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Male menopause refers to the hormonal imbalance or hormonal changes in the males due to which there is a reduction in the testosterone levels in the males. There are various symptoms of male menopause. Some of the symptoms include low energy, increasing body fat, decreasing bone density, erectile dysfunction, infertility, etc. There are many other changes associated with the testosterone level changes. Some of the major changes observed in males are a growth of the muscle mass, lowering of voice and changes related to sexual functioning. The male menopause can be treated by changing the lifestyle habits or it can be treated by taking testosterone replacement therapy. Healthy lifestyle habits such as taking a healthy diet. Having proper nap etc. can treat the male menopause treatment market.

Increasing research and developmental activities is one of the major factor driving the growth of male menopause treatment market. The rate of smoking is increasing, which can lead to hormonal imbalance, increasing the growth of the male menopause treatment market. Large intake of drugs and alcohol is another important factor, which can be responsible for the reduction of testosterone level and is expected to increase the growth of male menopause treatment market. Increasing adoption of poor lifestyle habits such as a high intake of junk food, lack of exercise, etc. can be responsible for increasing the growth of male menopause treatment market. Increasing stress due to daily hectic routine can also increase the growth of male menopause treatment market. Other factors, such as increasing healthcare awareness, technological advancements leading to better diagnostic rates, increasing disposable income, modernization of the Indian society, etc. can be responsible for the significant growth of male menopause treatment market.

There are various side effects of male menopause treatment drugs, which can hinder the growth of male menopause treatment market. Lack of awareness in some of the developing regions can restrain the growth of male menopause treatment market.

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The global Male Menopause Treatment market is segmented on basis of drug type, Source of administration, distribution channel and geographic region:

Based on the drug type, the Male Menopause Treatment has been divided into testosterone supplements and vitamin supplements. Testosterone supplements can be given in various forms and are expected to hold the largest revenue share in the male menopause treatment market. Testosterone replacement therapy is the most common therapy, used for the treatment of male menopause treatment market. Amongst all the testosterone supplements, DHEA and D-Aspartic acid are expected to hold the maximum revenue share in the male menopause treatment market. Based on the route of administration, the male menopause treatment market has been divided into oral administration and subcutaneous administration. Oral route of administration is expected to hold the maximum revenue share in the male menopause treatment market as it is the most common form of administration used by the male patients. Based on the distribution channel, the male menopause treatment has been divided into hospital pharmacies, retail pharmacies, drug stores, and online pharmacies. Drug stores and hospital pharmacies are expected to hold the maximum revenue share in the male menopause treatment market.

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On the basis of geography, the global Male Menopause Treatment market is studied and divided into a few key regions such as North America, Latin America, Europe, Asia, Middle East & Africa and Oceania. North America is expected to hold a large revenue share in global Male Menopause Treatment market because of the presence of a large number of research and developmental activities and availability of technological advancement in the field of healthcare. Europe is expected to hold the second largest market share because of the presence of the large population. The Asia Pacific can also show a large revenue share in the Male Menopause Treatment market because of the increasing healthcare awareness

There are many companies manufacturing Male Menopause Treatment drugs. Some of the big pharmaceutical companies involved in the manufacture of Male Menopause Treatment drugs are Thermofisher Scientific Inc., Abbott, Sun Pharmaceuticals Industries Ltd., Perrigo Company plc, Bayer AG and many other companies.

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The Male Menopause Treatment market to substantiate from 2019 to 2029 - TechnoWeekly

The global testosterone replacement therapy market is expected to be influenced by the rising awareness about the diseases itself. There has been a rise in the incidences of hypogonadism, which has resulted in several companies to make an introduction of various awareness campaigns so as to encourage people to come out for early diagnosis of the disease. The surge in the emergence of novel therapeutic approaches has become an emerging trend, which is further expected to stimulate growth of the global testosterone replacement therapy market over the timeframe of analysis, from 2019 to 2029.

In addition, players in this market are making increased investment, both in terms of money and efforts, in the research and development activities so as to come up with alternative, new, and safer options of treatment.

