Andropause: This is what you SHOULD know

andropausiaMedics and experts all agree that there is an alarming lack of knowledge among men about Andropause. It is defined as the fall in testosterone values below those expected for a young adult, combined with the presence of specific symptoms and no specific consequential for the decline. Andropause (whose correct name is late-onset hypogonadism) begins to manifest itself more commonly after the age of 40, and its prevalence is around four times more from the age of 60. Furthermore, only 5% of those suffering from low testosterone values seek guidance or medical assistance, mainly due to lack of knowledge on the condition.

The diagnosis is based on the patient's clinical symptoms and is supplemented with laboratory studies. Any other factor that influences the decline of testosterone levels should be ruled out as if it were not related to andropause; the treatment in these cases would be another entirely. To diagnose andropause it is important to first exclude other causes: assess if the pituitary gland is healthy, if there is any form of testicular damage, if the person takes a drug that acts on the testicular activity, among other things. The development of the andropause should not be taken as a natural fact; leading a healthy life can prevent it. Also, it is possibly reversed depending on the condition that generates it and the patient.

A gradual decline in testosterone is normal due to aging. The physical changes, mentally and sexually are not readily recognized if they are not compared to the behavior that the patient had several years ago. There are conditions associated (such as obesity, hypertension, hypercholesterolemia, metabolic syndrome and diabetes, certain medications, and kidney and liver diseases) that can accelerate or develop a more pronounced decrease of testosterone, with a consequent impact on the sexual sphere and psychic, the general welfare, bone density and, in turn, the different cardiovascular risk markers (glycemia, high cholesterol, obesity, etc.)

It is recommended that all men when they reach the age of 40 that they visit their doctor and check for their testosterone levels and get a prostate exam to verify the status of their overall health. There are factors that can accelerate the andropause. From the age of 40, the normal aging of man generates a drop in testosterone levels by 1% per annum. This has a slow, progressive impact on the patients mind, sex life, physical health and ultimately its metabolism, without necessarily producing related diseases. However, those who submit certain risk conditions (obesity, hypertension, diabetes, etc) are the most likely to experience an abrupt decline in these values, and andropause might manifest itself in a pathological manner in each one of the aspects described. A person with good health, with a correct and balanced diet and a habit for exercise will prevent and slow down considerably the development of andropause.

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