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What Is The Male Version Of Menopause

When Do Women Go Through Menopause

What is Andropause / Male Menopause?

There is not a specific age when menopause should start. It is estimated that, on average, it begins when the woman is between 45 to 55 years old. Should it begin earlier than age 45, it is considered early menopause. Conversely, in case it you go through it later than age 55, it would be considered a case of late menopause.

The average age for menopause to show up is 51, with symptoms like hot flashes, alterations in the menstrual period, and mood swings.

What Are The Causes Of Andropause

While menopause affects all women at some point in their life, andropause occurs in only a portion of men. As males grow older, their testosterone levels naturally begin to wane, especially once they’ve reached the age of 40. If these levels become low enough, andropause will begin to become a problem.

Common symptoms of andropause in men include:

  • Mood swings
  • Loss of bone density

Treatment Of Hot Flashes

There is hope for men who experience hot flashes thanks to various medical breakthroughs. Individuals who experience hot flashes may find relief through the administration of hormones.

There are several constraints though. For example, men undergoing cancer treatment cannot take testosterone. However, they may find some relief in female hormones such as estrogen. A major breakthrough for the treatment of male hot flashes lies in antidepressants.

Selective serotonin reuptake inhibitors have been effective in reducing the occurrence and symptoms of hot flashes. Bottom line both men and women are subject to menopause. The differences are that fewer men are likely to experience this stage. Menopause in men is accompanied by many health issues such as hot flashes and insomnia.

The good news is that hot flashes in men can be controlled. However, the effects of menopause in men keep on increasing as men advance in age. It is therefore very important for every male to be mentally prepared when it comes to the possibility of undergoing menopause.

References1.  Graham Rogers, MD,  Health line, What Is Male Menopause, March 8, 2016, Retrieved From .

2. Mayo Clinic Publication Men Menopause: Myths Or Reality May 18, 2017, Retrieved from

3. Snyder PJ. Overview of testosterone deficiency in older men March 2, 2017. Retrieved from

Warm Flashes: The Menopause Classic

Hot flashes are to menopause what morning health issues is to pregnancy: the very best understood as well as usually the first signs and symptom of considerable hormonal upheaval. Warm flashes are absolutely nothing greater than a feeling of intense heat influencing the face, neck, and also chest. It lasts from 30 seconds to 2 minutes and most often finishes in cold sweats. Three-quarters of females begin to experience it as early as pre-menopause.Some, the luckiest, have only 1 or 2 warm flashes each day or night, while others have up to 20 hot flashes per day! And it lasts: half of the women experience it for more than five years as well as 1 out of 4 for more than 10 years. What Is The Male Version Of Menopause

Response From W Perry Dickinson Md

Andropause: The male version of menopause

This is a very controversial area, with a striking lack of evidence available to guide clinicians. A good review of the issues surrounding this can be found in a recent “for and against” debate published in the British Medical Journal.

The terms “male menopause,” “andropause,” and “male climacteric” have all been used to describe a constellation of symptoms associated with aging in men. These symptoms include decreased sexual interest and potency; reduced muscle mass and strength; fatigue; vasomotor symptoms; and affective symptoms such as depression, anger, and irritability.

Some have postulated that the symptoms are related to a decline in testosterone concentrations, possibly in concert with other hormonal changes. However, it is very unclear whether these symptoms are causally related to the hormonal changes or whether they are a part of normal aging that happens to occur at the same time as the hormonal changes. If there is such a syndrome, it is clearly different from the female menopause, as it occurs only as a gradual change in males rather than the precipitous change in hormones seen in women.

What Are The Symptoms Of Male Menopause

Symptoms of Male Menopause can be disruptive to your day-to-day life. The major ones you should look out for are:

  • Low energy levels
  • Depression or a constant feeling of being low or sad
  • Decreased attention span
  • Weight gain and reduced muscle mass
  • Reduced libido
  • Infertility
  • Low levels of testosterone has also been associated with a condition called Osteoporosis, where your bone becomes brittle and weaker than before.

    Manopause The Male Version Of Menopause Affecting Men

    WILMINGTON, NC – It’s not a midlife crisis or even a play on words; rather, it’s a very real medical condition that mainly affects men over 50.  It’s called manopause.

    The medical term is andropause, but it’s often referred to as manopause because of its similarities to menopause in women.

    It happens when a man’s testosterone levels starts to take a nose dive and the effects can be devastating.

    “The most common thing is lack of sex drive, lack of erection  and fatigue,” said Dr. Dewey Bridger, a family practitioner in Wilmington.

    Men lose about one percent of their testosterone every year beginning around  the age of 30. By 50, they start to see signs of the so-called manopause.

    But Dr. Bridger says he’s seeing more and more of the condition in men in their 30s.

    “A normal testosterone level is between 300 to 800,” he said. “I’m seeing younger men with levels at 200 and 180.  They want it between 300 to 500.”