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The two important parameters taken into account for segmentation of the global testosterone replacement therapy market comprise product and region. The sole purpose of such segmentation is to offer a clearer, 360-degree view of the market.

Global Testosterone Replacement Therapy Market: Notable Developments

The global testosterone replacement therapy market has witnessed few interesting developments in the recent past. One of those developments pertaining to the market is mentioned as below:

Some of the key players in the global testosterone replacement therapy market comprise the below-mentioned:

Global Testosterone Replacement Therapy Market: Key Trends

The global testosterone replacement therapy market comes with the presence of several drivers, restraints, and opportunities. Some of these market dynamics pertaining to the market are explained below.

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Demand to Ride on the Back of High Prevalence of Hypogonadism

The high prevalence of deficiency of testosterone all over the world is estimated to foster growth of the global testosterone replacement therapy market over the timeframe of analysis, from 2019 to 2029. A fall in the level and release of testosterone leads to the development hypogonadism in men, which is the major factor attributed for the growth of the global testosterone replacement therapy market in the years to come.

In addition, for long there has been a social stigma attached to the prevalence of the condition in men. People do not usually come out acknowledging suffering from the condition due to the social stigma attached to it, which has led to the increasing number of campaigns encouraging awareness about the diseases. This factor is likely to trigger growth of the global testosterone replacement therapy market over the timeframe of assessment, from 2019 to 2027.

Global Testosterone Replacement Therapy Market: Geographical Analysis

In the global testosterone replacement therapy market, it is expected that North America will dominate the market throughout the timeframe of analysis, from 2019 to 2029. Regional dominance of the North America market is ascribed to the augmented awareness about the diseases and rising number of initiatives by both government and private agencies to make people aware of it. In addition, high prevalence of hypogonadism in the region together with the expanding base of geriatric population is expected to work in favor of the North America testosterone replacement therapy market in the years to come.

The global testosterone replacement therapy market is segmented as:

Product

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Testosterone Replacement Therapy Market | Latest Trends and Revenues Analysis Report - BioSpace

Dr Richard Freeman will face renewed suggestions on Tuesday that he topped up a rider with testosterone, his barrister told a medical tribunal on Monday. The former Team Sky and British Cycling doctor can also expect to be cross-examined regarding medical data relating to a Tour de France winner, Mary ORourke warned.

Freemans long running fitness-to-practise tribunal, which first started in February of last year, resumed in Manchester on Mondaybut did not make much progress as Freeman struggled to gain access to an Apple laptop.

Freeman, who is accused of ordering testosterone to the national velodrome in 2011 knowing or believing it was intended for a rider, accompanied his legal team and a British Cycling lawyer to a downstairs room at the MPTS tribunal building in Manchester with the computer in question. But they failed to switch it on, apparently due to a faulty power lead.

Although a working lead was later found, ORourke said she would prefer it if her client could have time to study the contents of the computer and requested that the hearing be adjourned until this morning, adding that she was becoming concerned about Freemans mental health.

There was an incident downstairs where he tried to take that laptop, put it in his own bag and walk away with it, ORourke told the tribunal. Mr Eastwood [Freemans solicitor] had to intervene. I am worried about him.

Freeman - who has had one of his laptops stolen, admitted to destroying another, and said he was unable to access the hard drive of a third - denied he had tried to take this latest laptop with him. I didnt snatch the bag, he said. I put it in the travelling case it came in because I was frustrated. I was going to take it away and charge it myself.

Freeman denies he has ever doped a rider. He claims he ordered the testosterone in 2011 to treat former Team Sky and British Cycling coach Shane Suttons erectile dysfunction. Sutton denies he has ever suffered from that condition.

Freeman became exasperated on Mondaywhen it was suggested that the hearing be adjourned for the day, adding that he was happy to continue. But his lawyer intervened. I am convinced that it is in Dr Freemans best interest not to answer any questions this afternoon because of what I witnessed.

The laptop allegedly contains riders confidential medical records. ORourke told her client he could expect to be cross-examined by the General Medical Council, which has brought the case, about one rider whose testosterone levels jumped from 3.4 to 7.2 and about a Tour de France winner.

