Men also have menopause: andropause is different from that of women
Hot flashes, sweats and mood swings - the symptoms when women go through the menopause are well known. But many do not know that men also go into menopause.
Called andropause in technical terms, they affect about every fifth man. Strictly speaking, andropause is not a disease, but a natural phase of life, which, in contrast to female menopause, is less specific, less pronounced and slower. This is what the Uro GmbH points out to a group of urologists from North Rhine-Westphalia.
As with the menopause of women, the andropause is associated with some side effects. Dr. Reinhold Schaefer, managing director of the Uro-GmbH North Rhine medical network, explains what male menopause is all about: “Around the age of 35, hormone production in men slowly decreases because the testis produces less testosterone and the testosterone as a result continues to decrease over the course of life. The typical male hormone testosterone controls the sexual functions libido, potency and fertility, but also muscle strength, bone formation and breakdown and also blood formation. ”
If hormones are mixed up in men, this has a significant impact on sex life, fertility and mood. The main indicators of andropause are sexual. “Most men found that morning erections are less common and that the sex drive is reduced. In addition, some suffer from erectile dysfunction. "
But the body is also no longer as efficient with a decreasing testosterone level. "It is no longer easy to exert strength, such as jogging, lifting heavy objects or walking long distances, as well as kneeling and bending over." Some men complain about lack of sleep, lack of concentration, fatigue and sometimes depressive moods.
Some of these side effects sometimes require the advice of a urologist. "If symptoms are a major psychological burden, you should definitely consult a urologist," explains Dr. Shepherd. In addition to a detailed discussion, diagnosis also includes a physical examination to rule out organic causes for the symptoms. Blood tests determine the concentration of sex hormones in the blood. With lower values, there is much to be said for male menopause. A questionnaire also helps to determine the severity and the need for treatment.
“But there is no classic hormone replacement therapy for men. Although it is possible in principle, it should only be carried out after a thorough urological examination, ”adds Dr. Depending on the cause, which the urologist precisely diagnoses, hormone treatments with testosterone, the administration of so-called PD5 inhibitors, but also other measures can be considered. (sb, pm)