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Male menopause, do you identify symptoms?

Depression, fatigue, and sexual reluctance may be a sign of men's menopause.

At what age does men's menopause begin?

The amount of testosterone in men begins to decrease by about one percent per year after the age of 30. Possible menopausal symptoms typically occur at age 50-60.

Women's menopause and related physical changes and symptoms have long been spoken. Today, men's menopausal symptoms, so-called andropaus, are well identified.

There is still little talk about men's menopause. Why?

The changes are slow, and sometimes they are mixed with other diseases. On the other hand, men's menopause has been a taboo for a long time, or at least a matter that many men have experienced difficult to address. This is due to the fact that the symptoms are related to the core areas of man's life: well-being, performing, and sexuality.

Over the past ten years, a major positive change has taken place. The more and more accessible information has become available, the more and more of the menopausal symptoms have started to be talked about.

What happens in the body during menopause?

The amount of testosterone in the man's body decreases. This may be, for example, an exorbitant fatigue, an abnormal mood, an inability or sexual unwillingness.

Typical physical symptoms include decreased muscle mass, gaining weight, impotence and osteoporosis. Sometimes menopausal men may also have sleeping problems, sweating, hot waves, or increased urination.

Typical menopausal symptoms are that they develop slowly and gradually. The same symptoms may relate to menopause as well as to many long-term illnesses, such as diabetes, hypothyroidism and depression.

What's the difference between women's and men's menopause?

In women, menopausal changes and symptoms are inevitable for everyone when the menstrual period ends. Physiologically the changes are much faster than men. Most of the men do not get menopausal symptoms.

Is the decline in testosterone levels inevitable?

Yes. It happens to all men. On the other hand, even though the most important factor is age, the testosterone reduction may also be caused for example by being overweight, because testosterone is distributed in fat tissue.

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How do menopause affect sexuality?

Menopause may be associated with erectile dysfunction such as impaired erection and decreased sexual desire. Vaginal fatigue also often affects a relationship.

It is important to talk about things openly. It can also help to prevent possible difficulties in sex life in couples relationship, but those are considered to be one of the issues of aging that can be facilitated and solved.

How can menopausal symptoms be treated?

First of all, care should be taken to fix lifestyle and exclude diseases that cause similar symptoms.

Lifestyles mean adequate exercise, quitting smoking and excessive alcohol consumption and a healthy diet. In terms of overall quality of life, attention should also be paid to taking care of your muscle mass, which can be successful, for example, in the gym.

Possible obesity, diabetes, and cardiovascular disease are important to be taken care of. If, after these are treated properly, menopausal symptoms continue to interfere, your doctor may order replacement therapy for testosterone.

When should I see a doctor about menopause?

It is important to treat the symptoms if they impair the quality of life and hamper the everyday life.

A urologist or specialist in andrology assesses the overall situation with the patient. Laboratory tests such as blood tests and clinical examination of a patient such as testicular and prostate examination can be used to help evaluate. The testosterone level can be reliably determined by blood test.

Since managing men's menopause is not so much about a disease, but a quality of life, patients often seek private healthcare. Many private doctors' laboratories provide research packs for older men, which also provide a lot of men's health-related information.

What does testosterone replacement therapy mean?

If andropause is treated with testosterone, it usually takes a long time, at least a few months in length. It is not really a medication, because it is a body's own substance which deficiency is being corrected.

Before deciding on substitution therapy, it is important to evaluate its benefits and potential disadvantages and to exclude the possibility of prostate cancer.

Hormonal treatment is generally not initiated if a patient has, for example, found benign prostatic hypertrophy, severe sleep apnea, high hemoglobin or alcoholism. Testosterone preparations are available as tablets, injections, patches, and as a gel to be administered on to the skin. It is not advisable to start treatment on too lightweight grounds, it must have medical grounds. The effects of treatment are recommended to be monitored for the first year every three months, after that annually.

Do menopausal symptoms end at some point?

The level of testosterone does not rise over time, so basically the symptoms do not ease. However, most people get used to the situation or at least accept them as part of the life cycle and aging.

On the other hand, for example, sexual desire is a complicated thing: it is not unusual for a doctor to get a patient, for example, an eighty-year-old man whose sex life has begun again to be very active, for example, after years of pause and wife's death.

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