What is
Andropause?
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By
the time men reach between the ages of 40 and 55,
they can experience an aging phenomenon similar to the
female menopause, called andropause. Unlike women, men do
not have a clear-cut signal that it is coming such as the
cessation of menstruation to mark this life transition.
Both, however, are distinguished by a drop in hormone
levels. Estrogen in the female, testosterone in the male.
The bodily changes occur very gradually in men and may be
accompanied by changes in attitudes and moods, fatigue, a
loss of energy, sex drive and physical agility.
Erectile dysfunction seems to be very common and signals
some form of hormonal imbalance is taking place.
What's more,
scientific studies show that this decline in testosterone
can actually put one at risk for other health problems like
heart disease and weakened bones. Since all this happens at
a time of life when many men begin to question their values,
accomplishments and direction in life, it's often difficult
to realize that the changes occurring are related to more
than just external conditions.
Gradual
Hormonal Decline
Unlike menopause, which generally occurs in women during
their mid-forties to mid-fifties, men's life transition may
be much more gradual and expand over many years. Attitude,
psychological stress, alcohol use, injuries or surgical
procedures, medication use, obesity and infections can
contribute to its onset even faster.
Although with
age, a decline in testosterone levels will occur in
virtually all men eventually, there is no way of predicting
who will experience andropause symptoms of substantial
severity to seek medical help. Neither is it predictable at
what age symptoms will occur in a particular individual.
Each man's symptoms may be also different.
Is This A
New Phenomenon?
Yes
and no. In fact, andropause was first described in medical
literature
in the 1940's. So it's not really new. But, our ability to
diagnose it properly
is. Sensitive tests for bio-available testosterone weren't
available until recently, so andropause has gone through a
long period where it was under diagnosed and under treated
for many years. And now that men are living longer, there is
heightened interest in andropause and this will help to
advance our approach to this important life change which was
identified so many years ago.
Increased Diagnostic Capability
Another
reason why andropause has been under diagnosed over the
years is that symptoms can be vague and can vary a lot among
individuals. Some men find it difficult to admit that
there's even a problem and enter a self-denial attitude. And
often physicians didn't always think of low-testosterone
levels as a possible cause. So these factors often led
doctors to conclude that symptoms were related to other
medical conditions (i.e. depression) or were simply related
to ageing and often encouraged their patients to accept that
"they were no longer studs".
See Male Menopause
This
situation is changing rapidly. New blood testing methods are
available and
there is an increased interest in men's ageing among medical
researchers to better understand this area. So much
attention is being focused on andropause that major efforts
are underway to quickly share emerging scientific
information with the international medical community.
See Maca Information
Causes
Starting at
about age 30, testosterone levels drop by about 10 percent
every decade. At the same time, another factor in the body
called Sex Binding Hormone Globulin, or SHBG, is increasing.
SHBG traps much of the testosterone that is still
circulating and makes it unavailable to exert its effects in
the body's tissues. What's left over does the beneficial
work and is known as "bio-available" testosterone.
Andropause is
associated with low (bio-available) testosterone levels.
Every man experiences a decline of bio-available
testosterone but some men's levels dip lower than others.
And when this happens these men can experience andropausal
symptoms.
These symptoms
can and do impact their quality of life and may expose them
to other, longer-term risks of low-testosterone. It is
estimated that 30 percent of men in their 50s will have
testosterone levels low enough to be causing symptoms or
putting them at risk for heart disease, stroke and even
cancer.
Importance
Of Testosterone
Testosterone
is a hormone that has a unique effect on a man's total body.
Testosterone is produced in the testes and in the adrenal
glands. It is to males what estrogen is to females.
See Estrogen
Testosterone
helps to build protein and is essential for normal sexual
behavior and producing erections. It also affects many
metabolic activities such as production of blood cells in
the bone marrow, bone formation, lipid metabolism,
carbohydrate metabolism, liver function and prostate gland
growth.
Impact
of Low Testosterone
When there is
less testosterone available to do its work, the testosterone
target-organ response decreases, bringing about many
changes.
There are
great variables in testosterone levels among healthy men so
not all will experience the same symptoms or changes to the
same extent. But typical responses to low
bio-available testosterone levels include:
-
Low sex drive
-
Emotional, psychological
and behavioral changes
-
Decreased muscle mass
-
Loss of muscle strength
-
Increased upper and
central body fat
-
Osteoporosis or weak bones
and back pain
-
Cardiovascular risk
-
Increased hair loss
Why
Should Andropause Be Taken Seriously?
Apart from the impact that andropause may have on your
quality of life, there
are other longer-term and silent effects of andropause that
are harder to track: increased cardiovascular risk, cancer
and osteoporosis.
See Osteoporosis
Andropause & Osteoporosis
In
healthy individuals, bone tissue is constantly being broken
down and rebuilt. In an individual with osteoporosis, more
bone tissue is lost than is regenerated. We've all heard of
women suffering from weaker bones, or osteoporosis, after
menopause. well in men, testosterone is thought to
play a role in helping to maintain this balance. Between the
ages of 40
and 70 years of age, male bone density falls by up to 15-20
percent.