Continued here:
Dr Richard Freeman to face renewed suggestions that he 'topped up' a rider with testosterone - Telegraph.co.uk

Your libido is also commonly referred to as your sex drive its your emotional and mental desire for sex.

Your libido is individual to you and varies widely between people. What you experience as normal libido might be higher or lower than what somebody else experiences.

A number of factors influence your libido, such as:

Some people worry that their libido is too high. A high libido is generally not a concern unless its having a negative impact on your life or relationships.

If your high libido libido is disrupting your life or results in sexual activity that feels out of your control, it may be a sign of hypersexuality or what has traditionally been referred to as sex addiction.

Read on to learn more about the specific factors that influence your sex drive and what you can do to lower it.

First, its important to know exactly what your libido is its simply a term for your desire for sexual activity.

Once you engage in sexual activity, your body goes through arousal physical changes to prepare for sex. Heres what happens to your genitals during this stage:

Like other animals, humans need to have sex to have children. Our sex drive is deeply rooted in our biology as a way to encourage us to reproduce.

Your libido is individual to you, ranging anywhere from having no desire in sex to thinking about it frequently. But unless your sex drive is causing problems with your relationships or in your life, its essentially normal.

Biological, psychological, and social factors all play a role in determining your libido, including:

Many factors can influence your libido. If you think you may have a hormone imbalance, its a good idea to visit your doctor. Hormone tests may be able to provide insight on whether your high libido has a physical cause.

Changes in your sex hormone levels can influence your sex drive and can easily be measured with a blood test. Your doctor can also screen you for other conditions that may increase your sex drive.

If you feel that your libido is too high and having a negative impact on your life, here are a few ways you might be able to manage it.

Some research suggests that there are some dietary changes you can make that may have an effect on your libido. But many practical dietary changes you can make to lower your sex drive may compromise your overall health.

Aphrodisiacs are foods or medications that increase your libido anaphrodisiacs are the opposite. Theyre foods or medications that lower your libido.

A variety of herbal remedies have been used over the years for their anaphrodisiac properties, but theres little to no research to support the use of most of these herbs.

Theres some evidence that consuming licorice may lower testosterone levels, but more research needs to be done to examine the magnitude of its effect and safety.

Soy has also been claimed to lower libido in men by lowering testosterone. But at this time there are no conclusive interactions between soy and testosterone levels or libido.

One study found that women who followed the Mediterranean diet had the lowest levels of sexual dysfunction. Theres no research to definitively prove if this diet lowers your sex drive without compromising your health.

People with nutritional deficiencies often have low sex drives and experience sexual dysfunction. See your doctor if any nutritional changes you make result in sexual dysfunction.

If your doctor doesnt suspect that your high libido has a physical cause, they may recommend that you seek therapy or counseling.

Speaking with a therapist can help you uncover reasons that may be triggering your experience of high libido and help you learn techniques to manage it.

Therapy sessions can come in many forms, including one-on-one, family, or group. Its up to you to decide what youre most comfortable with when it comes to discussing your sex drive.

If youre currently in a relationship but not satisfied with your sex life, you may want to discuss this with your partner to come to a mutual consensus as to how sex can be fully satisfying for both of you.

If youre not currently in a sexual relationship but would like to be, be transparent with your potential partners about your expectation in a sexual relationship and communicate openly about what you do and dont like.

In some cases, your doctor may recommend medications to reduce sexual urges, including:

If youre currently on medication, you may want to talk to your doctor to see if your use of prescribed medications may be influencing your sex drive.

Cocaine and methamphetamines are two illicit drugs that can increase your sex drive, and reducing their use can help lower your sex drive.

Quitting these types of drugs can be difficult by yourself, but there are a number of support groups and services available for you.

Call the Substance Abuse and Mental Health Services Administrations National Helpline at 800-662-4357 for treatment referral if youre ready to seek help for your drug use.

Whether youre in a long-term or casual relationship, work together with your partner to make sex fulfilling and consensual for both of you.

