{"id":888,"date":"2025-02-05T16:46:24","date_gmt":"2025-02-05T15:46:24","guid":{"rendered":"https:\/\/menoscope.fr\/?p=888"},"modified":"2025-04-23T17:06:13","modified_gmt":"2025-04-23T15:06:13","slug":"andropause-tabou-cinquantaine","status":"publish","type":"post","link":"https:\/\/menoscope.fr\/index.php\/2025\/02\/05\/andropause-tabou-cinquantaine\/","title":{"rendered":"Andropause, l\u2019autre tabou de la cinquantaine"},"content":{"rendered":"\n

Andropause et (p\u00e9ri)m\u00e9nopause : une p\u00e9riode de turbulences partag\u00e9es<\/h2>\n\n\n\n

Nous avons d\u00e9cid\u00e9 de parler de l\u2019andropause ici, parce que ce n\u2019est pas seulement le probl\u00e8me des hommes (ou de certains hommes). De tr\u00e8s nombreuses femmes se trouvent confront\u00e9es aux bouleversements de la (p\u00e9ri)m\u00e9nopause aux c\u00f4t\u00e9s d\u2019un homme qui est lui-m\u00eame touch\u00e9 par ses propres changements hormonaux. Pour le couple, c\u2019est un ajustement permanent, une adaptation \u00e0 des sympt\u00f4mes physiques et psychologiques qui se r\u00e9pondent et se heurtent, fortement g\u00e9n\u00e9rateurs d\u2019incompr\u00e9hensions, de frustrations et de d\u00e9ceptions.<\/p>\n\n\n\n

Chez M\u00e9noscope, nous avons la conviction que mieux on comprend ce qui se passe chez soi et chez l\u2019autre, plus il est facile d\u2019en parler ensemble et de d\u00e9samorcer beaucoup de situations conflictuelles.<\/p>\n\n\n\n

Un terme controvers\u00e9 : que signifie vraiment \u00ab andropause \u00bb ?<\/h2>\n\n\n\n

Alors, de quoi parle-t-on exactement ? Le terme d\u2019\u00ab andropause \u00bb lui-m\u00eame est controvers\u00e9. Le dictionnaire m\u00e9dical de l\u2019Acad\u00e9mie de m\u00e9decine<\/a> le juge \u00ab impropre \u00bb, d\u00e9riv\u00e9, \u00e0 tort du terme \u00ab m\u00e9nopause \u00bb en 1952.<\/p>\n\n\n\n

En commun avec la m\u00e9nopause, l\u2019andropause correspond aux diverses manifestations de la diminution d\u2019une hormone, la testost\u00e9rone, avec l\u2019avanc\u00e9e en \u00e2ge. Les premiers sympt\u00f4mes peuvent appara\u00eetre \u00e0 la cinquantaine, et certains hommes ont de v\u00e9ritables bouff\u00e9es de chaleur.<\/p>\n\n\n\n

Et, en mati\u00e8re de ressemblance, c\u2019est \u00e0 peu pr\u00e8s tout. Car, si la m\u00e9nopause marque l\u2019arr\u00eat complet de la production d\u2019\u0153strog\u00e8nes par le corps f\u00e9minin, chez l\u2019homme en revanche, la testost\u00e9rone diminue progressivement mais ne dispara\u00eet pas. Sur le plan clinique, ensuite, alors que la m\u00e9nopause est caract\u00e9ris\u00e9e par l\u2019arr\u00eat des cycles et des r\u00e8gles, rien d\u2019aussi tangible dans l\u2019andropause.<\/p>\n\n\n\n

Le score ADAM, un outil pour identifier les sympt\u00f4mes<\/h2>\n\n\n\n
<\/span>
\n

L\u2019\u00e9valuation objective des sympt\u00f4mes se fait \u00e0 l\u2019aide du score ADAM<\/strong> (Androgen Deficiency in Aging Men<\/em>) :<\/p>\n\n\n\n

    \n
  1. \u00c9prouvez-vous une baisse du d\u00e9sir sexuel ?<\/li>\n\n\n\n
  2. \u00c9prouvez-vous une baisse d\u2019\u00e9nergie ?<\/li>\n\n\n\n
  3. \u00c9prouvez-vous une diminution de force et\/ou d\u2019endurance ?<\/li>\n\n\n\n
  4. Votre taille a-t-elle diminu\u00e9 ?<\/li>\n\n\n\n
  5. Avez-vous not\u00e9 une diminution de votre joie de vivre ?<\/li>\n\n\n\n
  6. \u00cates-vous triste et\/ou maussade ?<\/li>\n\n\n\n
  7. Vos \u00e9rections sont-elles moins fortes ?<\/li>\n\n\n\n
  8. Avez-vous not\u00e9 une alt\u00e9ration r\u00e9cente de vos capacit\u00e9s ?<\/li>\n\n\n\n
  9. Vous endormez-vous apr\u00e8s le d\u00eener ?<\/li>\n\n\n\n
  10. Votre rendement professionnel s\u2019est-il r\u00e9duit ?<\/li>\n<\/ol>\n\n\n\n

