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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Article Home Sexology Male menopause a myth or reality

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.

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

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.