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Male Andropause : A Myth or Reality
P R Nandy1, D V Singh2, P Madhusoodanan3
1Classified Specialist (Surgery & Urology), Command Hospital (Southern Command), Pune.
Medical Journal, Armed Forces India
|July 14, 2016
Summary
Aging men may experience androgen deficiency, leading to symptoms of andropause. This review covers diagnosis, monitoring, and testosterone replacement therapy (TRT) options for managing this condition.
Area of Science:
- Endocrinology
- Geriatrics
- Men's Health
Background:
- Andropause, also known as male climacteric or viropause, is characterized by complex symptoms resulting from declining androgen levels with aging.
- Testosterone levels typically begin to decrease after age 40, with andropause occurring when these levels reach a pathogenic threshold.
Purpose of the Study:
- To review the etiology, consequences, screening, diagnosis, and monitoring of androgen deficiency in aging males (ADAM).
- To discuss the advantages and disadvantages of testosterone replacement therapy (TRT) in elderly men.
Main Methods:
- This is a review article.
- Information was gathered on the causes, effects, and management of ADAM.
- Available TRT methods were evaluated.
Main Results:
- Androgen deficiency in aging males (ADAM) presents with a range of symptoms due to declining testosterone.
- Various methods for screening, diagnosis, and monitoring of ADAM are available.
- Testosterone replacement therapy (TRT) offers potential benefits but also carries risks.
Conclusions:
- Androgen deficiency in aging males (ADAM) is a recognized condition requiring careful management.
- Physicians select TRT based on specific indications and patient preferences from available administration routes.
- Further research may refine optimal TRT strategies for elderly men.
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