Andropause
What is Andropause?
Although not a recognized term in medicine, Andropause is another term for the age-related decline of Testosterone in men. Andropause is not as dramatic as menopause in women and symptoms are often more subtle. The decline in Testosterone may occur at a rate of 1-2% each year beyond the age of 30 years and may not affect every single man. This condition is also referred to as Testosterone deficiency, androgen deficiency, and late onset hypogonadism.
Diagnosing Andropause
The best way to confirm testosterone deficiency is through a blood test with your treating healthcare provider. Urinary sex hormone metabolites may be beneficial along with cortisol to evaluate the impacts of stress on the overall hypothalamic - pituitary - adrenal (HPA) axis. Thyroid hormones, DHEA, Cortisol, Progesterone and Estrogen should be considered for a comprehensive view of all hormones interacting together.
What are the symptoms of Andropause?
Symptoms of Low Testosterone may include:
- Irritability
- depression
- increase in aches and pains
- fatiguing more easily
- increase in abdominal fat
- loss of muscle strength and tone
- difficulty making decisions
- loss of in interest in sex
How to treat Andropause
Treatment of a testosterone deficiency should include a comprehensive diet plan to ensure a healthy balance of protein, fat and carb intake to optimize hormone levels. Management of stress is crucial to maintaining optimal Testosterone levels. Staying active and instituting a self care routine to include mindfulness and meditation can help alleviate the impact of stress on hormone production. Fragmented sleep patterns and sleep apnea can have a significant impact on Testosterone levels. Ensuring sleep quality is another consideration when treating Testosterone deficiency. Testosterone replacement therapy may be considered and is available in multiple forms such as gels, creams, pellets and intramuscular injections. The following services can be utilized for treatment:
