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Last Updated: Oct 23, 2019
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Male Menopause / Andropause:

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Dr. Sharath Kumar CMBBS, M.Sc, Ph.D, FPSM, DRM, DMRD, DGLS, C.Sc, DYN, FECSM ( Europe ), FCGPSexologist

Male menopause / andropause:
“Male menopause” is also called andropause. It describes a drop in testosterone levels that many men experience when they get older. 
Declining testosterone levels can cause many symptoms. For example, it can cause depression, reduced muscle mass, increased body fat, and erectile dysfunction.
To treat your problems, you have to change your 
Lifestyle. You may require antidepressant medications, counseling, or hormone therapy.
Male menopause” is the more common term for andropause. It describes age-related changes in male hormone levels. The same group of symptoms is also known as testosterone deficiency, androgen deficiency, and late-onset hypogonadism

Male menopause involves a drop in testosterone production in men who are age 50 or older. It’s often affiliated with hypogonadism. Both conditions involve lowered testosterone levels and similar symptoms.

Symptoms:
Male menopause can cause physical, sexual, and psychological problems. They typically worsen as you get older. They can include:

You may also experience swollen or tender breasts, decreased testicle size, loss of body hair, or hot flashes. Low levels of testosterone associated with male menopause have also been linked to osteoporosis. This is a condition where your bones become weak and brittle. These are rare symptoms. They typically affect men at the same age as women entering menopause. 

As you age, your testosterone levels will typically begin to drop. 

 

Diagnosis and treatment:

Get your blood serum testosterone levels tested in a laboratory.

The most common type of treatment for symptoms of male menopause is making healthier lifestyle choices. 

 

It is advisable to:

  • Eat a healthy diet
  • Get regular exercise
  • Get enough sleep
  • Reduce your stress

These lifestyle habits can benefit all men. After adopting these habits, men who are experiencing symptoms of male menopause may see a dramatic change in their overall health.

If you’re experiencing depression, you may require antidepressants, therapy, and lifestyle changes. 

Testosterone:
Onions and garlic are your allies in the kitchen and in the bedroom. They help you make more and better sperm. Both raise levels of a hormone that triggers your body to make testosterone. And both have high levels of natural plant chemical called flavonoids.

Skin patch (transdermal): androderm is a skin patch worn on the arm or upper body. It's applied once a day.
Gels: androgel and testim come in packets of clear testosterone gel. Testosterone is absorbed directly through the skin when you apply the gel once a day. Androgel, axiron, and fortesta also come in a pump that delivers the amount of testosterone prescribed by your doctor. Natesto is a gel applied inside the nose. 
Mouth patch: striant is a tablet that sticks to the upper gums above the incisor, the tooth just to the right or left of the two front teeth. Applied twice a day, it continuously releases testosterone into the blood through the oral tissues.
Injections and implants: testosterone can also be injected directly into the muscles, or implanted as pellets in the soft tissues. Your body slowly absorbs the testosterone into the bloodstream.
Oral testosterone is available. However, some experts believe oral testosterone can have negative effects on the liver. Using other methods, such as skin patches, gels, orally disintegrating tablets, or injections, bypasses the liver and gets testosterone into the blood.

Many men with low testosterone report improved energy levels, sex drive, and mood after. If testosterone is low, why not replace it? not so fast. A low testosteron level by itself doesn't need treatment. Testosteron can have side effects, and the long-term risks and benefits aren't known. Only men with symptoms of low testosterone and blood levels that confirm this as the cause of symptoms should consider testosterone replacement.

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