What’s male menopause?

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Male menopause, or late-onset hypogonadism (LOH), is caused by a decline in testosterone levels as men age. Symptoms include tiredness, hot flashes, decreased libido, and muscle and bone mass loss. Treatment includes testosterone replacement therapy and lifestyle changes.

Male menopause is caused by the decline of androgens, or testosterone, in men’s systems as they age. It is also known as late-onset hypogonadism (LOH), andropause and androgynous deficiency in elderly males (ADAM). Male menopause is part of the natural aging process for most men and is very easy to treat.
Many doctors disagree with the term male menopause, preferring the term andropause. They argue that menopause in women occurs over a short period of time and is not the same as menopause in men. Male menopause begins to occur when the male system starts producing less testosterone, the hormone responsible for muscle growth, height and sex drive in men. Unlike female menopause, it’s a slow, gradual change, usually starting when a man is in his 40s. Most men won’t feel a noticeable change until their 60s, but some may notice it as early as 45.

The symptoms of male menopause are very similar to those of female menopause: tiredness, hot flashes, sweating, mood swings and decreased libido. Other symptoms include a decrease in height and muscle mass, hair loss all over the body, infertility, and reduced bone mass. Some men may also experience a slight decrease in memory skills, depression and weight gain. Symptoms are different for each individual and can include some less common symptoms not listed here.

The most common treatment for male menopause is testosterone replacement therapy (TRT). TRT can lead to improvements in a man’s libido, energy and mood, as well as encourage muscle growth and increase the quality of sleep. These effects usually begin to show during the first three to six weeks of therapy. Some doctors may also prescribe antidepressants to help with any symptoms of depression. Getting adequate sleep, finding pleasurable hobbies, exercising, and eating healthy can also help ease the symptoms of male menopause.

Most men will face some level of male menopause at some point in their lives. The best way to prolong regular testosterone levels is to eat right and stay active. Testosterone levels have been shown to be lower in unhealthy males. The best way to treat male menopause is to catch it early; if you have had sexual difficulties, talk to your doctor right away. You should also let your doctor know if you have depression so you can start working on a treatment plan.




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