Male Menopause: Symptoms and Treatment
The term "male menopause" is used to refer
to the condition of men who have hormone levels drop after mid-life.
Male menopause is a subject of controversy in the
medical society. In the case of women, menopause is related with the
termination of a bodily operation, like when the monthly menstruation periods
stop. Also, a critical drop in the hormone levels in women occurs along with
menopause. For these reasons, doctors are debating on whether male menopause really
exists.
In the case of men in their middle and elderly years,
smaller quantities of testosterone are being created by the testicles. This is
believed to be the underlying reasons behind the occurrence of symptoms of male
menopause.
Men with menopause usually suffer from irritability,
sleep disturbance, low sex drive, sweating, anxiety, sadness, memory problems,
and erectile dysfunction.
In most cases, erectile dysfunction may be caused by
other disorders. But testosterone deficiency may be one possibility.
It is important that men who suffer from symptoms
related to low levels of testosterone be subjected to medical investigations
like blood tests to evaluate testosterone levels.
Other reasons for having short testosterone levels
include testicular dysfunction and probable inherited features.
As a treatment, hormone replacement therapy is being
recommended for men with low levels of testosterone and symptoms that come with
it.
Hormone replacement may not be applicable to older men
who seek treatment for their erectile dysfunction unless they actually have
very minimal levels of androgen. As for younger men with known hormone
deficiency, it has been proven that nominal doses of testosterone can improve
interest in sex.
Testosterone replacement therapy, which is also called
as androgen replacement therapy, aims to reduce the symptoms brought about by
male menopause. This method is a lifelong treatment, since testosterone
deficiency is generally a permanent condition.
Testosterone replacement therapy is usually given as
an oral prescription, implants, or injections.
The injection of testosterone is usually carried out
once every two weeks.
The oral drugs are especially prescribed to those who
can't stand injections or implants.
The testosterone implants, which are being inserted
under the skin of the buttock or abdomen work for a period of months. The
implant works by releasing testosterone directly into the bloodstream.
Androgen therapy, however, comes with potential side
effects and risks.
With low testosterone levels, the prostate tends to
shrink. Hormone replacement therapy cannot recover a physically reduced
prostate since it does not have influence in the levels of prostate specific
antigen.
Androgen therapy may not be a cause of increased risk
of prostate cancer for those who have naturally greater testosterone levels in
the same age bracket.
On the other hand, the safety of hormone replacement
therapy and its possible effects on the prostate, mental functioning, and
cardiovascular system still need to undergo proper researches. Moreover, there
is also a need to assess the probable benefits of androgen therapy on the bones
and muscles.
Androgen therapy is said to increase the risk of heart
diseases, although researches on this subject are uncertain. It is a known
fact, however, that those with low testosterone levels have been found among
heart attack victims. This opens the possibility that hormone replacement
therapy could help prevent cardiovascular diseases.
Older men undiagnosed of prostate cancer should also
take caution when being applied with androgens.
Sleep apnea, or the cessation of breathing during
sleep, is also considered as a rare risk with hormone therapy.
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