A healthy male may be able to make sperm well into his eighties or longer. If you wonder whether testosterone replacement might be right for you, work with your doctor to determine why your testosterone level is low and whether it is causing your symptoms. Weigh the pros and cons of treatment together with your doctor.
If your doctor suggests hormone replacement therapy, weigh all of the positives and negatives before making your decision. Unless male menopause is causing you severe hardship or disrupting your life, you’ll probably manage your symptoms without treatment. The biggest hurdle in treating male menopause may be talking to your doctor about your symptoms.
Andropause was first described in medical literature in the 1940s, but the ability to diagnose it is relatively new. Sensitive diagnostic tests, available until the last decade, allowed andropause to remain a topic of debate among doctors. Today, there is an increased interest among doctors in the physical and psychological changes found in men.
Premature Menopause (Medical Procedural Causes) Premature menopause is when menopause occurs in a woman before the age of 40. Causes of premature menopause include premature ovarian failure, treatments for cancer and other conditions, surgical removal of the ovaries, or chronic diseases of the pituitary or thyroid gland, or psychiatric disorders.
Both conditions involve lowered testosterone levels and similar symptoms. However, ADAM is a deficiency of testosterone, a male sex hormone, that can have similar effects to "male menopause". Conditions involving low testosterone levels can be complicated and show differently for different people. If testosterone levels are low, testosterone replacement therapy may help relieve such symptoms as loss of interest in sex (decreased libido), depression, and fatigue. But, as with hormone replacement therapy in women, testosterone replacement therapy has potential risks and side effects.
For others, the benefits aren't clear and there are possible risks. A blood test is the only way to diagnose a low or reduced testosterone level. Some men have a lower than normal testosterone level without signs or symptoms. In this case, no treatment is needed. Unlike menopause in women, when hormone production stops completely, testosterone decline in men is a slower process.
A doctor may recommend testosterone therapy but the effectiveness of this treatment is not clear. Testosterone therapy might increase the risks of a blockage in the urinary tract and prostate cancer. It may also aggravate ischemic heart disease, epilepsy, and sleep apnea. Share on Pinterest Careful dietary management can reduce the effects of aging in men.People with diabetes and cardiovascular disease will require appropriate management for the underlying condition. Controlling blood glucose levels appears to reduce symptoms.
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.
Many men are too intimidated or shy to discuss sexual topics with their doctors. As you age, your testosterone levels will typically begin to drop. According to the Mayo Clinic, testosterone levels tend to decline an average of 1 percent per year after men turn 30.
This label is misleading because it suggests the symptoms are the result of a sudden drop in testosterone in middle age, similar to what occurs in the female menopause. This is not true. The "male menopause" (sometimes called the andropause) is an unhelpful term sometimes used in the media.
Female menopause and so-called male menopause are two different situations, however. Aging-related hormone changes in men — sometimes called male menopause — are different from those in women.
If the specialist confirms this diagnosis, you may be offered testosterone replacement to correct the hormone deficiency, which should relieve your symptoms. Your GP may also order a blood test to measure your testosterone levels. A testosterone deficiency that develops later in life, also known as late-onset hypogonadism, can sometimes be responsible for these symptoms, but in many cases the symptoms are nothing to do with hormones.
For many men, the symptoms are manageable, even without treatment. If your symptoms are causing you hardship, speak to your doctor. They can provide recommendations to help you manage or treat your symptoms.
Some doctors are noticing that their male patients are reporting some of the same symptoms that women experience in perimenopause and menopause. The concept of male climacteric syndrome or andropause was advanced 55 years ago based on the fact that some men aged over 50 would present similar clinical symptoms as menopausal women. Since then, many related concepts have been presented to describe this specific period of time in men's life, and controversies have never ceased on this concept and its implication. To represent this unique phenomenon in a very general manner, such terms as male climacteric syndrome (andropause), late-onset hypogonadism, and partial androgen deficiency in the aging male (PADAM) are extensively used in clinical practice at the present time.
A diagnosis of late-onset hypogonadism can usually be made based on your symptoms and the results of blood testsused to measure your testosterone levels. In some cases, where lifestyle or psychological problems do not seem to be responsible, the symptoms of the "male menopause" may be the result of hypogonadism, where the testes produce few or no hormones. The decrease in the levels of male hormone, or testosterone, is less severe than the drop in hormone levels for women throughout menopause. A doctor will suggest a diagnosis of late-onset hypogonadism when a man demonstrates three sexual symptoms and has androgen levels lower than 11 nanomoles per liter (nmol). Some researchers instead associate the symptoms with a condition called androgen decline in the aging male (ADAM), or late-onset hypogonadism.
In general, older men tend to have lower testosterone levels than do younger men. Testosterone levels gradually decline throughout adulthood — about 1 percent a year after age 30 on average. The relationship of these symptoms to decreased testosterone levels is still controversial. Your doctor can take a sample of your blood to test your testosterone levels. For all men when they reach their thirties, testosterone production begins to slow down and the production of sex hormone binding globulin increases.
zoledronic acid Reclast (zoledronic acid) is an injectable drug in a class of drugs referred to as bisphosphonates. It is prescribed for the treatment of osteoporosis in postmenopausal women and men, Paget's disease of bone in men and women, osteoporosis prevention in postmenopausal women, and the treatment of steroid-induced osteoporosis. Side effects include Pain in the feet or hands Anemia Headache Nausea Constipation Insomnia Dizziness Anxiety Drug interactions, warnings and precautions, dosage, and pregnancy and breastfeeding safety information should be reviewed prior to taking any medication.
Rather than stopping, production of testosterone simply traps and prevents it from being used by the body. Most men produce more testosterone hormone to combat the trapping effects of SHBG.
