女性更年期(停經期)在過去20-30年來相關學術研究已有上萬篇,相對於其的男性更年期(或停經期)則研究卻非常少,與女性更年期比是1:100。本文主旨在於回顧國內外男性更年期研究文獻,從男性更年期是否存在的爭論中釐清不同學門立場的論述觀點,及其對男性更年期的定義,並進一步闡述醫學界對男性更年期需矯治所抱之立場與處理方式,以及反對矯治者對治療可能導致攝護腺癌或其他後遺症的質疑,和男性健康被醫療化的警示,以及從國內外女研究立場探討女性更年期的經驗,評析性別分析對男姓更年期研究的重要。結論提出男性更年期屬於公共衛生領域需關注的一環,也與世界趨勢對男性健康重視相提並論不可忽視。
Over ten thousand articles on climacteric (or menopause) for women can be found, but relatively less has been done on the male equivalent. The ratio of published studies of climacteric men (or andropause) to climacteric women is of the order of 1: 100. The aim of this paper is to review the literature on the theme of male climacteric both in Taiwan and abroad from: drawing debates on the existence of a male climacteric to clarify the diverse opinions of different perspectives and definitions; describing the perception and handling tl1ethods in medical field for treating male climacteric; probing the prospect of treating male climacteric that might lead to prostate cancer or other side effects; warning the possibility of medicalizing men’s health; and communicating the importance of gender analysis for the male climacteric study based on the experience of women’s studies on female climacteric abroad. It is concluded that male climacteric is of importance in the interests of public health and men’s health as a global trend that is indisputable.
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