Andropause refers to a decrease in testosterone production in men aged 50 years and older. This condition is often associated with hypogonadism. Both conditions involve low testosterone levels and their symptoms. You can find more information below.

What is andropause?

Andropause is a testosterone deficiency in older men. Testosterone is the most important male sex and sex hormone. It is effective in the development and growth of men. With age, testosterone production decreases, which can lead to erectile dysfunction (impotence) and osteoporosis (bone loss) , among other things .

What is testosterone deficiency?

The term testosterone is made up of the words “testicle” and “steroid”. This male sex hormone is produced in Leydig cells located in the testicles. Testosterone is responsible for the formation of sexual characteristics even before birth, provides male development and sperm production during puberty.

It also contributes to the growth and maintenance of the whole body. On the one hand, testosterone provides a deeper voice, muscle building, thicker skin, increased metabolism, body hair growth, and a man ‘s libido , on the other hand, it causes hair loss and a man’s sexual stagnation.

Male testosterone levels peak between the twenties and thirties, after which testosterone production declines by about one to two percent per year.

What causes andropause?

The causes of testosterone deficiency in older men lie in the natural aging process and the physical changes associated with it. Additionally, an unhealthy lifestyle and lack of exercise can restrict testosterone production. A decreased concentration of other hormones that help regulate testosterone also contributes to testosterone deficiency.

Also known as ” andropause ” or ” climacteric vinyl “, during this period of life, testosterone levels in men drop so much that they experience remarkable sexual changes that one can ignore but not deny . For this reason, this process can also be considered as the equivalent of menopause in women ( male menopause ).

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Late-onset hypogonadism is the most common form of decreased testosterone production. About 30 percent of all men over the age of 40 are affected by this testosterone deficiency.

What are the symptoms of andropause?

The age-related decline in testosterone, the male sex and sex hormone, shows various symptoms. About one in five experience sexual difficulties during the 50 to 75 year lifespan. Unlike women, hormonal changes are gradual and less pronounced.

A common sign of deficiency is markedly reduced physical endurance. Decreased motivation is psychologically striking, which manifests itself in a wide variety of issues. Overall, life satisfaction is significantly reduced.

The following three symptoms are typical for andropause:

  • Sexual life is directly affected and it is difficult to get an erection.
  • Even if there is an erection, it is quite late and the person concerned feels physically weak.
  • A third sign of andropause is that the normal morning erection of the penis is now less common.

The person may feel bad because of this. Some affected individuals develop other complaints that are different for each man. This happens because of a decrease in physical muscle mass and an increase in adipose tissue.

E.g; hair may start to decrease slowly and beard growth may be delayed . Some patients suffer from persistent irritability, restlessness and sleep disturbances .

Sweat and heat attacks, which were not accustomed before, may appear, albeit slightly. Some have trouble concentrating for long periods of time. There are also signs of memory impairment . In some cases , they can also develop depression .

When should you see a doctor?

Changes in hormone balance are normal and part of the natural process. It is not always necessary to see a doctor when this condition occurs. The breakdown of testosterone occurs in men aged 50 and over, this is a slow process and usually no examination is required. For this reason, this condition is also called male menopause .

If the affected person is suffering from physical changes , they should consult a doctor. A decrease in libido or sexual activity is considered a natural process. Changes should be discussed with a doctor if the person finds that they are incompatible with it.

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He should also consult a doctor if he has sleepiness, night sweats, or heat attacks. Hair growth, personality disorders, and changes in emotional state should also be reviewed by a doctor.

Although the symptoms are considered natural in men in old age, it should be clarified whether there are other diseases. Inner restlessness, irritability, and feelings of instability are also symptoms of testosterone deficiency.

How is andropause diagnosed?

In men , blood is usually examined to determine testosterone deficiency . To obtain a reliable diagnosis, the blood sample should be taken in the morning, because the testosterone level is subject to strong fluctuations throughout the day. It reaches its highest value in the early morning hours and decreases to its minimum in the afternoon.

Signs of decreased testosterone production include erectile dysfunction, general decrease in potency and libido . Osteoporosis, decreased physical and mental performance, palpitations and sleep disorders are also among the consequences of testosterone deficiency.

How is andropause treated?

Various methods can be used to treat the condition of male menopause . All of them are treated by exogenously supplying the testosterone that the body is deficient in.

The oldest hormone therapy is called a monthly injection . This happens over a three to four week interval and the testosterone level can still undergo strong fluctuations. A special gel applied daily to the skin gives better results.

Applying a daily scrotal cast to the scrotum keeps the testosterone level relatively stable, but is perceived by some men as frustrating.

The 3-month injection is a new form of treatment with good results. It has the advantage of being able to remove andropause over a longer period of time without you having to worry about it.

In some countries it is possible to place testosterone implants under the skin. With a short, outpatient procedure, testosterone levels can be maintained for a period of six months.

However, little is known about the long-term damage and other risks posed by external testosterone administration. There are a number of possible side effects (such as thrombosis, depression, stroke, heart muscle damage or the formation of liver and kidney tumors) that can occur, especially when synthetic testosterone is administered.

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Possible risks of treatment

During testosterone replacement therapy , it is very important to monitor the prostate with regular controls to detect prostate cancer, which is a risk, at an early stage. The control interval is initially at three to six month intervals and then annually.

Since testosterone leads to increased erythrocyte formation, the hematocrit and hemoglobin value should be determined regularly. The fluidity of the blood should be monitored to counteract thromboembolic events.

Studies have shown that starting testosterone replacement therapy is associated with an increased risk of thromboembolism.

The risk of such a serious side effect is highest in the first three months after the start of treatment. In the case of pre-existing cardiological conditions, regular check-ups should also be done.

It should be noted that the deficiency of male hormones can also lead to mental disorders. Therefore, it is important to consider concomitant psychotherapeutic treatment in aftercare.

home treatment

Andropause ( male menopause ) is a natural phenomenon developed by older men. Treatment is only necessary if symptoms occur. Hormone replacement therapy may be helpful for symptoms such as hair loss or mood swings. If the person is going to be treated, they should start treatment early and talk to their doctor in detail about the symptoms.

Treatment can be supplemented at home by changing food preferences and various general measures. What you eat during treatment should be balanced and healthy. It is recommended to spend ample time outdoors to stimulate the body’s production of testosterone.

Sports should also be done. Exercise contributes to a healthy hormone balance and can counteract the typical symptoms of testosterone deficiency. In consultation with the doctor , you can also use various performance-enhancing drugs.

Middle-aged men experiencing symptoms of andropause are advised to speak with their family doctor. The doctor can perform a physical examination and recommend appropriate treatment based on the results. If necessary, other doctors, nutritionists and fitness trainers can be consulted.

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