Males undergo menopause too. Hormones in both sexes decline from the early 20’s on. In many women this culminates in the 40s or 50s with the syndrome known as menopause. Technically the menopause is the precise time a woman stops having her periods. Symptoms in women often start years earlier and this has become known as the perimenopause and is associated with a gradual decline in womens’ sex hormone levels.
Men have no specific marker such as stopping periods in women to delineate their menopause. But their hormones decline from the early to mid twenties. At some point, usually in the early – mid forties this hormonal decline becomes apparent with physical and mental changes occurring. Some of these changes are:
• Increase in abdominal fat
• Declining muscle mass and strength
• Decrease in motivation and drive
• Increase fatigue
• Moodiness & irritability ( “Grumpy old man syndrome”)
• Problems with concentration
• Declining interest in sex
• Declining spontaneous nocturnal erections
• Declining incidence of sexual intercourse
• Need for extra stimulation to get erections
• Declining ability to sustain erections and declining quality of erections
• Increasing tendency for depression
• Increase in heart disease
• Increase in LDL (“bad”) cholesterol
• Increasing prostate problems especially BPH
These changes have an enormous impact on men’s lives. Their relationships change. Executives lose their aggressive competitive edge and are replaced by younger men. Their interests decline or change. In short they grow old!
What we need to aim for in the treatment of Andropause is a restoration of free testosterone to the normal range for YOUNG MEN, or to keep your free testosterone in the upper third of the range for your age group.