Male Menopause: Is It Real?

Published on:

Reviewed By Blake Gilliam, CRNP

Reading Time: 5 minutes

There has long been a notion that menopause, the period in a woman’s life where she stops ovulating and menstruating, is unique to women. However, recent discussions have grown around the concept of male menopause or “andropause”. 

This medical condition, characterized by a distinct drop in testosterone levels, poses significant questions and concerns for many men as they age. But what exactly is male menopause, and is there an effective treatment for it?

In this blog post, we’ll take a closer look at andropause. We’ll talk about symptoms and, most importantly, treatment options.

What is Male Menopause?

Male menopause or andropause is a condition that affects men in their late 40s to early 50s. It is caused by a gradual decline in male hormone production, leading to symptoms such as fatigue, decreased sex drive, and mood swings. 

However, unlike menopause in women, sex hormone changes in men occur gradually and do not result in the complete cessation of reproductive function.

Why Do Testosterone Levels Drop?

As men age, several factors contribute to a decrease in testosterone production:

  • Hormonal changes: Testosterone production is regulated by the hypothalamus and pituitary glands. As men age, these glands may produce less of the hormones that stimulate testosterone production.
  • Chronic illness: Conditions such as diabetes, obesity, and heart disease can all impact hormone levels and contribute to male menopause.
  • Medications: Certain medications, including those used to treat prostate cancer, can interfere with testosterone production.

Andropause Symptoms

Some common symptoms of low testosterone levels, or hypogonadism, include:

  • Reduced sex drive
  • Erectile dysfunction
  • Loss of muscle mass with an increase in body fat
  • Changes in mood, including depressed mood or mood swings
  • Decrease in bone mineral density
  • Poor concentration and memory
  • Decreased bone mass, which can lead to osteoporosis
  • Hot flushes

Low testosterone also leads to an increased risk of heart disease, high blood pressure, diabetes and obesity.

Treatment for Low Testosterone

The primary treatment for low testosterone is testosterone replacement therapy. TRT aims to restore hormone levels to the optimal range, improving symptoms and overall quality of life. Here’s a basic breakdown of the treatment process:

  1. Diagnosis of low testosterone through blood tests and medical evaluation.
  2. Evaluation of the patient’s medical history to ensure TRT is safe. 
  3. Prescription of TRT.  Weekly or biweekly injections that you administer at home.
  4. Blood draws every 3 months until your levels are stable, then switch to every 6 months.

Benefits of Testosterone Replacement Therapy

TRT has been shown to provide numerous benefits for men with low testosterone levels, including:

  • Increased sexual desire and improved erectile function
  • Improved mood and energy levels
  • Enhanced muscle mass and strength
  • Better bone density and decreased risk of osteoporosis
  • Improved cognitive function and memory

If you are experiencing symptoms of low testosterone and want to learn more about how you can improve your health and quality of life, our team at Madison Integrative Medicine is here to help.

Madison Integrative Medicine: Your Partners in Health

While the concept of male menopause may still be up for debate, the impact of low testosterone on a man’s health is not. If you’re experiencing symptoms of low testosterone, it’s essential to consult with your doctor and discuss potential treatment options.

At Madison Integrative Medicine, we offer personalized testosterone therapy, tailored to meet your unique needs and health goals. Our experienced team can help you navigate the process and improve your quality of life. Don’t let low testosterone hold you back from living your best life – contact us today to learn more about TRT.

If you are searching for ‘testosterone replacement therapy near me,’ or ‘trt for men,’ we can help. Call (256) 325-0955 to book an appointment or complete the online inquiry form.

FAQs About Andropause

At what age does a man go through andropause?

Andropause typically starts in a man’s late 40s to early 50s, but symptoms can manifest earlier or later. It is a gradual process and not as sudden as menopause in women.

Is there a natural way to increase testosterone levels?

While lifestyle changes such as exercise, healthy diet, and stress management may help maintain healthy testosterone levels, they may not be enough for men with significantly low levels. TRT is often the most effective treatment option in these cases.

Are there any risks associated with testosterone replacement therapy?

There are potential risks and side effects associated with TRT, such as an increased risk of blood clots and sleep apnea. It’s essential to consult with your doctor and undergo regular medical evaluations while on TRT to monitor for any potential complications.  Additionally, TRT may not be suitable for men with a history of prostate or breast cancer.

Does getting a vasectomy affect testosterone?

No, getting a vasectomy does not affect testosterone levels. There is no impact on sexual function or sex drive.

Does TRT cause hair loss?

There is no evidence to suggest that testosterone replacement therapy causes hair loss. However, if you have a history of male pattern baldness, TRT may accelerate the process. The best course of action is to identify if you have a genetic sensitivity to DHT. If you don’t, then it’s unlikely that you will experience hair loss while on testosterone replacement therapy.

Does TRT make you infertile?

TRT can decrease sperm production, making it more challenging to conceive, but it does not make you infertile.

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