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andropause center: all about low testosteroneOverview of Andropause
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To see an illustration of the effects of decreased testosterone, visit Rembrandt.
This syndrome has been nicknamed ADAM, which stands for androgen deficiency of the aging male. It differs most markedly from female menopause in the speed with which the symptoms occur. In women, the menopause (which means the ceasing of menses or periods) is a universal and comparatively sudden change. In men, the change is much more gradual and difficult to pinpoint. This difference suggests that referring to the syndrome in men as "male menopause" is not accurate and we prefer the term andropause.
Andropause was described as a syndrome by a variety of medical experts as early as the 1940s. The results of a careful study reported in a 1944 issue of the Journal of the American Medical Association described the use of testosterone injections to rapidly and thoroughly relieve the symptoms of andropause. A variety of articles followed the study and made a compelling case for diagnosing and treating these symptoms in aging males. Yet, for the last 60 years, conflicting theories about andropause (and the name male menopause), the lack of convenient treatments, and the discomfort men feel about discussing their symptoms have kept doctors from accepting the syndrome as a treatable condition.
Times change and people change. Baby-boomers are resisting the effects of aging as no age group ever has before. People are living longer and expect far more from the "golden" years than did their parents. Men are now freer to discuss their sexual performance problems with their doctors, wives and friends without fear of being ridiculed or ignored. New treatments introduced over the last few years have also made doctors more willing to bring up the subject of andropause and its symptoms with their patients.
Men "of a certain age" who are feeling less than their best should talk with their doctors about their symptoms. A complete medical examination that includes laboratory tests can help show whether testosterone supplements might help them feel better. If testosterone treatment is suggested, then we encourage men to try it for a period of a few months while keeping track of the changes they see and feel. If low testosterone is the cause of their symptoms, men will not have to wait long to see the effects of treatment.
We'd like to offer you our best help and support -- please post a message or question in our Aging Well Forum. Let us know what you'd like to learn more about and feel free to trade stories with others. See you again soon!
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Posted February 2004
Last Updated: February 2009
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