Some Elderly Men Really Suffer From Andropause, But Much Less Frequently Than Previously Thought.
In describing a set of reliable symptoms for "male menopause" for the foremost time, British researchers have also ascertained that only about 2 percent of men age-old 40 to 80 suffer from the condition, far less than previously thought. Male menopause, also called "andropause" or late-onset hypogonadism, allegedly results from declines in testosterone production that occur later in life, but there has been some think on how real the phenomenon is, the study authors noted. "Some aging men undeniably suffer from male menopause.
It is a genuine syndrome, but much less common than previously assumed," concluded Dr Ilpo Huhtaniemi, chief author of a study published online June 16 in the New England Journal of Medicine. "This is outstanding because it demonstrates that genuine symptomatic androgen deficiencies androgens are virile hormones is less common than believed, and that only the right patients should get androgen treatment," added Huhtaniemi, a professor of reproductive endocrinology in the control of surgery and cancer at Imperial College London.
Many men have been taking testosterone supplements to grapple the perceived effects of aging, even though it's not acquit if taking these supplements help or if they're even safe. The result has been mass confusion, not only as to whether male menopause exists but also how to boon it. "A lot of people abuse testosterone who shouldn't and a lot of men who should get it aren't," said Dr Michael Hermans, an confederate professor of surgery in the Texas A&M Health Science Center College of Medicine and boss of the section of andrology, male sexual dysfunction and man's infertility at Scott & White in Temple, Texas.
For this study, the research team, from Imperial College London and the University of Manchester, unhurried testosterone levels in 3,369 men venerable 40 to 79 and then correlated these levels with different symptoms. Of 32 accomplishable symptoms, only nine were linked with decreased testosterone levels. Three were physical - not being able to battle with in strenuous physical activity, not being able to walk more than 1 kilometer and not being able to bend over or kneel - and three were subjective - low energy, sadness and fatigue.
But these six symptoms were only peripherally linked to stifled testosterone levels. Three sexual symptoms - less frequent morning erections, move sex drive and erectile dysfunction - were more robustly related to testosterone levels. Men requisite to have all three sexual symptoms plus measurably lower levels of testosterone to make eligible for the diagnosis of late-onset hypogonadism, the authors stated.
But even with this new diagnostic criteria, the defiance of treating men with sexual and other symptoms of male menopause is still far from straightforward. "These symptoms that are associated with hypogonadism are not irresistibly going to be treated by testosterone therapy," pointed out Dr Natan Bar-Chama, commander of male reproductive medicine and an associate professor of urology at Mount Sinai Medical Center in New York City. "We be familiar with very well that erectile dysfunction is complicated.
It's associated with other co-morbidities and the proficiency to regain normal erectile function is often not successfully treated with just testosterone. Just because an older bloke comes in and says he has a bad sex life, you don't automatically give him testosterone" herbalvito.com. And even though there are any gang of testosterone products available - from patches to pellets - there isn't much inspect on how much they really help men or whether they are safe.
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