Andropause

Men's Health
Andropause

male menopause: Myth or Reality?

Aging-related hormone changes in men are different from those in women. Understand the signs, symptoms, and treatment options.
Hormone changes are a natural part of aging. Unlike the more dramatic reproductive hormone plunge that occurs in women during menopause, however, sex hormone changes in men occur gradually. 
 

Debunking the male menopause myth

The term “male menopause” has been used to describe decreasing testosterone levels related to aging. But aging-related hormone changes in women and men are different.
In women, ovulation ends and hormone production plummets during a relatively short period of time. This is known as menopause. In men, the production of testosterone and other hormones declines over a period of many years and the consequences aren’t necessarily clear. This gradual decline of testosterone levels is called late-onset hypogonadism or age-related low testosterone.
 

 

Recognizing low testosterone levels

A man’s testosterone levels decline on average about 1% a year after age 40. But most older men still have testosterone levels within the normal range, with only an estimated 10% to 25% having levels considered to be low.

Low testosterone levels in older men often go unnoticed. Testosterone levels can be checked by a blood test, but tests aren’t routinely done. And many men who have low testosterone levels experience no symptoms. In addition, the signs and symptoms associated with low testosterone aren’t specific to low testosterone. They can also be caused by a person’s age, medication use or other conditions, such as having a body mass index of 30 or higher. Still, signs and symptoms suggestive of low testosterone include:

 
  • Reduced sexual desire and activity
  • Decreased spontaneous erections or erectile dysfunction
  • Breast discomfort or swelling
  • Infertility
  • Height loss, low trauma fracture or low bone mineral density
  • Hot flushes or sweats
 

Other possible symptoms include decreased energy, motivation and confidence, depressed mood, and poor concentration. It’s also possible to 

 

experience increased sleepiness, sleep disturbances, mild unexplained anemia, reduced muscle bulk and strength, and increased body fat.

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