AGING AND THE REPRODUCTIVE SYSTEMS
For women there
is a definite end to reproductive capability; this is called the menopause and
usually occurs between the ages of 45 and 55. Estrogen secre-tion decreases;
ovulation and menstrual cycles become irregular and finally cease. The decrease
in estrogen has other effects as well. Loss of bone matrix may lead to
osteoporosis and fractures; an increase in blood cholesterol makes women more
likely to develop coronary artery disease; drying of the vaginal mucosa
increases susceptibility to vaginal infections. Estrogen replacement therapy
may delay some of these conse-quences of menopause, but there are risks
involved, and women should be fully informed of them before starting such
therapy. The likelihood of breast cancer also increases with age, and women
over age 50 should consider having a mammogram to serve as a baseline, then one
at least every other year.
For most
men, testosterone secretion
continues throughout life, as does sperm production, though both
diminish with advancing age. Perhaps the most common reproductive problem for
older men is pro-static hypertrophy, enlargement of the prostate gland. As the
urethra is compressed by the growing prostate gland, urination becomes
difficult, and residual urine in the bladder increases the chance of urinary
tract infection. Prostate hypertrophy is usually benign, but cancer of the prostate
is one of the more common can-cers in elderly men.
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