Unlike women, men do not experience a major, rapid change in fertility as they age. Instead, changes occur slowly during a process, says DR ARCHANA DHAWAN BAJAJ
Hormonal changes are a normal part of ageing, however, unlike women, men do not experience a dramatic reproductive hormone plunge, rather these changes occur gradually over a period of time.
The term ‘male menopause’ is also known as andropause which describes age-related decreasing levels of testosterone. While in women, menopause results in end of ovulation and hormone production plummets within a short period of time, in men, this decline in hormone level and testosterone happens over a period of many years and the consequences are not necessarily clear.
For most older men barring an estimated 10-25 per cent, remaining have testosterone levels within the normal range. Also, low testosterone levels often go unnoticed in older men as they experience no symptoms.
In addition, the signs and symptoms associated with low testosterone aren't specific. They can also be caused by a person's age, medication use or other conditions, such as having a body mass index of 30 or higher.
Signs and symptoms suggestive of low testosterone:
Other possible symptoms include decreased energy, motivation and confidence, depressed mood, and poor concentration. It's also possible to experience increased sleepiness, sleep disturbances, mild unexplained anemia, reduced muscle bulk and strength, and increased body fat. Other factors that can cause lower testosterone levels are: obesity, type 2 diabetes, hormonal disorders, liver or kidney disease, and infections.
Common symptoms of andropause:
It is important to note that signs and symptoms of andropause can differ from person to person. Men who experience male menopause also have an increased risk of developing certain complications like osteoporosis and cardiovascular problems.
Male menopause and fertility
Aging changes in the male reproductive system may include changes in testicular tissue, sperm production, and erectile function. Unlike women, men do not experience a major, rapid (over several months) change in fertility as they age (like menopause). Instead, changes occur gradually during a process that some people call andropause. Aging changes in the male reproductive system occur primarily in the testes. Testicular tissue mass decreases. The level of the male sex hormone, testosterone decreases gradually. There may be problems getting an erection. This is a general slowing, instead of a complete lack of function.
Treatment and Prevention of Andropause
Symptoms associated with male andropause are potentially treatable. However, to reverse the decline in testosterone levels, certain lifestyle changes will be recommended. This could be a combination of an exercise program and dietary changes.
Medication or testosterone replacement therapy might be suggested in selected cases, but it is known to have some harmful side effects.