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Andropause (male menopause)
"Male menopause" is a rather inaccurate but
popular term used to describe the symptoms of low
testosterone levels in older men, which is called
andropause. As men age, levels of testosterone can drop by
as much as 50%. Other terms for the same condition include
male menopause, male climacteric, viropause, and PADAM
(Partial Androgen Deficiency in Aging Men, sometimes
shortened to ADAM).
What does testosterone do?
Although many people are aware of its important role in
maintaining muscle strength and sexual function in men,
testosterone also has important effects on the brain, skin,
liver, kidneys, blood, bones, heart, cholesterol levels, and
the prostate.
The pituitary gland in the brain controls the release of
testosterone in the testicles. The pituitary gland first
produces the hormones leutinizing hormone (LH) and follicle
stimulating hormone (FSH). These hormones travel through the
bloodstream to the testicles, where they stimulate the
testicles to produce both testosterone and sperm.
Andropause may be diagnosed when there is a low level of
testosterone in the blood, symptoms of testosterone
deficiency, and improvement of those symptoms when
testosterone replacement is taken. There are many potential
causes of testosterone deficiency, so it is important to
determine the exact cause of testosterone deficiency and
determine which therapy is appropriate.
Richard A. Bebb, MD
in association with the MediResource Clinical Team
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