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Male menopause: The silent epidemic that leaves hundreds of thousands of men suffering

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Most of us are conversant in the menopause and the misery it causes for therefore many ladies.

A successful recent awareness campaign by celebrities and doctors highlighted the change that greater than one million US women experience a yr at around age 50, when their estrogen levels plummet and their reproductive years end. 

Now doctors wish to draw attention to a ‘silent epidemic’ that affects men with extremely low testosterone levels — the male menopause. 

Like with women, the term is used to explain the period in an adult man’s life when his hormone levels crash, causing a number of symptoms that shatter victims’ confidence or are outright debilitating — including erectile dysfunction, depression, anxiety and rapid fat gain.

Like with women, the male menopause is used to explain the period in an adult man’s life when his hormone levels crash, causing a number of symptoms that might be life-changing and debilitating — from erectile dysfunction to depression, anxiety and rapid fat gain

Testosterone levels peak in young adulthood, around age 20, but decline by about 1 percent annually after age 30

Testosterone levels peak in young maturity, around age 20, but decline by about 1 percent annually after age 30

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

Dr Bob Berookhim, a urologist in Latest York City and the Director of Male Fertility and Microsurgery at Lenox Hill Hospital, told DailyMail.com: ‘In men, declining testosterone levels are likely to occur more slowly and might present at any age, and most men are less prone to present with a sudden onset of low testosterone symptoms.   

‘I feel the name hurts the possibilities for men to are available in for care. The term could also be considered emasculating to some, and these symptoms are sometimes and uncomfortable for men to discuss at baseline. 

‘That being said, when patients do are available in and I’ve diagnosed them I call it “Manopause” to get a smile out of them!’

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

Testosterone levels typically peak at across the age of 20 followed by a slow descent throughout the remaining of maturity. At their highest, testosterone levels ought to be anywhere between 300 and 1,200 ng/dL. Once men hit their mid-thirties, testosterone levels begin declining by at the very least one percent per yr. 

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

TRT has gotten high praise from podcaster Joe Rogan, who commonly talks about its advantages on air

Jeff Bezos The billionaire is rumored to have undergone testosterone replacement therapy in order to achieve his new buff physique

Jeff Bezos is rumored to have undergone testosterone substitute therapy to realize his recent buff physique

Actor Dax Shepherd, 46, is also a proponent of TRT, crediting it for helping him gain 24lbs of muscle

Actor Dax Shepherd, 46, can also be a proponent of TRT, crediting it for helping him gain 24lbs of muscle

Urologists consider testosterone levels to be too low once they sink below 300 nanograms per deciliter (ng/dL). This happens most frequently in men of their 40s and 50s.

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

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

It also acts on the brain and spinal cord as a very important regulator of neurological functions. Low testosterone levels are related to depression and anxiety. 

Low testosterone could indicate an issue within the pituitary gland, a pea sized gland situated at the bottom of the brain that monitors and regulates myriad bodily functions through the hormones that it produces. 

The age-related hormone changes in men are gradual and while they don’t render male reproductive organs inoperable, the change could cause sexual complications.

Unlike in women, the hormonal change doesn’t render men infertile. Although testosterone is a hormone that drives male fertility, individuals with low testosterone levels can still produce healthy sperm, though sperm count and quality typically decline. 

And while a girl’s transition happens somewhat drastically – inside a few years – men experience falling testosterone annually from across the age of 40 through their senior years. 

Dr Kevin Campbell, a urologist on the University of Florida told DailyMail.com: ‘There’s not a set plateau that abruptly guys fall off of.

‘Over time what happens is our bodies may have some insult where they stopped making the identical amount of testosterone. 

What’s ‘male menopause’ 

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

Actually, ‘menopause’ is a misnomer, doctors say. 

Menopause is mostly understood to be a dramatic change in hormonal production which tends to occur over a comparatively short time period. 

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

In men, declining testosterone levels are likely to occur more slowly and might present at any age, and most men are less prone to present with a sudden onset of low testosterone symptoms. 

Testosterone in males is produced within 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 may be very common. Actually, around 40 percent of men over 45 years old and 50 percent of men of their 80s are affected.

Men with low T may opt to start out hormone substitute therapy to combat symptoms and replenish hormone levels. 

Testosterone substitute therapy is available in many forms, from topical gels to intramuscular injections. 

‘Over time our bodies will begin to turn into less optimized and we start making less testosterone or we use it less effectively. And in order that can result in a constellation of symptoms that has colloquially been deemed male menopause.’

Doctors will typically run a barrage of blood tests on patients presenting with these symptoms to find out what’s causing the deficit in testosterone and how you can treat it. As an example, low testosterone has been linked to an increased risk of cardiovascular and fatty liver disease.

Dr Boback said: ‘The blood test is totally key to diagnosis. It will be significant to notice that this blood testing have to be done inside three hours of waking up, as testosterone peaks in men at around that point. A late evening test will show an artificially low level.’ 

Comprehensive blood testing is the gold standard for determining the reason for low testosterone if men begin noticing any symptoms. But many men either neglect to report their symptoms or won’t experience any symptoms in any respect.

Dr Campbell said: ‘Some people may have family histories or they’ve someone near them who’s being treated for testosterone deficiency and so then it makes more sense to them [to get tested], they’re somewhat bit more aware of the condition to are available in and get screened for it.’

Men with low testosterone may opt to start out hormone substitute therapy to combat symptoms. Testosterone substitute therapy is available in many forms, from topical gels to intramuscular injections.

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

Doctors also want men to know that figuring out is known to extend flagging testosterone levels. Resistance exercises resembling lifting weights have been proven by research to assist increase short- and long-term T levels.

Some foods, resembling magnesium-rich dark leafy greens, eggs, and fatty fish, can even boost T levels. Meanwhile, research has shown that ultra-processed foods and foods that should not dense in nutrients can erode testosterone levels

Dr Boback said: ‘I generally consider testosterone substitute therapy in men with testosterone level below 300 ng/dL and the presence of symptoms. Generally speaking, there’s not clear evidence that a straightforward lab result requires treatment if patients haven’t any symptoms.

‘The choice of how you can treat, whether topical gels or injectables or otherwise relies on quite a lot of various factors. Men should know that actual testosterone substitute is extremely prone to significantly lower sperm count, in lots of instances to zero.’ 

Many men who start testosterone substitute therapy will see good outcomes. A 2019 study reported that therapy can improve libido and treat symptoms of sexual dysfunction. Additional research in 2019 found that TRT can assist maintain bone density while previous research in 2016 said it helped improve cognitive function and a spotlight span. 

TRT has gotten high praise from podcaster Joe Rogan, who commonly talks about its advantages on air. Amazon mogul Jeff Bezos can also be rumored to owe his recent buff physique to TRT. And 46-year-old actor Dax Shepherd disclosed on his podcast Armchair Expert that he’s gained 24 kilos of muscle during quarantine using ‘heavy testosterone injections’.  

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