    Like menopause in women, there are treatments for men.  Women often turn to hormone replacement therapy to reduce those dreaded hot flashes.  Men can get testosterone therapy to bring their levels back up.

    There are three options: one is testosterone injections,  and another is testosterone creams.  The third is a small implant, about the size of a Tic Tac.

    Dr. Bridger says the implants are the most popular, and he should know. Not only is he a doctor who treats the condition; he’s a patient.

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    Ask The Doctor: Is There Such A Thing As Male Menopause

    Image: Thinkstock

    Q.Does a man’s testosterone level always decrease with age? If my testosterone is low, do I need treatment for it?

    A. Testosterone gradually declines over time in all men, but this does not necessarily lead to health problems. Some medications or illnesses can also suppress testosterone.

    Although some decline in testosterone is inevitable, you should be careful about attributing symptoms to this change. Maintaining a healthy body weight and following a healthy lifestyle can help maintain higher testosterone levels and will certainly make you feel better.

    William Kormos, M.D.

    Male Menopause Yes Its Real

    Andropause – the male menopause

    Is there really such a thing as “male menopause”? Conventional wisdom says that menopause is a “woman’s condition,” but as men advance into their 40s they also experience a progressive decline in hormone levels, namely testosterone. The result can be andropause, which is estimated to affect about 5 million American men.

    The hormonal decline that men experience isn’t nearly as abrupt as it is in women it’s more like walking down a hill than jumping off a cliff. However, waning testosterone is likely to make a guy moody, irritable and depressed.

    A decrease in available testosterone also increases a mans risk for heart disease, and makes him more prone to injury because of decreasing bone density.

    Let’s be clear: Andropause is not the same as a mid-life crisis, which is a psycho-social issue. And not all guys who experience aging and the inevitable decline in testosterone that comes along with it can be qualified as having andropause.

    Andropause is a medical condition, diagnosed with a blood test by a physician that reveals testosterone levels below a certain level. If a diagnosis of andropause is warranted, treatment with testosterone replacement may be an option, depending on a mans health history. Just as there are various hormone replacement therapies for women, there’s also testosterone replacement therapy for men and research is still ongoing into potential side effects.

    How Did The Researchers Interpret The Results

    The researchers say that, based on these findings, late-onset hypogonadism can be defined by the presence of at least three sexual symptoms, associated with a total testosterone level of less than 11nmol per litre.

    They say that using this combination of sexual symptoms and testosterone level to diagnose hypogonadism should guard against excessive diagnosis and prevent unnecessary testosterone therapy in older men.

    What Did The Research Involve

    Researchers took a random sample of men participating in another study called the European Male Ageing Study . EMAS is the largest ever study of ageing men in the world and its aim is to identify the symptoms of ageing in men and the possible association of these ageing symptoms with hormonal changes and other factors.

    The researchers invited a random sample of men between the ages of 40 and 79 from EMAS to take part. Of the 8,416 men invited, 3,369 were recruited , with an average age of nearly 60 years. Of these, 150 were excluded because of disorders or medications that could have affected the results.

    The participants were asked to complete a questionnaire about their social and economic status, general health, medical conditions, medications and lifestyle. They were also asked detailed questions about sexual function and assessed for symptoms of depression. Physical tests  and cognitive performance tests were carried out. Blood tests were taken to measure biochemical and hormone levels. Tests were carried out to determine how much free testosterone they had available in their bodies.

    The men were then divided into a training set and a validation set. The training set was the first group in which associations between 32 symptoms for hypogonadism and lower testosterone levels were evaluated. Any significant associations identified in the training set were then independently evaluated in the validation set.

    Male Menopause: Just The Facts

    The sole purpose of sexual activity in virtually all species is reproduction. Although sexual activity has, at least until recently, been a necessary prerequisite for the maintenance of the human species, humans have also practiced it for nonreproductive purposes for thousands of years. This partial dissociation of reproduction from sexual functions is more evident among older men. Most men have fulfilled their reproductive role by age 50, but it is abundantly evident that the vast majority of men 50 years of age wish to continue functioning sexually. It is clear that sexual activity in humans serves personal and societal needs for stability by promoting pair-bonding and stable family formation.1

    We call the end of the reproductive phase of life in women menopause, a term derived from the Greek words menas and pausis . It is defined as the cessation of menstrual bleeding, and the clinical diagnosis can be made retrospectively, following at least 1 year of amenorrhea.

    Some of these problems can also be detected in aging men, and many clinical scientists have proposed the existence of a male menopause syndrome. One of the more common proposed definitions of male menopause is the constellation of symptoms, both physical and emotional, experienced by men of advancing age that can be attributed to endocrine changes in the body; namely, the gradual decline of serum testosterone levels and/or the relative target tissue/organ insensitivity to testosterone and its metabolites.5

    Andropause Symptoms And Diagnosis

    Male Menopause (Andropause): Definition, Symptoms, Age ...