    Une r\u00e9ponse positive aux questions 1 et\/ou 7, OU une r\u00e9ponse positive \u00e0 au moins trois questions, t\u00e9moigne d\u2019un d\u00e9ficit en testost\u00e9rone.<\/strong><\/p>\n<\/div><\/div>\n\n\n\n

    <\/div>\n\n\n\n

    Bien plus que des troubles sexuels : un impact global<\/h2>\n\n\n\n

    En g\u00e9n\u00e9ral, quand on pense \u00ab andropause \u00bb, on pense imm\u00e9diatement aux probl\u00e8mes d\u2019\u00e9rection, voire de libido. Or, on le voit dans ces questions, si la qualit\u00e9 des \u00e9rections et le d\u00e9sir sexuel sont des facteurs importants, ils sont loin d\u2019\u00eatre les seuls.<\/p>\n\n\n\n

    Les sp\u00e9cialistes insistent sur une diminution du d\u00e9sir en g\u00e9n\u00e9ral<\/strong>. C\u2019est-\u00e0-dire aussi bien le d\u00e9sir de faire du sport que de voir des amis, d\u2019organiser des vacances ou simplement d\u2019aller au restaurant. La question\u00a05 parle de joie de vivre, dont la diminution ou la perte peut \u00eatre un signe de d\u00e9pression.<\/p>\n\n\n\n

    Ainsi, le passage de la cinquantaine suscite souvent des pr\u00e9occupations li\u00e9es au fait d\u2019avoir atteint la moiti\u00e9 de sa vie. Dans ce contexte, la baisse de testost\u00e9rone, qui plonge un certain nombre d\u2019hommes dans un \u00e9tat d\u00e9pressif, peut les amener \u00e0 boire davantage d\u2019alcool et \u00e0 r\u00e9duire leur activit\u00e9 physique, entra\u00eenant (entre autres) une augmentation de la graisse abdominale. Or la graisse, en plus de d\u00e9grader l\u2019image de soi, bloque la testost\u00e9rone. Enfin, l\u2019alcool inhibant aussi la production de testost\u00e9rone, le cercle vicieux est enclench\u00e9.<\/p>\n\n\n\n

    Les taux de testost\u00e9rone variant tr\u00e8s fortement d\u2019une personne \u00e0 l\u2019autre, un dosage de cette hormone est difficile \u00e0 interpr\u00e9ter. L\u2019id\u00e9al est de r\u00e9aliser plusieurs dosages \u00e0 quelques semaines d\u2019intervalle. Le traitement, une fois le diagnostic \u00e9tabli par un m\u00e9decin et les contre-indications \u00e9cart\u00e9es, est simple : administration de testost\u00e9rone de synth\u00e8se. <\/p>\n\n\n\n

    Parler de l\u2019andropause : un enjeu pour le couple et la sant\u00e9<\/h2>\n\n\n\n

    Malheureusement, un obstacle majeur est la r\u00e9ticence \u00e0 en parler, \u00e0 \u00e9voquer ce malaise, cette \u00ab envie de rien \u00bb, sans parler des difficult\u00e9s d\u2019ordre sexuel. Peut-\u00eatre qu\u2019une bonne mani\u00e8re de progresser vers la prise de conscience et la consultation d\u2019un professionnel de sant\u00e9 serait, d\u00e9j\u00e0, d\u2019en discuter au sein du couple.<\/p>\n","protected":false},"excerpt":{"rendered":"

    L\u2019andropause reste un sujet m\u00e9connu, plus tabou encore que la m\u00e9nopause. Pourtant, ses sympt\u00f4mes \u2014 baisse d\u2019\u00e9nergie, de d\u00e9sir ou troubles \u00e9motionnels \u2014 m\u00e9ritent d\u2019\u00eatre compris pour mieux y faire face, notamment en couple.<\/p>\n","protected":false},"author":1,"featured_media":891,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[48,34],"class_list":["post-888","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","tag-andropause","tag-couple"],"yoast_head":"\nAndropause, l\u2019autre tabou de la cinquantaine - M\u00e9noscope<\/title>\n<meta name=\"description\" content=\"D\u00e9couvrez les sympt\u00f4mes de l\u2019andropause et son impact sur le couple : une p\u00e9riode de transition hormonale souvent taboue mais essentielle \u00e0 comprendre.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/menoscope.fr\/index.php\/2025\/02\/05\/andropause-tabou-cinquantaine\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Andropause, l\u2019autre tabou de la cinquantaine - 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