Andropause or Male Menopause, Myth or Reality?
Andropause or Male Menopause: Equivalent to the female menopause, andropause
designates the period whose onset is between 40 and 50 years in the production of testosterone in men decreases.
The absence of clear symptoms and causes newly diagnosed non-specialists reach a consensus on the reality of this
No one would argue that male menopause are just stories. However, many experts have doubts about the existence of
an equivalent male phenomenon. Androgen secretion does not end ever, so many men can be parents to a relatively
late age. In England, some experts have not thought twice and found the "Andropause Society".
According to Dr. Malcolm Carruthers, president of the newly released "Andropause Society," 50% of men fifty years
presented symptoms of andropause. Signs to manifest through an extreme irritability, lack of
energy, night sweats, difficulty achieving erection, etc.., And that would justify hormone treatment. The
specialist recommended generous doses of testosterone, a hormone discovered sixty years ago and rarely given to men
"Andropause", a term ill-suited
Other British specialists like Dr. Ian Banks, president of a man's health forum, confess, however, are not
convinced of the existence of andropause. The expert believes that some of these disorders may be caused simply by
age or the onset of menopause in her companion, deterring the references of the couple.
For Dr. Jacques Buvat, and Andrologist endocrinologist, the term andropause is not the most appropriate because,
unlike the changes observed in women, in the case of man, the hormonal decline is "partial, progressive and
inconsistent ". According to him, "there is no denying that certain symptoms such as decreased muscle mass,
increased abdominal fat, reduced bone mass, libido disorders and hot flashes involving a drop in production levels
of testosterone in some cases. However, large commercial interests at stake lead to overstate the importance of
this phenomenon. "
A renewed interest in testosterone
As treatment for andropause, the specialist recommends "be cautious since we are in the same
situation observed 20 years ago in the case of women." In any case, be carried out serious studies to assess and
evaluate the interest and risks of a possible treatment. Nevertheless, admits Dr. Buvat, "hint at some recent data
that testosterone may have favorable effects on the vascular system." In addition, this hormone decreases visceral
abdominal fat and increases muscle mass and bone.
Set figures is not, for the moment, simple task given the novelty of it. However, "less than 20% of men over 50
years Spanish really need a treatment with testosterone," the expert believes. More specifically, this Andrologist
estimated "that 20% of men who suffer from erection problems, only 9 or 10% have a true testosterone deficiency,
and the latter, only half hormone would observe improvements, e.g. in total 1% of all sufferers erection problems.
Treatment of Andropause or Male Menopause observation...
Despite the suspicion, the administration of testosterone may be seen in patients who may be observed disorders as
a result of testosterone deficiency, if the deficit is confirmed by the dose. Yes, on the condition extricate
regular medical supervision.
This measure is because prescription male hormones might promote the growth of prostate cancer that might have gone
unnoticed. For this reason, patients must undergo a clinical examination with digital rectal exam to check the
prostate and access at regular intervals, at a dosage of a marker prostate, PSA (Prostatic Specific Antigen). The
doctor will also have a blood test known as NFS (Numbering Formula Blood) since testosterone stimulates red blood
cell production. Too high a concentration of the latter can densify too and promote blood clogged arteries.
Injections, patches, implants, gel ...
In Spain, it mainly uses injections of androgens, which should be applied every two or three weeks, and the
derivatives of testosterone orally, but usually less frequent. In common law countries also have patches and
implants. Recently, there has developed in the United States testosterone gel based on the same principle as
proposed gels estrogen to menopausal women, apparently, could allow to obtain stable levels of the hormone in the
blood and near normal. According to Dr. Buvat, this option could prove "a good solution to combine greater
efficiency and ease of use than other forms of testosterone".
Other avenues of research about male menopause
Besides androgens, growth hormone and DHEA (dehydroepiandrosterone) have potentially interesting effects on the
aging male. The first increases muscle mass and bone density. DHEA, in turn, could slow cardiovascular
However, most serious practitioners believe that all such data should be checked before using these hormones in
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