
Do You Suffer From Andropause?
Did you know that men’s testosterone levels drop 10% every decade starting at age 30?
Andropause or the male version of menopause is a well documented medical condition that is becoming much more talked about recently. Although the condition was first described in medical literature in the 1940’s, the ability to diagnose andropause is a fairly new discovery. Only recently have tests become available to measure the bioavailability of testosterone to support the diagnosis.
What causes Menopause/Andropause?
During menopause, a woman’s body begins to produce less of the hormones estrogen, progesterone, and testosterone. This loss is both sudden and dramatic, resulting in hot flashes, lack of sleep, decreased libido, weight gain and mood swings. It also marks the end of a woman’s menstruation cycle and her ability to conceive a child.
For men, the hormone testosterone decreases much more gradually beginning around age 30 and dropping just 1 to 2 percent annually. Testosterone is the male sex hormone that is responsible for creating and releasing sperm, initiating sex drive and providing muscular strength.
A significant reduction in testosterone levels can cause a variety of uncomfortable ailments including decreased libido, loss of energy, fatigue, changes in attitudes and moods and decreased physical agility. While the affects can be quite pronounced, they evolve over a longer period of time again making it sometimes difficult to diagnose.
An Andropause Quiz
Hormonal decline can produce a vast array of symptoms;
Do you feel run down or lack energy?
Do you feel like your sex drive is lower than it once was?
Do you have problems sleeping or sleep too much?
Have you become more depressed, enjoy life less?
Do you often feel tense, nervous or easily irritated?
Have you gained weight, primarily in the abdomen?
Have you gained flabby tissue in the breast or neck region?
Do you feel not as mentally sharp as you once were?
Is your hair thinning or are you loosing your hair?
Do you get less or no morning erections when you awaken?
Is it harder to maintain muscle mass even though you work out?
Do men need treatment?
Typically, men suffering from the symptoms of andropause are often treated for a specific medical condition. For example, an andropausal male may be diagnosed with depression and prescribed an antidepressant. However, if that man has other symptoms of male menopause such as loss of libido, the antidepressant will only exaggerate that problem.
In addition, men complaining of low libido and inability to maintain a strong erection are often misdiagnosed simply with erectile dysfunction.
Any one of these ailments can be problematic. In addition, testosterone builds bone, and low testosterone can lead to thinning of the bones or osteoporosis which can increase the risk of bone fractures. Studies also show that a low level of testosterone puts men at additional risk for heart disease.
When a male patient complains of symptoms that are causing a significant disturbance in his life, a doctor who suspects andropuase will perform a blood testosterone test to determine the level of the male hormone (androgen) in the blood. Low testosterone is defined as less than 300 nanograms per deciliter of blood. The mean level for a 40 year old male is 500 nanongrams.
If a blood test confirms low testosterone levels, a doctor may prescribe a variety of treatments designed for that individual patient. These may include hormone replacement therapy, lifestyle changes such as exercise, a healthier diet, vitamins and herbal supplements, and the elimination of alcohol. Many patients can find relief and have significant improvement in their overall symptoms.
Andropause does not affect all men, and many may have varying degrees of severity. Anyone who suspects that their symptoms are a result of andropause and feel that their personal and/or professional life is somehow disrupted by these symptoms may want to consider seeking treatment.
Dr. Mary Kay Ross

- Treat Your Andropause Today!
Dr. Mary Kay Ross is the medical director/owner of Live Well MD, a medical practice specializing in Preventative Medicine and Bioidentical Hormone Replacement Therapy (BHRT) for the treatment of Menopause and Male Andropause. She is a graduate of the University of Louisville, a fellow of the American College of Emergency Physicians and is board certified in Emergency Medicine.
Live Well MD is located at 337 Commercial Drive, Suite 100, Savannah, Georgia. They can be reached at Savannah Bioidentical Hormones
February 2, 2012
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