The Male Menopause What Does The Medical Evidence Say
- Mon, Aug 9, 2021
Changes in hormone levels are a natural part of ageing. For women, oestrogen levels drop drastically during the menopause but do men experience something similar?
A term predominately used by the media, the male menopause is used to describe an age-related decline in testosterone and the symptoms associated with it including low energy, poor concentration, weight gain and erectile dysfunction.
The term male menopause isnt quite right because the declining fertility in men is very different from menopause in women, explains Dr Céline Guyomar, a Livi medical doctor. Male hormones decline gradually with age. However, a small proportion of men experience testosterone deficiency, also known as hypogonadism and androgen deficiency, where the body is unable to make enough testosterone, she says.
Primary Differences Between Menopause And Andropause
What is the difference between menopause vs andropause? Are the specific causes and symptoms of each process?
Aging is a natural part of life and with it comes a host of changes, some good and some bad. One of those changes happens to be hormonal in nature.
As you get older, it becomes imperative for both men and women to learn about the conditions associated with these changes, because it can be life-changing in many ways.
Lets begin discussing the differences between menopause and andropause.
Male Menopause: Symptoms Causes And Hot Flushes
Think of the word menopause and you may think of a woman in her late 40s or 50s experiencing hot flushes or night sweats. But, what if we told you that its not only women who experience a change in hormone levels as they age? Well, while men dont experience a significant shift they experience a shift, all the same. This change in hormone levels is sometimes referred to as the male menopause.
Remember, the hormone changes in women during menopause are considerable. Male menopause is a term that essentially refers to the gradual decline of testosterone levels in men as they age. This shift is also referred to as late-onset hypogonadism or age-related low testosterone .
Some of the symptoms associated with this change in testosterone levels include:
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Symptoms Of Male Menopause
Male menopause is associated with physical, sexual, and psychological symptoms, that tend to emerge slowly and worsen as you grow older. ‘Some men notice symptoms from their thirties, others in their sixties, and some particularly the older generation who were brought up at a time where male hormonal health was not discussed may not acknowledge any change at all,’ says Stringer.
Common male menopause symptoms include:
- Low energy
- Trouble sleeping
If you’re experiencing any of the symptoms associated with male menopause or have any concerns, make an appointment with your doctor.
Loss Of Muscle Mass Or Increased Body Fat Especially In The Belly
Were told its natural for men to go soft as they age, but just like lack of libido, this is often caused by treatable hormone fluctuations. Testosterone helps keep your body fat low and muscle mass high. As testosterone levels decrease, it becomes harder to sustain muscle mass and you become more susceptible to weight gain. If youre working just as hard at the gym as you used to and your diet hasnt changed, theres a chance andropause might be the cause of your weight gain.
Retaining muscle mass and avoiding excess weight are paramount to health and safety as you age. By reaching out to a physician who understands how to address hormonal changes, you can reverse the effects of andropause and support healthy body composition.
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What Is The Long
Testosterone is an important hormone in the male body, and reduced levels can have a significant impact physically and psychologically. If you notice a drop in testosterone levels beyond the normal amount associated with aging, make sure to speak with your doctor.
Do not be shy about opening up because you will benefit from the treatment provided. The symptoms of male menopause are manageable, and your doctor can help you devise a treatment program to manage symptoms and improve quality of life no matter how old you are.
In This Article
Do Men Go Through Menopause
When a woman transitions through menopause, some symptoms, such as hot flashes, an abrupt end to her menstrual cycle, or cognitive changes, indicate that her estrogen levels are dropping. This begs the question, Do men experience a menopause equivalent?
If they do, should we call it menopause, manopause, or andropause? While its clear that testosterone levels decline in men as they age, what causes that decline and whether the symptoms a man experiences directly result from that decline are less clear.
Testosterone, progesterone, and estrogen, the hormones typically associated with male and female reproduction and fertility, decline with age.
Women have fluctuating levels of estrogen and progesterone that are tied to the reproductive cycle throughout the reproductive years. When ovulation ceases, a condition known as menopause, a womans hormone levels decline rapidly.
Men have high levels of testosterone that peak in their 30s and then slowly decline with age. In men, there is no equivalent reproductive marker to female menopause. A more accurate term would be late-onset hypogonadism or partial androgen deficiency of aging males . This term refers to a decline in testosterone level with aging, but does not imply that symptoms are attributable to this decline or that medical treatment should be considered. The lack of evidence for an exact criterion for a menopause equivalent in men is why the term remains controversial.
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These Male Menopause Symptoms Include:
The imbalance of even one hormone causes imbalance in other hormones and leads to a domino effect of sorts. Men may not experience all of the above andropause symptoms, but instead commonly experience a combination of symptoms. While these symptoms are signs of andropause, they may also be symptoms of other conditions like adrenal fatigue and poor thyroid health.
