Understanding Andropause: The Male Menopause Explained

Occurrence and Background

How common is andropause? According to the Baylor College of Medicine, at least 30% of men aged 60-70 and 70% of men aged 70-80 experience low testosterone levels. The primary cause of this decline in testosterone is reduced testicular function, though pituitary issues can also contribute. While the term “andropause” is relatively new, the phenomenon itself has been observed for over 50 years in China.

Symptoms of Andropause

The symptoms of andropause include loss of energy, depression, reduced libido, sexual dysfunction, decreased muscle mass and strength, increased body fat, and overall weakness. While these symptoms might seem like typical signs of aging, it’s crucial to understand that low testosterone can lead to more serious health issues. Baylor College of Medicine and the University of Texas note that decreased testosterone levels can increase the risk of heart disease, osteoporosis, and bone fractures.

Dangers of Testosterone Replacement

Testosterone replacement therapy is a common treatment for andropause, promoted widely through various marketing channels. This therapy is available in the form of pills, injections, gels, or patches. While some men report symptomatic relief from hormone replacement therapy, these artificial treatments do not replicate the body’s natural hormone rhythms. The long-term safety of testosterone replacement therapy is still uncertain, particularly for men with prostate cancer or cardiovascular diseases. Additionally, there are concerns about a potential link between long-term testosterone therapy and breast cancer in men.

Can the Symptoms of Andropause be Reduced?

While the symptoms of andropause are a natural part of aging, there are ways to mitigate their severity. Unhealthy lifestyle factors such as smoking, being overweight, or having high blood pressure can worsen these symptoms. To combat andropause more effectively, it’s advisable to quit smoking, start exercising regularly, and lose excess weight. Embracing these changes can be challenging, but men who maintain their physical and mental well-being are better equipped to handle the effects of andropause.

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