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IMS: The irritable male syndrome(commonly known as men’s period) With Self Screening and Assessment

IMS: The irritable male syndrome(commonly known as men’s period) With Self Screening and Assessment October 24, 2022October 24, 2022 | Rupam Das

Context

A childhood friend(say R) approached me with a typical problem. “Once every month, I will have this extreme migraine, will have high stress and depression, and will feel like committing suicide.”
This was very surprising. He is healthy, has a very happy family, great job. Then why such “scary desires”?

Diagnosis

After a thorough Lyfas test, history taking, and talking to the family members, the following major traits were detected.

  • Unpredictable behavior, on now and off then.
  • Changing the behavior in the split second.
  • Reacting to the smallest of things.
  • Extreme anger and outbursts.
  • Staying away from the family.
  • Restless sleep.
  • Pushing people away.
  • Self-depreciation and lowered self-esteem; always criticizing self.
  • Loss of patience and frustration.
  • Complete loss of sexual desire.
  • Serious face or at most a fake smile.
  • Being critical of the children all the time.
  • Anxiety, fear of the unknown, panic, and paranoia.

In summary Hypersensitivity​1​, Hypertension, Anger​2​, and anxiety​3​, coupled with frequent mood swings result in IMS or irritable male syndrome​4​. In senior males, this is observed almost 10 years prior to andropause​5​.

Hypogonadism is related to the specific depressive symptoms of dysphoria, irritability, fatigue, lethargy, decreased libido, and decreased concentration. These symptom clusters together are now identified as irritable male syndrome.

Male hypogonadism is a condition in which the body doesn’t produce enough of the hormone that plays a key role in masculine growth and development during puberty (testosterone) or enough sperm or both

Explanation of the Case

R has IMS, a behavioral state of nervousness, irritability, lethargy, and depression that occurs in adult males following the withdrawal of Testosterone(T).

Males and females have both Estrogen(E) (female reproductory hormone) and T in our bodies.

Age(40->55), weight gain, and high stress result in fat cells more actively converting T into E.
An increase in E leads to a less sense of manly strength and results in IMS.

Further, (T) has an hourly variation(4-5 times/hour), daily variation(high in the morning to low at the night), a distinct monthly cycle, and a seasonal cycle with T higher in November and lower in April.

Hourly Variation of Testosterone

Why it is hard to Diagnose IMS?

Because IMS has no physiological symptoms and mostly is psychological, it is difficult to recognize or keep track of. Once you start noticing extreme changes in your behavior, including stress which could be either extreme (you feel like hurting and harming others to harming yourself), always seek medical help.

As your feeling of “manliness” reduces(either due to social factors or health factors), the Estrogen in the body will rise and Testosterone will fall. This may lead to very violent and aggressive overall psychology.

In case, you are noticing these changes in you where you are feeling too low, too depressed or hateful or feeling rejected, know for a fact that biology has a distinct role to play in this and this is a less talked about biological cycle phenomenon.

With proper tracking and medication, the cycle can be controlled and such awareness may help you to be more stable in your overall behavior.

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2. Test Your Anger (A)

3. Test Your Anxiety(An)

4. Test Depression Levels(D)

5. Check your Mood Dysregulation(M)

6. Check if your sexual desire is decreasing(S)

7. Self-Assessment

if(AAnDMS) tests all result in moderate or high risk(asymptomatic or symptomatic respectively), then you have a high likelihood of IMS. Because IMS is directly correlated to Hypogonadism, you may then have associated hypogonadism also.

Do you Need a Clinical Intervention?

Clinical help is needed when the quality of life degrades. Men in particular derive their confidence from success and social status. We have you covered here too. Please check if your quality of life is at par with the WHO standard by using our free self-assessment Quality of Life Test(WHO adaptation).

You do not need to immediately go for clinical intervention and can start with the improvement of your lifestyle if you have a good quality of life. Even if you find that your quality of life is not at par with WHO’s health recommendation, we would suggest you test your success.

In the modern world, a man can even live a poor quality of life, as long as he is successful in his professional life. Before you decide if you need to go for clinical intervention, please check your ability to be successful and if your all success indices are ticked.

If your Quality of life is average or low, and success result is average or poor, then you must absolutely take proper clinical assistance.

Why Such a Lengthy Diagnosis?

A man is immensely valuable to society. Not every boy born with a penis becomes a man. A man sacrifices his pleasures, needs, and emotions to relentlessly work to protect and provide for his family. His productivity is the one that holds society and families together.

Low quality of life and reduced production is a hit to society and the well-being of families. A man contributes to the life of hundreds of people. Therefore we take immense satisfaction in serving men.

Some of the modern-day clinical practices where the system is more interested in prescribing medicines and advising tests, without giving more than 5 minutes time to the patients, do not help a man who dedicates at least 18 hours daily for over 30 years to earning money and taking care of the families.

therefore Lyfas team offers you the technology and time to honor your contribution towards society.

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Conclusion

Modern society has learned how to demean men, how to degrade, humiliate, guilt, and shame trip men, and deny even fundamental respect and empathy. A man becomes like a machine, grinding and squeezing his blood to feed others and to produce for society. Everyone is sitting there to judge a man, criticize, complain, condemn, and compare a man. This has become a fashion now to bash a man and degrade him and emasculate him. If you don’t stand with yourself then who?

Leave your thoughts and ideas in the comment below.

References

  1. 1.
    Justiz V, Vashisht R, Zito P. statpearls. Published online August 25, 2022. http://www.ncbi.nlm.nih.gov/books/NBK513315/
  2. 2.
    Blair RJR. Considering anger from a cognitive neuroscience perspective. WIREs Cogn Sci. Published online October 19, 2011:65-74. doi:10.1002/wcs.154
  3. 3.
    Fisher K, Seidler Z, King K, Oliffe J, Rice S. Men’s anxiety: A systematic review. J Affect Disord. 2021;295:688-702. doi:10.1016/j.jad.2021.08.136
  4. 4.
    Lincoln GA. The irritable male syndrome. Reprod Fertil Dev. Published online 2001:567. doi:10.1071/rd01077
  5. 5.
    Singh P. Andropause: Current concepts. Indian J Endocr Metab. Published online 2013:621. doi:10.4103/2230-8210.123552

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