O diagnóstico de Deficiência Androgênica do Envelhecimento Masculino e os (des)caminhos do desejo sexual masculino

Abstract

l=af^dkþpqf`l=ab=abcf`fŽk`f^=^kaoldŽkf`^KKK= = ====iK=qo^jlkq^kl=b=gK=orppl= ==NTR qeb=af^dklpfp=lc=^kaoldbkf`=abcf`fbk`v=lc=qeb=^dfkd= j^ib=^ka=qeb=m^qep=lc=j^ib=pbur^i=abpfob= _pqo^`q=This article discusses the diagnosis of Androgenic Deficiency of the Aging Male (ADAM) and the controversies and disputes over it, based on the re-medicalization of sexuality. The analysis is based on interviews with urologists and endocrinologists, and the different approaches of these two medical specialties elucidate divergent conceptions of body and sexuality present in the biomedical knowledge, and the struggle for hegemony in the scientific field. By comparing the meanings attributed to ADAM and to another male sexual dysfunction, the Erectile Dysfunction (ED), we intend to reflect about the difficulties inherent in the biological reduction of sexuality and the reiteration of gender norms in the medical discourse concerning the male body and sexuality.

“O problema é a enorme produção de espermatozoides”: concepções de corpo no campo da contracepção masculina

“…This tendency seems to remain in place, since the extent of (bio)medicalization of men in the last decades of the twentieth century and at the beginning of the twenty-first century is marked by an emphasis on sexuality reduced to the sexual organ (Azize, 2011;Rohden, 2009Rohden, , 2012. Female sexuality, on the contrary, is conceived as encompassing the whole body of the woman, being more diffuse and complex (Tramontano;Russo, 2015). Russo et al (2011) show how this perspective was illustrated in sexology congresses by the image of an airplane panel full of buttons representing female sexuality, while male sexuality was represented by a single button, in the simple form of an on/off power switch.…”

“…It appeared in Tiven's text (2016), shared on MCI's Facebook page on July 25, 2016: "It only takes small doses of hormones to flip the 'on-off switch' in women that stops the ovaries from producing eggs." Tramontano (2017) gives another example of the materialization of this conception of female sexuality as something complex. By analyzing science manuals used in undergraduate health courses in Brazil, this author demonstrates how gender conceptions materialize in the differentiation between hormones termed masculine and those termed feminine.…”

“…In this context, especially from the nineteenth century onwards, scientists and physicians endeavored to prove that men and women were radically different, and that such differences could be found beyond sexual and reproductive organs and functions. Tramontano (2017) points out that the anatomical justification for this model of sexual dimorphism varied throughout history; he underscores that the question of where specifically the difference between men and women is found has already been answered in a number of ways: in the gonads, the muscles and the nerves, and the brain. However, he argues that in hormones is the answer that holds true as of today.…”

Representações do Corpo Feminino na Menopausa: Estudo Etnográfico em um Hospital-Escola Brasileiro

“…Além disso, a medicina defende que o homem passa apenas por um decréscimo "natural" na produção de testosterona após os 35/40 anos em cerca de 1% ao ano, o que pode ser acelerado pela nova "patologia" denominada "Declínio Androgênico do Envelhecimento Masculino" (DAEM). Entretanto, é enfatizado que os testículos nunca param de produzir hormônios sexuais, diferentemente do que ocorre com os ovários na menopausa feminina (Tramontano & Russo, 2015).…”

“…Tramontado e Russo (2015) acreditam que a justificativa para este fato seja que o diagnóstico dessas supostas "doenças" entrariam em conflito com ideias já estabelecidas no senso comum sobre o corpo, o envelhecimento e a sexualidade masculinas. Sendo assim, concluem que a construção de um fato científico depende especialmente da existência de certos elementos já estabelecidos na cultura que possibilitem a percepção do fato daquela forma específica (Tramontano & Russo, 2015).…”