Unfortunately, with advancing age and declining testosterone
levels, men, like women, seem to demonstrate a similar
pattern of risk for osteoporosis. What's more, approximately
one in eight men over age 50 actually have osteoporosis.
See
Osteoporosis Symptoms
The incidence
of hip fractures rises substantially in ageing men, as it
does in
women, starting about 5 to 10 years after testosterone
levels decline. In Canada, 20-30 percent of osteoporosis
fractures occur in men. The incidence of fractures
has been increasing in men dramatically, whereas it seems to
be stabilizing in women - which is likely due to their
lifestyle changes, calcium supplements and hormone
replacement therapies (HRT).
Low bone
density can put one at risk of frequent fractures,
associated pain, and in many cases, loss of independence.
Wrists, hips, spine and ribs are most commonly affected.
Two important
consequences of osteoporosis are often seen as a slow but
progressive rounding of the shoulders as well as a loss of
height and back pain. Particularly devastating seem to be
hip fractures, up to one third of patients never seem to
regain full mobility.
Cardiovascular Risk
It
is now well accepted that women's risk of atherosclerosis
(hardening
of the arteries) increases after menopause. Estrogen
replacement therapy seems to reverse this trend.
New evidence
suggests that a similar phenomenon occurs in men as
their testosterone levels diminish with age. While research
is not as complete as
for women, the clinical findings point to an association
between low-testosterone levels and an increase in
cardiovascular risk factors in men.
A cause
and effect relationship has not yet been established in
large clinical trials. Further clinical research is needed
into this important area of study.
See Study
Andropause is often under diagnosed because symptoms can be
vague and can
vary a great deal among individuals. Some men find it
difficult to admit that there's even a problem. And often
physicians don't always think of low-testosterone levels as
a possible culprit.
See Maca For Improved Testosterone
So these
factors often lead doctors to conclude that symptoms were
related to
other medical conditions (i.e. depression) or were simply
related to ageing and
often encouraged their patients to accept that "they were no
longer spring
chickens".
But this situation
is changing. New blood testing methods are available and
there
is increased interest in men's ageing among medical
researchers. In fact, so much attention is being focused on
Andropause that major efforts are underway to quickly share
emerging scientific information.
There are
several conditions in which you should never use
testosterone
replacement therapy. These include:
-
Breast cancer (in males)
-
Prostate cancer
In some other
cases testosterone replacement therapy may not be right for
you.
If one of the conditions below is applicable to you, your
doctor will decide whether (in your specific case)
testosterone replacement therapy is the right solution.
-
Liver disease
-
Heart or blood vessel
disease
-
Edema (swelling of face,
hands, feet, or lower legs)
-
Enlarged prostate
-
Kidney disease
-
Diabetes mellitus (sugar
diabetes)
To help your
doctor determine your best treatment plan, you should also
discuss
the following:
-
If you have ever had any
unusual or allergic reaction to androgens or anabolic
steroids.
-
If you are an adult male
who plans to have children; high doses of androgens may
cause infertility.
-
If you are bedridden.
-
If you are now taking
any other prescription or
nonprescription (OTC) medicine, especially
anticoagulants (blood thinners).
In
many instances, testosterone replacement in men with
andropause can be highly effective and beneficial. It's not
for every
man, of course, even those who show symptoms may have other
health problems at the root of it all. Still you should
discuss with
your doctor if you would be a good candidate for
testosterone replacement therapy.
In various
clinical studies, very good responses to testosterone have
been reported for men with low-testosterone and they
include:
-
Improvement in mood and
sense of well-being
-
Increased mental and
physical energy
-
Decreased anger,
irritability, sadness, tiredness, nervousness
-
Improved quality of sleep
-
Improved libido and sexual
performance
-
An increase in lean body
mass, a decline in fat mass
-
An increase in muscle
strength (hand grip, upper and lower extremities)
-
Potentially, a decrease in
the risk of heart disease
With
testosterone therapy, one's attitude improves, reinforcing
self-esteem
and self-confidence at work, as well as an increased energy
at home and in social activities. Most men will feel more
vigorous, experience improved
energy levels, mood, concentration, cognition, libido,
sexual performance and an overall sense of well-being. These
effects are usually noted within 3 to 6 weeks.
Other
potential benefits include maintenance or improvement in
bone density, improved body composition, muscle mass and
muscle strength, as well as improvement in visual-spatial
skills.
Of course, any
ongoing strategy to reduce the symptoms and risks of
andropause should incorporate lifestyle approaches such as
optimal diet,
regular exercise, stress-management and the reduction of
tobacco and alcohol intake.
If you haven't
tried Imperial Gold Maca, your in for a real treat when you
do. First you will experience increased natural energy, as
the body becomes more hormonally balanced testosterone
levels increase with continued use. Spend a few minutes and
pick several of the topics on your left and see for
yourself!
Learn How Maca
can increase energy, balance hormones and enhance sexual
function naturally.
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