Last Updated on November 30, 2019 by Dr. Philip Schein MD
The number of studies related to the aging of the body has been gradually increasing in recent years. This is due both to the development of medicine (as a science) and to an increase in life expectancy throughout the world. As a rule, aging marks a decrease in the reproductive abilities of the body. Thus, in women, the onset of menopause means the end of the reproductive period. What about gentlemen? Can they experience ‘andropause’ or ‘male menopause’?
Features of Aging and Its Effect on Hormones in the Male Body
‘Andropause’ begins to manifest slowly in men. A man does not receive (feel) a definite signal about the onset of ‘andropause’. There is no specific factor that can indicate this intermediate stage, so men often do not attach importance to the deterioration of their well-being and various ailments in this period. The first decrease in testosterone synthesis begins after the age of 30. Many men begin to lose healthy erectile function after 40, the prevalence of hormonal problems increases with age. In men of the same age, testosterone levels are different. It depends on many factors, such as lifestyle, bad habits, heredity, the presence of concomitant diseases. Say, in case of arterial hypertension, coronary heart disease, some other heart diseases, diabetes mellitus, etc., testosterone levels are 10-15% lower than in healthy people of the same age.
‘Andropause’ term refers to a decrease in testosterone levels, it is used by many experts, but some doctors believe that it is incorrect.
However, if a man is generally healthy, his body is capable of producing sperm even at the age of 80. There are cases when a man became a father at 96 years old. For comparison: the oldest mother in the world gave birth at 69 years old (this was a unique case).
Age Androgen Deficiency – Late-Onset Hypogonadism
Doctors often use the medical term late-onset hypogonadism (testosterone deficiency syndrome) to denote menopause in men. This diagnosis includes a decrease in testosterone confirmed by laboratory tests, which is accompanied by the corresponding symptoms (after all, testosterone is responsible for many functions in the body):
- decreased libido (sex drive)
- ejaculation disorders, such as delayed orgasm or dry orgasm
- increase in the amount of adipose tissue, female type fat deposition
- deterioration of bone tissue condition
- decline in vitality, constant fatigue
- decreased focus (attention)
- depressive disorders
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This disorder can be treated with testosterone preparations, but if it is important for the patient to maintain fertility (the possibility of fertilization), other treatment methods should be preferred, since the constant receiving of exogenous testosterone leads to inhibition of the production of endogenous (internal) hormone by the body.
As you can see, a decrease in testosterone affects not only sexual function. Therefore, serious medical intervention and careful approach are necessary with a pronounced decrease.
I’m an Oncologist and Hematology Specialist primary located in Bryn Mawr, Pennsylvania. I have over 55 years of experience in the medical field and more than 20 years of practice. I’m skilled at the treatment & diagnosis of a large array of ailments & diseases in adults.
- American Board of Internal Medicine Certification in Internal Medicine
- American Board of Hematology Certification in Hematology
- American Board of Medical Oncology Certification in Medical Oncology