Andropause

Dr. Dekel is available for consultation by appointment for assessment of male health and performance. He is using functional medicine approach and Bio-Identical hormone replacement, when needed.For appointment call: 516-817-1770.

The existence of andropause is recognised by some of the best researchers in medical science, including the international medical community.

In fact, a recent World Health Organization (WHO) report, states that “male androgens progressively decline with age.” The study tested androgen levels at age 25 and by age 70, androgen levels were only 10 percent of what they were during youth.

The impact of decreasing androgens is known as andropause, also called "male menopause" or PADAM – Partial Androgen Deficiency in the Ageing Male. It is a normal part of ageing, although, for some men it is accompanied by a gradual and undesired decline in their sexuality, mood and overall energy. Sometimes it can even expose men to more serious health risks.

As with women, andropause in males begins at a time when life often offers some of its greatest rewards. This site has been designed to arm you with actionable information about andropause - what causes it and what you can do about it. And if you are going through andropause, we hope this information will help you maintain a healthy and active quality of life throughout your middle years.

 What is Andropause?

By the time men are between the ages of 40 and 55, they can experience a phenomenon similar to the female menopause, called andropause. Unlike women, men do not have a clear-cut signpost such as the cessation of menstruation to mark this transition. Both, however, are distinguished by a drop in hormone levels. Estrogen in the female, testosterone in the male. The bodily changes occur very gradually in men and may be accompanied by changes in attitudes and moods, fatigue, a loss of energy, sex drive and physical agility.

What's more, studies show that this decline in testosterone can actually put one at risk for other health problems like heart disease and weak bones. Since all this happens at a time of life when many men begin to question their values, accomplishments and direction in life, it's often difficult to realise that the changes occurring are related to more than just external conditions.

A gradual hormonal decline
Unlike menopause, which generally occurs in women during their mid-forties to mid-fifties, men's "transition" may be much more gradual and expand over many decades. Attitude, psychological stress, alcohol, injuries or surgery, medications, obesity and infections can contribute to its onset.

Although with age, a decline in testosterone levels will occur in virtually all men, there is no way of predicting who will experience andropausal symptoms of sufficient severity to seek medical help. Neither is it predictable at what age symptoms will occur in a particular individual. Each man's symptoms may be also different.

Is this a new phenomenon?
Yes and no. In fact, andropause was first described in medical literature in the 1940's. So it's not really new. But, our ability to diagnose it properly is. Sensitive tests for bioavailable testosterone weren't available until recently, so andropause has gone through a long period where it was underdiagnosed and undertreated. Now that men are living longer, there is heightened interest in andropause and this will help to advance our approach to this important life stage which was identified so long ago.

Increased diagnostic capability
Another reason why andropause has been underdiagnosed over the years is that symptoms can be vague and can vary a lot among individuals. Some men find it difficult to admit that there's even a problem. And often physicians didn't always think of low-testosterone levels as a possible culprit. So these factors often led doctors to conclude that symptoms were related to other medical conditions (i.e. depression) or were simply related to ageing and often encouraged their patients to accept that "they were no longer spring chickens".

This situation is changing. New blood testing methods are available and there is an increased interest in mens' ageing among medical researchers. So much attention is being focused on andropause that major efforts are underway to quickly share emerging scientific information with the international medical community.