    While andropause may not come on as suddenly as menopause or have similar effects, there are some telltale signs that men are going through this certain phase in their life. 

    Some of the telltale signs of andropause can be loss of muscle mass, loss of sexual drive or stamina , depression and weight gain. The most noticeable, Dr. Varano says, is the loss of motivation or inner drive, making men more apathetic and less willing to seize the day, as it were. 

    Though its entirely possible that the symptoms of anxiety or feeling low can be caused by life stressors, these can also be tied to changes in testosterone. 

    Just because someone is getting older, it doesnt mean they have to suffer , whether theyre men or women, says Dr. Borenstein. 

    This is why talking to your doctor as you age becomes of the utmost importance. In order to be diagnosed with andropause, Dr. Borenstein explains that your doctor will check your blood work and your testosterone levels to determine where you are, as well as your treatment options. 

    However, Dr. Varano reminds patients that its important to keep in mind that lower testosterone varies in each person, and can stem from genetics, as well as lifestyle choices, such as diet and exercise. 

    Signs Of Andropause In Men And How To Treat It

    Almost everyone is familiar with the fact that when women reach middle age, their bodies begin to go through a process known as menopause. However, did you know that a percentage of men go through a similar development? This process, known as andropause, obviously has some distinct differences from menopause, but they share many similarities regarding their symptoms. At CosmeticGyn Center in Dallas, TX, we offer several methods of treatment for andropause that can leave men feeling just as healthy at 45 as they did at 25. Dr. Otto Huertas, a board-certified gynecologist and cosmetic surgeon, is experienced in helping patients overcome these imbalances and return to their normal lifestyles using hormone replacement therapy.

    Conventional Treatments For Low Testosterone

    You just found out that your testosterone levels are low i.e. youre going through male menopause. Great! Now what?

    The conventional approach is to start replacing testosterone in the blood through hormone therapy. This type of therapy can help alleviate many of the symptoms youre experiencing.

    There are numerous different ways to boost testosterone levels in the blood, with some of the most common being: gels, injections, skin patches and pills.


    Some doctors recommend using topical testosterone gels, which are applied directly onto your skin. Arms are a great place to apply the gel because it will enter the bloodstream more quickly than other spots on the body.

    The biggest issue with using gels is that they can transfer to other people. Always wash your hands after applying the gel to minimize the risk of transferring the gel to another person.


    Testosterone can also be injected into the muscles every 2-4 weeks as an easy way to boost hormone levels. But theres a downside to injections: they can cause serious mood swings.

    Injections may also be a bad idea for men with kidney disease, heart disease or too much calcium in the blood.

    Skin Patches

    Skin patches are similar to gels, but they work a little differently. The patch is worn on the skin, and a gel-like solution allows testosterone to enter the bloodstream. The nice thing about patches is that hormone levels are raised gradually, so you dont experience a sudden change in mood or other side effects.

    Symptoms Of Male Menopause Include Low Energy Depression Or Sadness Decreased Motivation Lowered Self

    Is your male partner being grumpy, having ‘issues’ or mood swings? Well, he could be going through manopause or male menopause because as men age, their testosterone levels drop, leading to a condition called andropause!

    Andropause refers to the age-related changes in male hormone levels. The same group of symptoms is also known as testosterone deficiency, androgen deficiency and late-onset hypogonadism.

    Rita Bakshi, chairperson, International Fertility Centre, says, “Testosterone is a hormone produced in the testes that fuels the sex drive, changes during puberty and mental and physical energy. It maintains the muscle mass, regulates a man’s fight-or-flight response and regulates key evolutionary features.”

    Dr Archana Dhawan Bajaj, gynaecologist and obstetrician, Nurture IVF Centre, says, “Called Androgen Deficiency of the Ageing Male , it usually happens naturally to most men in their 50s as the level of testosterone production drops. She adds, “Psychological problems could also trigger andropause.”

    Dr Saket Kant, senior endocrinologist, Sri Balaji action Medical Institute, adds, “Andropause can cause physical, sexual and psychological problems.”

    Dr Vineet Kumar Surana, senior consultant, Endocrinology, Aakash Healthcare, adds, “Decreased bone mineral density and osteoporosis, are also some symptoms. But, none of this is specific to just andropause and it’s better to consult an endocrinologist.”

    How Is Andropause Diagnosed

    Male Menopause Is Real! – 71

    If you’ve been suffering from these symptoms and are above the age of 35, it’s certainly possible you may be going through andropause. Upon your arrival at CosmeticGyn Center, our Dallas, TX practice, we’ll bring you into one of our private treatment rooms to discuss your concerns before moving forward with an official examination.

