Male menopause a myth or reality

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Male menopause used to describe decreasing testosterone levels related to aging. After age 40, testosterone levels in the blood begin to decline gradually ? at a rate of about 1 percent a year. A healthy male may be able to make sperm well into his eighties or longer.

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Symptoms

Reduced sexual desire
Infertility
A decrease in spontaneous erections (such as during sleep)
Swollen or tender breasts (gynecomastia)
Loss of body and pubic hair
Small or shrinking testes
Height loss and thinning bones
Reduced muscle bulk and strength
Hot flushes and sweats
Other signs and symptoms can include
Decreased energy, motivation and self-confidence
Feeling sad or depressed
Poor concentration and memory
Sleep apnea or other sleep problems
A low red blood cell count (mild anemia)
Increased body fat
Diminished physical or work performance

Male hormones that decline are

Testosterone
DHEA (dehydroepiandrosterone)
Growth hormone
Pregnenolone
Androstenedione
Melatonin

Home based remedies

Find new ways to relieve stress.
Eat a nutritious, low-fat, high-fiber diet.
Get plenty of sleep.
Exercise regularly.
Find a supportive friend or group and talk to them about what you're going through.
Limit your consumption of alcohol and caffeine.
Drink lots of water
Talk to the doctor about sexual problems- either erectile dysfunction or premature ejaculation

Treatment

Testosterone Replacement Therapy (TRT)-

Testosterone is available in many forms - oral, inject able, trans-dermal and implants. The oral route is generally not recommended because of the high risk of liver toxicity
Inject able testosterone is safe but the blood levels are not uniformly maintained and any excess is converted to estrogens
More recently, patches, pellets, creams and gels have entered the fray
The choice of route and preparation will depend on safety, the socio-economic status of the patient, proven long term safety and efficacy
TRT has risks, especially for men with certain health conditions such as prostate cancer and heart disease
A significant improvement in symptoms can be expected with proper therapy.

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