In females, this occurrence is known as menopause. The male counterpart to this is known as Andropause. Male levels of sexual hormones start to gradually decline when they enter their 4th or 5th decades of life. There are some men who start to undergo this change much earlier, such as in their 3rd decade of life.
Andropause occurs when a man’s testosterone level is low. Testosterone is a hormone produced by the testes. It Is the male hormone responsible for a male’s physical characteristics such as sexual drive (libido), facial and body hair, deep voice, muscle mass, and competitive personality.
The onset of Andropause can occur earlier. This can be attributed to multiple factors, including genetic cases, lifestyle and certain medical conditions. Common chronic medical conditions such as metabolic conditions (i.e. obesity, hypertension, diabetes, raised cholesterol) are associated with earlier Andropause. Andropause can also occur in patients with testicular cancer, or patients who are taking medication to lower their testosterone as part of treatment of prostate cancer.
Your doctor will take relevant medical histories, understanding your concerns and expectations, and perform general physical examination. Your doctor will offer you blood tests such as blood sugar counts, cholesterol levels, kidney, liver and cell count blood tests. This is to screen for chronic medical conditions. Hormonal blood tests will be offered as well. Diagnosis will be based on physical examination and hormonal blood tests to determine if the patient has low testosterone levels.
While testosterone replacement is the backbone treatment for Andropause, this condition should be managed in a holistic manner, targeting different psychosocial and medical aspect of the associated condition.
Few important aspects to focus on:
As mentioned, treatment of Andropause largely revolves on testosterone replacement in the form of
Common side effects of testosterone replacement
As testosterone replacement can promote and increase the growth of prostate tissue, the treatment may not be suitable in men with prostate cancer or if they have an enlarged prostate.
When you are on testosterone replacement, it is important to follow up regularly with your doctor. Your doctor will monitor your condition closely and conduct frequent blood tests to watch for side effects.
During erection, it is common that the penis can be slightly bent to the left or right.
Seeing blood in your semen can be very alarming, especially if you have never experienced anything like that before. This condition is medically referred to as hematospermia.
Ejaculation is the release of semen from your penis during an orgasm. When ejaculation happens faster than either you or your partner would like
Male infertility refers to a problem with a man’s reproductive system that prevents him from getting a woman pregnant.
A semen analysis, also known as a sperm count, is a medical examination that measures and assesses the quality of sperm and semen in general.
Erectile dysfunction is a health condition that affects a man’s ability to achieve and maintain an erection firm enough for satisfying intercourse.
Erectile Dysfunction (ED), colloquially known as impotence, is common as men progress with age. Men with ED number over 30 million men in the United States.
Like most types of cancers, testicular cancer occurs when cells begin to multiply faster than normal, ultimately leading to the formation of either a tumor or a lump.
In Singapore, Prostate Cancer is the 3rd most common cancer in men, after colorectal and lung cancer.