Andropause—What is it? Is it real?

Andropause is a very real physiological state of hormone decline/deficiency in men. Most agree that it is the result of a very gradual, age-related decline in hormones such as testosterone DHEA, and others. Symptoms are not uniform, and may include, but are not limited to:

PHYSICAL SYMPTOMS – Balding head, decreased muscle mass with increased body fat, reduced strength and stamina, decreased testicle size
CARDIOVASCULAR SYMPTOMS – Increased abdominal fat – increasing risk of heart attack, increased insulin/cholesterol/triglyceride levels, elevated blood pressure,, weakening heart muscle
MENTAL SYMPTOMS – Irritability, insecurity, lack of concentration, memory failures
SEXUAL SYMPTOMS – Decreased sex drive and arousal, reduced organ sensitivity or pleasure, fewer orgasms, erectile dysfunction

Labs should be obtained prior to initiation of hormone replacement therapy and a diagnostic tool to distinguish between primary and secondary hypogonadism.

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