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Andropause in Indian men: a preliminary cross-sectional study
Apul Goel1, Rahul Janak Sinha, Divakar Dalela
1Department of Urology, Chhatrapati Shahuji Maharaj Medical University, Uttar Pradesh, India.
Urology Journal
|February 26, 2009
Summary
Androgen decline in the aging male (ADAM) symptoms were frequent in Indian health workers. Low free testosterone levels were more indicative of hypogonadism than total testosterone.
Area of Science:
- Endocrinology
- Andrology
- Men's Health
Background:
- Aging is associated with a decline in androgen levels.
- Androgen decline in the aging male (ADAM) is a condition characterized by a decrease in testosterone.
- The prevalence of ADAM in Indian men, particularly those in the health sector, requires further investigation.
Purpose of the Study:
- To determine the frequency of androgen decline in the aging male (ADAM) in Indian men.
- To assess the correlation between symptomatic andropause and serum testosterone levels.
- To evaluate the diagnostic utility of free and total testosterone measurements in identifying hypogonadism.
Main Methods:
- A health checkup camp was organized for 157 male workers aged 40-60 years.
- Participants completed the Saint Louis University's ADAM questionnaire.
- Serum levels of free and total testosterone were measured for all participants.
Main Results:
- Symptomatic andropause was reported by 67.5% of participants.
- Low serum free testosterone was observed in 38.7% of symptomatic men and 21.6% of asymptomatic men.
- The frequency of andropause was 33.1% based on low free testosterone levels and 26.1% when considering both symptoms and low free testosterone.
Conclusions:
- A high frequency of ADAM symptoms was observed in the study population.
- Serum free testosterone measurement may be a more reliable indicator of hypogonadism than total testosterone.
- The study highlights the need for further research into ADAM prevalence and diagnostic methods in Indian men.
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