Understanding Andropause: Insights from a Chennai Urologist on Male Hormonal Changes

Post by : Saif Nasser

Andropause, often termed “male menopause,” involves gradual hormonal shifts in men. According to Dr. Sanjay Prakash J, a urologist based in Chennai, a decline in testosterone levels is a natural part of aging. This decrease can significantly impact mood, energy, libido, and overall well-being.

What is Andropause?
Contrary to women’s menopause, which occurs abruptly, andropause unfolds gradually. Starting around the mid-30s, testosterone levels drop at a rate of roughly 0.4% per year. Conditions such as stress, diabetes, and obesity can exacerbate the symptoms.

Common Symptoms of Male Menopause

• Low Energy: Persistent fatigue even after adequate rest.
• Mood Fluctuations: Heightened irritability, anxiety, or depressive tendencies.
• Diminished Libido: Reduced interest in sexual activity or performance issues.
• Muscle Mass Reduction: Noticeable weakening of muscles and increased abdominal fat.
• Sleep Issues: Difficulty sleeping or occasional hot flashes.

Diagnosis of Andropause
Healthcare providers assess testosterone levels through blood testing, alongside a thorough examination of symptoms. They evaluate for other potential medical issues to determine if symptoms arise from health complications or stressors.

Treatment Approaches

• Lifestyle Adjustments: Emphasizing exercise, a balanced diet, lowering alcohol intake, and effective stress management.
• Addressing Health Concerns: Managing conditions like diabetes, obesity, and sleep disturbances.
• Psychological Assistance: Counseling can assist in mitigating mood-related issues.
• Testosterone Replacement Therapy (TRT): Prescribed judiciously and under medical supervision; available options include injections, gels, or implants.

Key Precautions
TRT is contraindicated for men with prostate or male breast cancer, poorly controlled heart failure, clotting risks, or men desiring to father children.

Acknowledging andropause as a legitimate hormonal shift in men is crucial. Through awareness, regular health check-ups, and adopting healthy lifestyle practices, men can maintain vitality, confidence, and sexual wellness. While aging is an inevitable process, feeling aged is not.