Aging is a physiological change that everyone experiences, and men are no exception. Unlike women who go through hormonal changes during menopause, men experience a gradual decline in testosterone levels. Let's explore the importance of understanding and managing this through insights from coping strategies presented by the Mayo Clinic in the United States.
Gradual Decline in Testosterone
Testosterone, the male hormone, decreases by an average of 1% per year after the age of 40. This decline, a physiological change due to aging, leads to a diagnosis of male menopause when the levels fall below a specific threshold. If testosterone levels are below 3.5 ng/mL, it is considered menopause, and if below 3.0 ng/mL, professional intervention is required.
Symptoms and Testing
Testosterone levels can be determined through a simple blood test. Symptoms of testosterone deficiency include reduced libido, decreased erection or erectile dysfunction, breast discomfort or swelling, frequent fractures or decreased bone density, hot flashes or sweating, among others. Additionally, individuals may experience decreased energy, diminished self-confidence, depression, reduced concentration, increased fatigue, decreased red blood cell count, and increased body fat.
Testosterone Therapy
It's crucial to seek advice from a professional if symptoms of testosterone deficiency arise. If initial tests reveal low testosterone levels, further investigation, such as hypothalamic-pituitary testing, is necessary to identify the cause. The American Medical Association and the Endocrine Society recommend testosterone therapy for men with low testosterone levels.
Pros and Cons of Testosterone Therapy
Testosterone therapy effectively alleviates physical symptoms resulting from testosterone deficiency. However, this treatment option requires careful consideration of its pros and cons. Some studies suggest that testosterone therapy may stimulate the growth of metastatic prostate and breast cancer and increase the risk of venous thrombosis.
Therefore, men considering testosterone therapy should thoroughly understand the advantages and disadvantages and seek guidance from healthcare professionals. In cases where fertility preservation is necessary or when conditions such as breast pressure, metastatic prostate cancer, severe obstructive sleep apnea, heart failure, or thrombosis are present, testosterone therapy may not be recommended.
Male menopause is a physiological change marked by a decline in testosterone levels, resulting in various symptoms. If these symptoms arise, it is essential to consult with healthcare professionals, undergo testosterone level testing, and choose appropriate coping strategies. When considering testosterone therapy, careful consideration of its pros and cons, along with guidance from experts, is a safe approach to health management.
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