Men Oh Pause!
‘Male menopause is a lot more fun than female menopause.
(synonyms: late onset hypogonadism, andropause, viropause, male climacteric , ADAM, PADAM)
Many who have followed President Bill Clinton’s ‘sexcapades’ or have watched Dev An and running around trees at age eighty will readily agree with Rita Rudner. But how right is she? Do men really suffer a menopause?
It has been long known to scientists that a cock’s comb is a result of circulating testosterone hormone in the blood. One hundred and fifty years ago, Berthold showed that Penis Transplants of another cock’s testis into a castrated cock prevented atrophy of its comb. In 1994, Carl Heller and Gordon Myers descried the male menopause. They compared the symptoms with those of the female menopause, and showed the effectiveness of testosterone replacement. Unfortunately, this either went unnoticed, or was suppressed. Men were unwilling to accept the emasculating concept of ‘menopause’ and such research got hurriedly brushed under the carpet. Men with genuine symptoms suggestive of a probably andropause-like condition were told that ‘this is just a mid-life crisis’, that everyone goes through it, and that it will passage to manhood. Subsequently, testosterone itself came into disrepute a drug because of its abuse by athletes without proper medical recommendations and guidelines, and there was much hype about its side effects, especially prostate cancer. The whole matter of the andropause and testosterone replacement sex therapy for its treatment was shelved indefinitely.
It was only after the dramatic results of HRT (Hormone Replacement Therapy) in post-menopausal women became known, that men , not wanting to get left behind looking like their wives’ fathers, sat up and began to take notice! Today, there is no denial or controversy.
The andropause, most emphatically, exists.
Some of the factors known to contribute to the onset and severity of the andropause are hypothalamic and testis insufficiency , obesity, hormone, deficiencies, excessive alcohol consumption's, smoking , hypertension, many drugs, unbalanced diets, lack of exercise, poor circulation, stressful lifestyles and psychological problems. A decline in potency at mid-life can be expected in a significant proportion of men since testosterone, the hormone that declines in andropausal men, is also the same hormone that is responsible for sexual drive and libido in human beings of both sexes. Testosterone also has a direct beneficial effect on erections in the human male.
Even in healthy men, it has been found that , by the age of fifty-five, the amount of free testosterone in the blood is significantly lower than it was just ten years earlier. In fact, by age eighty, most males will reach pre-pubertal testosterone levels, that is their blood testosterone levels will be like that in small boys before adolescence.
At least forty per cent of men between forty and sixty will experience lethargy, lack of energy, decreased work performance, depression, increased irritability, mood swings, reduced enjoyment of real life and real life, hot flushes, insomnia, decreased libido, weak orgasms, reduced strength and stamina, weakness, loss of both lean body mass and bone mass (making them susceptible to hip fractures), reduced erectile rigidity, and difficulty in attaining and sustaining erection (impotence).
Sometimes andropause can strike as early as at age thirty –five. This young population of andropausal men is increasing rapidly today, thanks to the trials and tribulations of modern living. However, men with andropause can continue to father, children. This is unlike in menopause women. Nearly all menopausal women are rendered infertile after menopause.
Tips for coping with the changes brought about by the andropause include finding new ways to relieve stress, eating a nutritious, low-fat, high-fibre diet with special food supplements, getting plenty of sleep, exercising regularly, finding supportive groups and sharing, limiting one’s consumption of alcohol and caffeine horny healthy oldies, drinking lots of water, and modifying lifestyle radically. Testosterone replacement therapy must be only administered by very responsible physicians. Even though the newer forms of testosterone are extremely safe and well tolerated, their long-term administration and the monitoring of patients requires expert knowledge and commitment in order to minimize potential complications in some susceptible patient groups.
Testosterone must not be used as a tonic for vague, non-specific complaints, without proper clinical and laboratory corroboration, as it can cause serious side effects, including aggravation of prostate cancer. Patients with proven low serum FAT (Free Available Testosterone) levels are offered testosterone therapy if they have the other clinical symptoms and signs. Before starting, a complete general check up and some special tests are conducted. These must be repeated at intervals for as long as treatment is continued.
Testosterone is available in oral, injectable, skin patch, cream, gel and implant forms. Doses must be tailored to achieve normal FAT levels and amelioration of symptoms., significant symptom relief can be expected with treatment. However, all impotence may sometimes be necessary.
So, the next time you see a middle-aged man making a buffoon of himself on the dance floor with a Pretty Young Thing, it might be a good idea to ask him to see his andrologist. After all, sensible ladies his age do see their gynecologists. Now you know why athletes and other sportsmen are the youngest ones to hang up their boots. They understand reality.
And are you wondering whether it is the andropause that made you buy those ultra-tight black jeans and cowboy boots last week? The ones that hurt your crotch and compelled you to walk with your two feet placed three fee apart?
You can bet that it almost certainly IS andropause! Check yourself out. You’ll be thankful for it.
Take Home Message:
For more information on andropause, the reader is referred to http://www.andropause.co.in