajoohat uljhi hui hoti hain aur shayad hi kabhi sirf kam testosterone ki wajah se. BMS doctoron se kehti hai ke pehle poori tasveer dekhein: rishta, zehni wajoohat, aur dawaein, aur misaal ke taur par depression ki kuch dawaein, SSRIs aur SNRIs, ginwati hai.

Woh yeh bhi kehti hai ke agar testosterone par ghaur ho raha ho to menopause ki andaam nihani aur peshaab ki alamaat ka pehle theek se ilaaj hona chahiye. Dekhein andaam nihani ki khushki.

Testosterone se pehle estrogen

BMS kehti hai ke NICE NG23 aur BMS donon testosterone par ghaur se pehle aam HRT (hormone ki dawa) aazmane ki sifarish karte hain. PMS ki sifarishaat bhi yehi kehti hain (5.9). BMS mazeed kehti hai ke munh se liya gaya estrogen jism mein dastyab testosterone ko kam kar sakta hai, aur yeh ke kuch auraton ke liye jild ke zariye estrogen par jana, testosterone shamil kiye baghair, madad kar sakta hai.

Yeh kya nahin karta

Women's Health Concern kehta hai ke kam tawanai, udaasi, thakawat ya dimaghi dhund ke liye testosterone ki sifarish karne ka kaafi saboot nahin. BMS kehti hai ke ab tak ke tajurbaat mein sochne samajhne, mood, tawanai, ya patthon aur haddiyon ke liye faida nazar nahin aaya, aur yeh ke ise istemaal karne ki asal wajah ab bhi takleef deh had tak kam jinsi khwahish hai. EMAS bhi yehi kehti hai: menopause ke baad takleef dene wali kam jinsi khwahish hi woh wahid istemaal hai jis ke peeche saboot hai, aur is mein adaad o shumar darmiyane darje ka asar dikhate hain.

Ilaaj ka apna safha hai: auraton ke liye testosterone ka ilaaj. Mukhtasir baat yeh ke Women's Health Concern kehta hai ke NHS par yeh aam taur par jild par malne wala gel hota hai, jo is istemaal ke liye baqaida manzoori ke baghair (off licence) likha jata hai, HRT ke saath, chand mahine aazmaya jata hai, aur faida na ho to ise rokne ki sifarish hai. Woh mumkina side effects mein chikni jild, muhase, wazan barhna aur chehre par thore zyada baal ginwata hai, jo aam taur par wapas theek ho jate hain.

BMS kehti hai ke dil aur chhaati par lambe arse ke mazeed adaad o shumar ki zaroorat hai, agarche kam arse ke tajurbaat ke nataij tasalli dene wale hain. Pakistan mein PMS ki sifarishaat milne wali hormone ki cheezon mein testosterone ka aik gel ginwati hain (Table 10).

DHEA ke baare mein, jo BMS ke mutabiq aik hormone hai jise dimagh testosterone mein badal sakta hai, BMS kehti hai ke is ki sifarish se pehle mazeed tehqeeq ki zaroorat hai.

Agar khwahish ka khatam hona aap ko pareshan karta hai, ya ghar mein tanao ka sabab ban raha hai, to yeh baat uthane ki wajah hai. Yeh aik maani hui alamat hai jis ke peeche hidayat hain, chup chaap sehne ki cheez nahin. Jo dawaein aap leti hain un ki list saath le jayen, aur agar khushki ya dard ho to us ka zikr karein, kyunke hidayat pehle inhi ko dekhti hain.

Hum mein se bohat si auraton ke liye doctor se khwahish ki baat karna mushkil hai, shohar se to aur bhi. Pakistan Menopause Society ki sifarishaat shohar ke saath ko aham kehti hain, jis mein hormone ki tabdeeliyon par khuli baat aur jinsi sehat ka ehtiraam bhi shamil hai (4.2.6).

Auratein qurbat aur deen ke baare mein sawal poochti hain, aur seedha jawab kam hi milta hai. In ke liye sahih shakhs koi aisa aalim hai jis par aap ko bharosa ho.