Is The Male Menopause A Real Thing
If we talk about biological terms, then there is no such thing as the male menopause. But, there are some men who undergo changes to their hormone levels which are quite similar to menopausal women.
So, that means the changes which are seen around the same age are sometimes referred to as the male menopause.
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What Are The Signs Of Male Menopause
- joint pain
- sexual dysfunction
- sweating/ hot flushes
Both male and female menopause usually have similar symptoms and signs. There is some cross-over here as both have an effect on the hormonal system.
The male menopause affects testosterone mainly and it has a huge effect on oestrogen levels as in men oestrogen is converted mainly from testosterone. In the case of female menopause, symptoms are primarily related to reduced oestrogen levels and sometimes testosterone may also be an issue.
How Is Male Menopause Diagnosed
To make the diagnosis of male menopause, the doctor will perform a physical exam and ask about symptoms. He or she may order other diagnostic tests to rule out any medical problems that may be contributing to the condition. The doctor will then order a series of blood tests, which may include measuring testosterone level.
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There Is Relief For Male Menopause Symptoms
Contrary to popular belief, none of the above male menopause symptomsare just signs of old age. These andropause symptoms may be correctable through bioidentical hormone replacement therapy. It all starts with quick and simple testing that allows a expert anti-aging physician to prescribe a individualized natural bioidentical hormone, nutrition, supplement and fitness program designed to work specifically with your body to correct your symptoms. Live better, longer.
Contact the bioidentical hormone doctor nearest you to schedule an appointment and learn more about andropause and how these male menopause symptoms can be relieved through BHRT .
Hormonal Changes Can Affect Men Physically And Emotionally
Menopause is often associated with hot flashes and mood swings in women. So, do hormonal changes with similar symptoms occur in men as they age? Is male menopause a real medical issue?
The answer is yes. But male menopause is just one easy way to describe it.
Male menopause is a condition that affects older men. It carries a set of symptoms that are linked to declining testosterone levels and aging. It is also referred to as andropause, androgen decline in the aging male, late onset hypogonadism and low testosterone.
Not every man will experience this. But the symptoms are very real, says Luigi Simone, MD, a family medicine physician at Scripps Clinic Encinitas with a special focus on mens health. Theres a reason its called male menopause. Its because it can produce many of the same symptoms as female menopause.
Those symptoms include irritability, weight gain, low sex drive and function, problems sleeping, depression, fatigue and loss of strength. It may even include hot flashes.
While doctors can treat these symptoms, male menopause is difficult to identify. Thats because the symptoms in many cases may have nothing to do with testosterone deficiency, but with other conditions.
Why do men experience low testosterone?
A decline in testosterone and symptoms that may arise are gradual compared to what women experience during menopause.
Male menopause symptoms
What does a blood test do?
- Family Medicine
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What Should You Do Next
Male Menopause, more often than not, go unnoticed among Indian men, because it comes as a gradual and natural process with ageing. There are no visibly disruptive signs or symptoms and it is ascribed to overall ageing. But the fact is it can be helped and made better.
If you or a family member are experiencing any of the symptoms, consult a doctor. Note down all the small and big things you are feeling – there is no need to be shy as hormonal changes happen to everyone. If you are going through bouts of sadness and feelings of loneliness, reach out for help.
Your doctor can take a blood sample to test your testosterone levels. Depending on your count, he will suggest a treatment or otherwise. More often than not, unless this phase of Male Menopause greatly disrupts your everyday life, small changes to lifestyle and dietary habits can make you overcome this feeling of loss. Go through all the screenings that your doctors suggests. Its best to understand all the changes in your body to avoid any serious long-term damage.
Whats The Difference Between The Male And Female Experience Of Menopause
Many people make the mistake of thinking that the male menopause is related to the female menopause. This isnt the case.
There are some similarities in the common menopause symptoms of men and women as they advance through middle age.
For example, reduced sex drive, an increase in body fat and mood swings can be common in both.
But there are also lots of differences too. Hot flashes in men are far less common for instance.
And whereas men continue to produce sperm and procreate well into their older years, a womans reproduction cycle ends with menopause.
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Natural Treatments For Male Menopause
Lifestyle changes are a popular way to treat male menopause and have proven to be effective. Your doctor will likely recommend that you try the following:
Eat a healthy and balanced diet Get regular exercise Reduce stress levels Get adequate sleep each night
In most cases, where men adhered to these changes, they reported improvements in their overall health and a reduction in symptoms associated with male menopause. In addition to lifestyle changes, herbal supplements such as DHEA, ashwagandha, and ginger have been found to be effective for age-related low testosterone levels.
How Male Menopause Affects Relationships
Most men have become accustomed to wading through a womans hormonal waves and the changing behavior that can result. From PMS to pregnancy to menopause, men are aware that a womans mood and behavior can be affected by her biology at different times.
Women, on the other hand, havent really been taught to recognize the equivalent in men. So, when a man goes through changes that are the result of fluctuating hormones and aging, many women dont have any idea how to handle it.
