A deficient level of male hormone called the testosterone is called Andropause or the male menopause. This common condition is witnessed in men at the age of 30 and above and is a gradual shortage that occurs @10 per annum.
Causes:
The most basic cause of andropause is not only the reduction of testosterone but also the increase of SHBG(Sex hormone-binding globulin). SHGB binds the testosterone in the blood and makes it inactive/useless for the body. Evident mood swings and fatigue by the patients are alos the result of low stimulation of tissues. Furthermore, patients involved in obesity, diabetes, hypertension, chronic disease are at a higher risk of developing andropause.
Symptoms:
The symptoms of Andropause vary and often times can be confused with hypogonadism which is due to diseases of the testes, the pituitary or the hypothalamus.Other common symptoms are listed as:
• lack of interest in sex
• difficulty in erections
• lack of energy
• depression
• irritability and mood swings
• memory lapses
• nervousness
• fatigue and inability to get adequate sleep
• brittleness of bones due to osteoporosis
• increased risk of heart disease
Management and Treatment
Testosterone replacement therapy has proven to be the most effective means of treatment. Based on convenience and sensitivity various forms like capsules, skin patches, gels, and injections are used. The following summarizes the different methods:
- Oral testosterone:The side effects include jaundice and liver tumors. Hence patient already with liver conditions must avoid this.
- Test injections: An oily preparation of testosterone is used as it has a longer duration of action. It is injected into the muscles every 2 to 4 weeks.
- Skin patch: The effect of the skin patch skin is visible after 4-12 hours but may cause some irritation
- Gel: A calculated dose depending upon the diagnosis is applied. This method has been recognized as Easy and convenient.
Men should proactively consult doctors when they notice the symptoms. In addition to the test therapy;easier means such stress reduction exercise, meditation and good nutrition can significantly improve the condition