However, doctors do not believe that the normal, age-related decline of testosterone levels is at the center of male menopause symptoms. Were this related to the symptoms, every man would experience them, which is not the case. To make the diagnosis of male menopause, the doctor will perform a physical exam and ask about symptoms. He or she may order other diagnostic tests to rule out any medical problems that may be contributing to the condition. The doctor will then order a series of blood tests, which may include measuring testosterone level.
Mens Health Men's health is an important component to a happy lifestyle and healthy relationships. Eating healthy, exercise, managing stress, and knowing when to have medical tests for a particular age is key to disease prevention in men. A single copy of these materials may be reprinted for noncommercial personal use only.
The female menopause marks the end of the female reproductive cycle. However, men experience a range of symptoms and changes while growing older, which some people compare to the effects of menopause. Menopause Menopause is the time in a woman's life when menstrual periods permanently stop, also called the "change of life." Menopause symptoms include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Treatment of menopausal symptoms varies, and should be discussed with your physician.
Some health conditions can cause earlier or more drastic declines in your testosterone levels. Male menopause differs from female menopause in several ways. For one thing, not all men experience it. For another, it doesn’t involve a complete shutdown of your reproductive organs.
"Mayo," "Mayo Clinic," "MayoClinic," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. For some men, testosterone therapy relieves bothersome signs and symptoms of testosterone deficiency.
estradiol Estradiol (Alora; Climara; Delestrogen; Depo-Estradiol; Divigel; Elestrin; Estrace; Estrasorb; Estrogel; Evamist; Femring; Menostar; Minivelle; Vivelle; Vivelle-Dot) is a drug prescribed to treat the symptoms of menopause, prevention of bone fractures (osteoporosis), painful uterine bleeding, vaginal pain, dryness and atrophy associated with menopause. Estradiol is also prescribed for the treatment of breast cancer, and some cases of prostate cancer. Side effects, drug interactions, patient information, and dosage should be reviewed prior to taking this medication.
Seek help if you feel down. Men don't always experience depression as feelings of sadness. You may be unusually tired, anxious or irritable — even angry — and you may have trouble keeping up with your responsibilities at work and home. Other common symptoms in men include difficulty sleeping and thoughts of suicide.
However, sexual complications may arise as a result of your lowered hormone levels. Andropause is also known as male menopause or male climacteric. It can be defined as a physiological phenomenon.
Because men do not go through a well-defined period referred to as menopause, some doctors refer to this problem as androgen (testosterone) decline in the aging male, or what some people call low testosterone. Men do experience a decline in the production of the male hormone testosterone with aging, but this also occurs with conditions such as diabetes. Along with the decline in testosterone, some men experience symptoms that include fatigue, weakness, depression, and sexual problems. The relationship of these symptoms to decreased testosterone levels is still controversial. Whatever the nomenclature, be it male menopause or climacteric or age-related hypotestosteronemia, an investigation should be undertaken for men presenting with symptoms outlined in the box.
Talk with your doctor if you think you might be depressed. Many effective treatments are available. If you are experiencing signs and symptoms that might be the result of a low testosterone level, consult your doctor. He or she can evaluate possible causes for the way you feel and explain treatment options. Testosterone levels vary greatly among men.
Understand signs, symptoms and treatment options. It’s normal to experience a decline in your testosterone levels as you get older.
In younger males, this can lead to delayed puberty. If it develops at an older age, possibly linked to obesity or type 2 diabetes, the symptoms of ADAM may occur. Some men experience the psychological impact of a "mid-life crisis," in which they become concerned about professional and personal milestones. This can be a cause of depression, which can trigger a range of factors leading to the physical symptoms of ADAM.
Once these conditions are identified and treated, testosterone typically will return to a normal level. By Mayo Clinic StaffHormone changes are a natural part of aging.
Most men undergo this between the ages of 40 to 55. Here, there is deficiency of testosterone resulting in decreased physical, mental and sexual activity. Like all women who go through menopause between the ages of 45 to 50, men also experience some physiological changes occurring in their life. Unlike their female counterpart, andropause will not affect all men. Both however are distinguished by a drop in hormone levels -- estrogen in the female and testosterone in the male.
Unlike the more dramatic reproductive hormone plunge that occurs in women during menopause, however, sex hormone changes in men occur gradually. Here's what to expect, and what you can do about it. In aging men, a reduction in testosterone concentration is due mainly to a decline in Leydig cell mass in the testicles or a dysfunction in hypothalamic-pituitary homeostatic control, or both, leading to abnormally low secretion of luteinizing hormone with resultant low testosterone production.It is well recognized that with normal male aging, mean plasma testosterone concentrations decline, albeit with considerable variability between men and with a broad range in age-related values. Cross-sectional and prospective studies show a decline that starts in early middle age and then progresses in a linear fashion.6,7,8,9,10,11Mirroring this decline in plasma testosterone concentration is anage-associated increase in plasma concentration of sex hormone—bindingglobulin (SHBG), resulting in a more pronounced decline in the active orbioavailable testosteronemoiety.12,13,14Concentrations of bioavailable testosterone decrease by as much as 50% between the ages of 25 and 75years,15 and it has been proposed that with respect to bioavailable concentrations, as many as 50%of men older than 50 years are hypotestosteronemic when compared with peak early morning concentrations in young men.16 With age, a loss of hypothalamopituitary circadian rhythm occurs, which may result in exaggerated falls in plasma testosterone concentrations by evening. Just as with hormone replacement therapy in women, testosterone replacement therapy has potential risks and side effects.
But strictly speaking, these terms differ significantly, each representing a specific physiological condition. Out of different objectives, researchers might use some of the concepts to design their experiments or summarize related data. But it is very important for them to clarify real intentions and particular characteristics of selected research objects, so as to choose and use a proper concept. Be honest with your doctor.