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Andropause Definition
Androgen deficiency in the aging male (ADAM), also known as andropause, affects an estimated 1 in 200 men. Similar to menopause in women, andropause arrives in a man’s life when there is a drastic drop in hormone levels. When levels of testosterone fall, the condition is called hypogonadism (hypo=low, gonad=testis). A man may be considered hypogonadal at any age if total testosterone is less than 200 ng/dl, or bioavailable testosterone is less than 60 ng/dl.
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Symptoms
Symptoms may include :
- Fatigue
- Lack of sex drive
- Depression
- Aches and pains
- Decreased strength and endurance
- Difficulty achieving or maintaining an erection
- Hot flashes
- Osteoporosis
- Obesity
- Erectile dysfunction
- Muscle loss
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Treatment:
Hormone replacement therapy may help reverse some of the negative effects of low testosterone. Biologically identical testosterone is the same molecular structure and might produce the same effects as the free form of testosterone produced by the testes.
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Goals of Therapy :
- Goals of Testosterone Replacement Therapy in Adult Hypogonadal Men (age 50 or older) :
- Improvement in psychological well-being and mood
- Improvement in erectile dysfunction
- Improvement in libido
- Increased muscle mass
- Increased strength and stature
- Preservation of bone mass
- Possible decrease in cardiovascular risk
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