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Male Sexual Dysfunction
Andropause (Male Menopause)
Andropause, also called male menopause or late-onset hypogonadism, is a gradual age-related decline in testosterone levels that leads to physical, sexual, and psychological changes in aging men.
75%
Success Rate
Lifelong gradual process; treatment ongoing
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Andropause (Male Menopause)?
Andropause, also called male menopause or late-onset hypogonadism, is a gradual age-related decline in testosterone levels that leads to physical, sexual, and psychological changes in aging men.
Prevalence: Affects 20-30% of men over 60; increases with age
Symptoms and Signs
- •Decreased libido and sexual desire
- •Erectile dysfunction
- •Reduced muscle mass and strength
- •Increased body fat
- •Fatigue and low energy
- •Mood changes and irritability
- •Sleep disturbances
Causes and Risk Factors
Common Causes
- →Age-related decline in Leydig cell function
- →Reduced hypothalamic-pituitary stimulation
- →Increased sex hormone binding globulin (SHBG)
- →Decreased testicular perfusion with age
- →Accumulated lifestyle and environmental factors
Risk Factors
- ⚠️Age over 50
- ⚠️Obesity
- ⚠️Chronic illness (diabetes, metabolic syndrome)
- ⚠️Alcohol abuse
- ⚠️Sedentary lifestyle
- ⚠️Poor sleep quality
Treatment Options
Expected Outcomes: Significant improvement in energy, libido, and well-being with TRT; 70-80% satisfaction rate
Available Treatments:
- ✓Testosterone replacement therapy (gels, injections, pellets)
- ✓Clomiphene citrate (stimulates natural production)
- ✓Lifestyle modifications (exercise, weight loss)
- ✓Dietary changes (zinc, vitamin D supplementation)
- ✓Treatment of underlying conditions
- ✓Antidepressants for mood symptoms if needed
- ✓Sleep apnea evaluation and treatment
Prevention Tips
- →Maintain healthy weight through diet and exercise
- →Strength training to preserve muscle mass
- →Get adequate sleep (7-8 hours)
- →Limit alcohol consumption
- →Manage chronic health conditions
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