Most of us are familiar with menopause and the suffering it causes so many women.

A recent successful awareness campaign by celebrities and physicians highlighted the shift more than a million American women experience each year around age 50, when their estrogen levels plummet and their reproductive years end.

Now, doctors want to draw attention to a “silent epidemic” that affects men with extremely low testosterone levels – the male menopause.

As with women, the term is used to describe the period in an adult male’s life when his hormone levels drop, causing a range of symptoms that undermine patients’ confidence or are completely debilitating – including erectile dysfunction, depression, anxiety and gain. fat fast.

As with women, male menopause is used to describe the period in an adult male's life when his hormone levels drop, causing a range of symptoms that can be life-changing and debilitating - from erectile dysfunction to depression, anxiety and gain fat fast.

As with women, male menopause is used to describe the period in an adult male’s life when his hormone levels drop, causing a range of symptoms that can be life-changing and debilitating – from erectile dysfunction to depression, anxiety and gain fat fast.

Testosterone levels peak in young adulthood, around age 20, but decline by about 1% per year after age 30

Testosterone levels peak in young adulthood, around age 20, but decline by about 1% per year after age 30

Male menopause, which doctors admit is a bit of a misnomer, is medically known as andropause. Unlike the menopause experienced by women, andropause is marked by a more gradual change.

Bob Berookhim, New York City urologist and Director of Male Fertility and Microsurgery at Lenox Hill Hospital, told DailyMail.com: “In men, the decline in testosterone levels tends to occur more slowly and can occur at any age, and most are less likely to experience a sudden onset of low testosterone symptoms.

“I think the name hurts men’s chances of seeking care. The term can be considered emasculating to some, and these symptoms are often uncomfortable for men to talk about at first.

‘That said, when patients come in and I diagnose them, I call it “Manopause” to get a smile out of them!’

Male babies are born with testosterone. Their ‘T’ levels increase rapidly during puberty, which causes boys to develop deeper voices, bigger muscles, and body and facial hair. The hormone also helps the testicles produce sperm crucial for reproduction.

Testosterone levels typically peak around the age of 20, followed by a slow decline throughout the rest of adulthood. At most, testosterone levels should be between 300 and 1,200 ng/dL. By the time men reach their mid-thirties, testosterone levels begin to decline by at least one percent a year.

TRT has received high praise from podcaster Joe Rogan, who regularly talks about its benefits on air.

TRT has received high praise from podcaster Joe Rogan, who regularly talks about its benefits on air.

Jeff Bezos

The billionaire is rumored to have undergone testosterone replacement therapy to achieve his new physique.

Jeff Bezos is rumored to have undergone testosterone replacement therapy to achieve his new physique

Actor Dax Shepherd, 46, is also an advocate of TRT, crediting it with helping him gain 24 pounds of muscle

Actor Dax Shepherd, 46, is also an advocate of TRT, crediting it with helping him gain 24 pounds of muscle

Urologists consider testosterone levels too low when they fall below 300 nanograms per deciliter (ng/dL). This happens most often in men in their 40s and 50s.

Estimates from the University of Wisconsin show that low testosterone affects approximately 12% of men in their 50s, 19% in their 60s, 28% in their 70s, and 49% in their 80s.

Testosterone in men is produced in the testicles and drives sexual development. It regulates sexual desire, bone mass, fat distribution, muscle mass and strength, and the production of red blood cells and sperm.

It also acts in the brain and spinal cord as an important regulator of neurological functions. Low testosterone levels are associated with depression and anxiety.

Low testosterone can indicate a problem with the pituitary gland, a pea-sized gland located at the base of the brain that monitors and regulates numerous bodily functions through the hormones it produces.

Age-related hormonal changes in men are gradual, and although they do not render the male reproductive organs inoperable, the change can cause sexual complications.

Unlike women, hormonal change does not make men infertile. Although testosterone is a hormone that boosts male fertility, people with low testosterone levels can still produce healthy sperm, although sperm count and sperm quality often decline.