What does that mean? What it can mean is big problems in a relationship.
When behavior is unexpected, unwanted, and unexplained, alarm bells go off. That can be a good thing if it means help is sought and attained. Unfortunately, the more typical reaction is for women to assume they are somehow at fault, as the women above have, or that their man is going through a midlife crisis. And in extreme cases it may even mean that a couple separates or divorces.
Understanding the changes a man can experience during male menopause can help both a man and his partner handle things more effectively. Ladies, as much as you want and expect your man to understand you, he really wants the same from you.
Editor’s Note: This post was originally published March 11, 2017 and has been updated with new information for accuracy and comprehensiveness.
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What Causes The Male Menopause
The symptoms associated with male menopause are attributed to a gradual age-related decease in testosterone levels. ‘Testosterone peaks at around the age of 20 in men,’ says Stringer. ‘Depending on health, diet and lifestyle factors, testosterone levels should remain consistent during men’s twenties. They decline steadily from 30 at around one per cent a year.’
While declining T-levels are a given, ‘the extent of decline and the age at which this happens varies even more so with today’s lifestyle factors,’ she says. The effects appear to be accelerating. One US study identified a ‘substantial’ drop in the general population since the 1980s, with testosterone levels declining by one per cent per year on average.
Stress, smoking, poor sleep, high body mass index, certain medications, lack of exercise and alcohol are all known to sap testosterone levels. Low T has also been linked to conditions like type 2 diabetes, high cholesterol, high blood pressure, metabolic syndrome and obesity, though it’s unclear whether it’s a cause or effect.
So, why is male menopause controversial? Some experts suggest that a gradual age-related drop in testosterone is not the primary cause of male menopause symptoms. They believe lifestyle and psychological factors play a far more prominent role. For example, feeling stressed because of problems at work could affect your libido and energy levels.
Can You Treat Male Menopause
Although a number of men may not even realize they are experiencing age-related low testosterone, in others the shift, and the symptoms that come along with it, can be unfavorable.
Testosterone replacement therapy is sometimes considered by healthcare professionals in order to help reverse any troublesome symptoms and side effects of hypogonadism . There are a number of forms of testosterone therapy, these include:
Dont forget, testosterone therapy may not be the right option for everyone and its important to discuss your options with your healthcare provider.
One of the best ways to know more about your testosterone levels is through a test. This can be done with your doctor or from home with an at-home lab test.
LetsGetCheckeds Testosterone Test can measure the amount of testosterone present in your blood with a simple finger prick sample. Online results will be available within 2-5 days and our dedicated medical team will be available to answer any questions you may have during or after the process.
This content was originally published here.
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But What About Testosterone Deficiency
In some cases, symptoms of the male menopause may be caused by testosterone deficiency or hypogonadism which happens when the testes begin to work less efficiently and make few or no hormones. One large European study found that testosterone deficiency affects about 2% of males aged 40-79 and about 5% of men aged 70-79.
Although hypogonadism can occur at any age, men are more likely to develop it as they get older. Known as late-onset hypogonadism, this condition affects around 2% to 6% of older men. Some of the most common symptoms include:
- An increased risk of breaking a bone
- Hot flushes and sweats
The 34 Symptoms Of Menopause
The average age of menopause is 51. Menopause refers to a period in a womans life when she stops having a menstrual period. Many people think that a woman stops having her period overnight when in reality, menopause is a process that can last for years.
The period leading up to menopause is known as perimenopause. Most women begin perimenopause in their 40s. Some women may experience so few symptoms that they do not realize they have entered perimenopause . However, for others, symptoms can be severe and life-altering.
There are a total of 34 symptoms that can signify the arrival of menopause, which range from mild to disabling in nature.
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Male Menopause: Facts And Symptoms
Certain disorders have a stigma in many societies for no legitimate reason other than they are not considered polite topics of conversationexamples include hyperhidrosis, or excessive sweating psoriasis, which causes cracked, scaly skin and male menopause, during which men can experience a range of symptoms and changes as they grow older. Male menopause and another term, andropause, are used to describe decreasing levels of the male hormone testosterone that come with aging. The group of symptoms associated to age-related changes in male hormone levels are also known as testosterone deficiency, androgen deficiency, and late-onset hypogonadism.
Not Just Fighting a Stigma
Not only is there an unwarranted stigma against discussing male menopause that physicians and those working in the health care industry have to fight against, some question whether the condition really exists at all. The name itself is misleading. Relating the process to female menopause is not accurate: the condition affects only 2.1 percent of males, while menopause is a natural part of female sexual development. The hormone change happens suddenly and dramatically in women, while in men the change is gradual.
Symptoms of Male Menopause
Male menopause causes several physical, sexual, and psychological problems that worsen as men age. These symptoms are numerous and can include the following:
- Low energy
- Hot flashes
A Murky Picture
Diagnosis & Treatment