    A typical diagnosis of andropause usually includes:

    • A conversation about your medical history
    • A physical exam
    • Blood work to test your hormones
    • Urinalysis
    • Diagnostic imaging, in some cases

    Can We Prevent Getting Weight

    Yes, provided you take the bull by the horns! Ideally, from the age of 40, the woman that wishes to avoid the regular weight gain of menopause has all interest to oblige herself to good hygiene of life.This means working out and carefully monitoring her diet plan. What Is The Male Version Of Menopause

    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.

    Is There Such A Thing As A ‘male Menopause’

    The “male menopause” is an unhelpful term sometimes used in the media.

    This label is misleading because it suggests the symptoms are the result of a sudden drop in testosterone in middle age, similar to what occurs in the female menopause. This is not true.

    Although testosterone levels fall as men age, the decline is steady at less than 2% a year from around the age of 30 to 40, and this is unlikely to cause any problems in itself.

    A testosterone deficiency that develops later in life, also known as late-onset hypogonadism, can sometimes be responsible for these symptoms, but in many cases the symptoms are nothing to do with hormones.

    Male Menopause And Hormone Levels

    Pin on Andropause

    Some men experience a number of the same symptoms that women go through during perimenopause and menopause. This makes sense, considering that men and women produce similar sex hormones, but of course in different proportions. During midlife, hormones need to rebalance and the balancing act can result in over or under production of the key sex hormones oestrogen, progesterone and testosterone.

    Hormonal changes for men tend to be more gradual, and as a result, the male menopause is not as clearly defined as the female menopause. Women experience a sudden decline in oestrogen and ovulation ends, leading to a cessation of fertility in midlife. Therefore there is often a more defined, obvious and dramatic hormonal impact.

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      Men experience a gradual drop in testosterone.

    What Are The Treatment Methods For Andropause

    As andropause is caused by an imbalance in hormones, it can also be treated by infusing the necessary hormones into the body. This treatment has come to be known as hormone replacement therapy, or HRT. There are many ways for hormone replacement therapy to be administered, such as hormone pills, patches, creams, and suppositories. However, the preferred method of Dr. Huertas is what is called HRT pellet placement technique. Using this approach, a personalized dose of the essential hormones will be injected directly into your body underneath the skin of your upper buttock. Patients undergoing this treatment will be required to return to our office approximately every 4 6 months for a new dose of hormones, as well as regular blood tests to ensure your hormones are perfectly balanced.

    No matter the treatment method, we always recommend being conscious of living a healthy lifestyle in order to maximize your results. A proper diet and exercise plan can drastically increase the benefits of HRT by increasing your body’s natural health and function. Additionally, they can help to quickly reduce some of the symptoms of andropause, including fatigue and depression.

    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?

    Lifestyle changes

    An Even More Complex Sexuality

    Without treatment, estrogen shortage sooner or later leads to the vaginal mucosas dryness, which can after that degeneration. The woman experiences a feeling of vaginal dryness, triggering pain during intercourse, particularly during infiltration. Since the appropriate balance of the vaginal flora is disturbed, she is also much more vulnerable to small infections and also cystitis. Does all this possibly describe why 58% of menopausal ladies say they no longer seem like having sex? What Is The Male Version Of Menopause

    Male Menopause Happens And You Should Know About It

    Is Irritable Male Syndrome Affecting Your Relationship? The Truth About Andropause & Grumpy Old Men!
    • 19 Feb 2019

    If you have a male member above 45 years of age in the family who is suffering from mood swings, facing urinary problems and issues of libido, they need to check if they are suffering from what has now been identified and acknowledged as Androgen Deficiency of the Ageing Male or Male Menopause. It is not a serious medical ailment and more often than not needs some medical and lifestyle adjustments, but you should definitely consult a doctor.

    What Is Male Menopause

    Because men do not go through a well-defined period referred to as menopause, some doctors refer to this problem as androgen decline in the aging male — or what some people call low testosterone. It is normal for men to experience a decline in the production of the male hormone testosterone with aging, but this also occurs with conditions such as diabetes.

    Along with the decline in testosterone, some men experience symptoms that include:

    • Sexual problems

    The relationship of these symptoms to decreased testosterone levels is still controversial.

    Unlike menopause in women, when hormone production stops completely, testosterone decline in men is a slower process. The testes, unlike the ovaries, do not run out of the substance it needs to make testosterone. Healthy men may be able to make sperm well into their 80s or later.

    However, as a result of disease, subtle changes in the function of the testes may occur as early as age 45 to 50 and more dramatically after the age of 70 in some men.

    Can You Get Pregnant While Going Through Menopause

    Yes, although it is unlikely. During perimenopause, i.e. the period prior to menopause, you still ovulate and, subsequently, there are chances for you to get pregnant yet. Specialists recommend that women continue using birth control while on perimenopause until they have stopped having monthly menses for at least 12 months in a row.


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