Angina-like Pain: A Manifestation of the Male Climacterium

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Abstract
Eight [male][male] 34-54 yrs. of age were under observation for climacteric symptoms for periods of from 1-6 yrs. Angina-like pain was a prominent complaint. This pain did not respond to treatment with vasodilator drugs and mild sedation, but was promptly relieved by adm. of testosterone. None showed electrocardiographic or other evidences of disease of the coronary artery. In one patient depression in the S-T segment in all 3 limb leads of the electrocardiogram was noted. This disappeared within 3 wks. of beginning testosterone therapy, but had not previously been influenced by vasodilator drugs. In some individuals precordial pain is apparently a predominant expression of the [male] climacterium. This pain can be distinguished from that of primary heart disease by the relative ineffectiveness of measures directed toward the relief of disease of the coronary arteries and by the presence of other symptoms of a climacteric character such as impotence, easy tiring, myalgic and arthralgic pains, vague digestive complaints, mild genito-urinary symptoms, insomnia, and vasomotor disturbances.