And while a woman’s transition happens quite drastically – within a few years – men experience a drop in testosterone annually from around age 40 through old age.

The Doctor. Kevin Campbell, a urologist at the University of Florida, told DailyMail.com: ‘There’s no definite plateau that all of a sudden guys fall off.

“Over time, what happens is our bodies will have some insult where they stopped producing the same amount of testosterone.

What is ‘male menopause’

The term ‘male menopause’ has been used to describe the period in an adult male’s life when his testosterone levels drop.

In fact, ‘menopause’ is a misnomer, doctors say.

Menopause is generally understood as a dramatic change in hormone production that tends to occur in a relatively short period of time.

Deficient levels of testosterone can cause low sex drive, erectile dysfunction, unexplained reduction in muscle mass or sudden gain in body fat, loss of body hair, osteoporosis and depression.

In men, the decline in testosterone levels tends to occur more slowly and can occur at any age, and most men are less likely to experience a sudden onset of symptoms of low testosterone.

Testosterone in men is produced in the testicles and drives sexual development.

The hormone regulates sex drive, bone mass, fat distribution, muscle mass and strength, and the production of red blood cells and sperm.

Low T in men is very common. In fact, about 40% of men over age 45 and 50% of men in their 80s are affected.

Men with low T may choose to start hormone replacement therapy to combat symptoms and replenish hormone levels.

Testosterone replacement therapy comes in many forms, from topical gels to intramuscular injections.

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“Over time, our bodies will start to become less optimized and we will start to produce less testosterone or use it less effectively. And this can lead to a constellation of symptoms that have colloquially been referred to as male menopause.’

Doctors typically run a flurry of blood tests on patients who have these symptoms to determine what is causing the testosterone deficit and how to treat it. For example, low testosterone has been linked to an increased risk of cardiovascular disease and fatty liver disease.

doctor Boback said: ‘The blood test is absolutely critical to the diagnosis. It’s important to note that this blood test should be done within three hours of waking up, as testosterone peaks in men around this time. An overnight test will show an artificially low level.

Comprehensive blood testing is the gold standard for determining the cause of low testosterone if men begin to notice any symptoms. But many men forget to report their symptoms or have no symptoms at all.

Campbell said: ‘Some people have family histories or have someone close to them who is being treated for testosterone deficiency and so it makes more sense to them. [to get tested]they are a little more aware of the condition to come in and take the exam.’

Men with low testosterone may choose to start hormone replacement therapy to combat symptoms. Testosterone replacement therapy comes in many forms, from topical gels to intramuscular injections.

TRT helps restore blood levels of this hormone, reversing the symptoms of low testosterone.

Doctors also want men to know that working out is known to increase testosterone levels. Resistance exercise, such as lifting weights, has been proven by research to help increase both short-term and long-term T levels.

Some foods, such as dark leafy greens rich in magnesium, eggs and fatty fish, can also increase testosterone levels. Meanwhile, research has shown that ultra-processed foods and foods that aren’t nutrient-dense can erode testosterone levels.

doctor Boback said: ‘I generally consider testosterone replacement therapy in men with a testosterone level below 300 ng/dL and in the presence of symptoms. Generally speaking, there is no clear evidence that a simple lab result requires treatment if patients do not have symptoms.

“The decision on how to treat, whether it’s topical or injectable gels or otherwise depends on a lot of different factors.” Men should know that actual testosterone replacement is likely to significantly reduce sperm count, in many cases to zero.’

Many men who start testosterone replacement therapy will have good results. A 2019 study reported that the therapy can improve libido and treat symptoms of sexual dysfunction. Additional research in 2019 found that TRT can help maintain bone density, while previous research in 2016 said it helped improve cognitive function and attention span.

TRT has received high praise from podcaster Joe Rogan, who regularly talks about its benefits on air. Amazon tycoon Jeff Bezos is rumored to owe his new physique to TRT. And actor Dax Shepherd, 46, revealed on his Armchair Expert podcast that he gained 25 pounds of muscle during quarantine using ‘heavy shots of testosterone’.

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