Everything to know about Andropause: Male Menopause

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Andropause or late-stage hypogonadism is a common disorder that grows with advancing age in prevalence. Late-onset diagnosis of hypogonadism is based on the existence of possible symptoms of testosterone deficiency-common among them are sexual symptoms such as libido loss and erectile dysfunction; and low testosterone levels. There are currently appropriate therapeutic modalities available, but inconsistent clinical trial findings indicate the further study of the complicated relationship between androgen deficiency and aging. 

Visible signs include tiredness and burnout, and reduced physical strength. Emotionally, people continue to suffer from anxiety, along with mood swings and depression. Current conditions such as diabetes, high stress, weak digestive system, gut dysfunction, depression, obesity, and even smoking cause these symptoms. Such symptoms, however, typically vary from one person to another because the reduction in testosterone and other levels of hormones depends on various factors. Nonetheless, people usually suffer erectile dysfunction, lack of sexual desire, and reduced bone density levels.

Current immunometric methods for testosterone assessment may make a distinction between hypogonadism and normal adult males. The gold standard for free testosterone and bioavailable testosterone calculation is equilibrium dialysis and precipitation with sulfates. Both gold standards methods are not regularly available, so preference is given for measured values. The threshold values for bioavailable testosterone are based on the system employed and usually not possible. Salivary testosterone has also been shown to be a suitable replacement for free testosterone tests. It cannot be approved for general use at this time, as the technique has not been developed.

The next step is to assess, by testing serum LH and FSH, whether a patient has primary or secondary hypogonadism. Elevated levels of LH and FSH suggest primary hypogonadism, while weak or lower than average levels of LH and FSH indicate secondary hypogonadism. Opposite to low testosterone, normal LH and FSH indicate a fundamental deficiency in the hypothalamus or pituitary. If fertility is a problem, it is appropriate to estimate LH alone. When the overall concentration of testosterone in the hypothalamus-pituitary region is less than 150 ng/dl, pituitary imaging and prolactin levels are recommended to evaluate structural lesions.

Before one can even assume that they are going through andropause, it is essential to pay careful attention to changes in behavior and physical symptoms. For some instances, a doctor would have to rule out underlying medical conditions that resolve the root cause that may lead to the disorder when diagnosing whether a man has andropause.

BHRT or Body Identical hormone replacement therapy is internationally known for treating andropause. BHRT is a one-size-fits-all strategy that involves personal formulations tailored to the unique needs of individuals discussed by the doctor. Identical body replacement testosterone is prescribed when a man’s body has lost the ability to generate enough of this hormone on its own. Besides proper nutrition, diet, and hormone imbalances correction, herbs such as Indian ginseng or Ashwagandha can also be used to treat andropause. The secret is a diet that contains maximum protein. Eating good and balanced fats like Omega 3 helps to create a healthier foundation for generating hormones.

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