Here are some tips:

A high libido isnt an issue until it starts negatively impacting your life or relationships.

Compulsive sexual behavior, sometimes called sex addiction or hypersexuality disorder, refers to sexual behavior that disrupts your life.

Here are some signs that you may be experiencing compulsive sexual behavior:

Some questions you can ask yourself to judge if you may have compulsive sexual behavior include:

If you answered yes to any of these questions, you may want to see your doctor. Your doctor can perform tests to determine if your high libido has a physical cause or if it may be psychological.

If your doctor suspects that your high libido is caused by psychological factors, they may recommend that you talk to a therapist or counselor.

You can also visit your doctor if you feel your sex drive is too low. They can help you determine whether your low sex drive is caused by physical or psychological causes.

Your libido is another name for your sex drive. Your libido is individual to you, and whats normal for you may not be normal for somebody else.

Generally, a high libido is only a concern if its causing issues with your relationships or life. Talk to your partner, your doctor, or a counselor if your high libido is keeping you from having sex life you want.

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How To Decrease Libido: What Libido Is, Tips, and More - Healthline

The Global Testosterone Replacement Therapy Market report offers key insights into the worldwide Testosterone Replacement Therapy market. It presents a holistic overview of the market, with an in-depth summary of the markets leading players. The report is inclusive of indispensable information related to the leading competitors in this business sector and carefully analyzes the micro- and macro-economic market trends. The latest report specializes in studying primary and secondary market drivers, market share, the leading market segments, and comprehensive geographical analysis. Vital information about the key market players and their key business strategies, such as mergers & acquisitions, collaborations, technological innovation, and trending business policies, is one of the key components of the report.

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The report covers extensive analysis of the key market players in the market, along with their business overview, expansion plans, and strategies. The key players studied in the report include:

AbbVie,Endo International,Eli lilly,Pfizer,Actavis (Allergan),Bayer,Novartis,Teva,Mylan,Upsher-Smith,Ferring Pharmaceuticals,Kyowa Kirin,Acerus Pharmaceuticals

Furthermore, our market analysts have drawn focus to the significant impact of the COVID-19 pandemic on the global Testosterone Replacement Therapy market and its key segments and sub-segments. The grave aftereffects of the pandemic on the global economy, and subsequently, on this particular business sphere, have been enumerated in this section of the report. The report considers the key market-influencing parameters, delivering a detailed future impact assessment. The Testosterone Replacement Therapy market has been devastated by the pandemic, which has culminated in drastic changes to the market dynamics and demand trends.

Market Segmentation by Type:GelsInjectionsPatchesOther

Segmentation of the Market by Application:HospitalsClinicsOthers

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Moreover, the research report thoroughly examines the size, share, and market volume of the Testosterone Replacement Therapy industry in the historical years to forecast the same valuations over the forecast duration. It offers exhaustive SWOT analysis, Porters Five Forces analysis, feasibility analysis, and investment return analysis of the Testosterone Replacement Therapy market, assessed using certain effective analytical tools. The report also provides strategic recommendations to market entrants to help them navigate around the entry-level barriers.

The global Testosterone Replacement Therapy market is geographically categorized into:

The following timeline is considered for market estimation:

Historical Years: 2017-2018

Base Year: 2019

Estimated Year: 2020

Forecast Years: 2020-2027

Key Coverage of the Report:

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How Testosterone Replacement Therapy Market Will Dominate In Coming Years? Report Covering Products, Financial Information, Developments, SWOT...

Global Testosterone Replacement Therapy Market Size study report with COVID-19 effect is considered to be an extremely knowledgeable and in-depth evaluation of the present industrial conditions along with the overall size of the Testosterone Replacement Therapy industry, estimated from 2020 to 2025. The research report also provides a detailed overview of leading industry initiatives, potential market share of Testosterone Replacement Therapy, and business-oriented planning, etc. The study discusses favorable factors related to current industrial conditions, levels of growth of the Testosterone Replacement Therapy industry, demands, differentiable business-oriented approaches used by the manufacturers of the Testosterone Replacement Therapy industry in brief about distinct tactics and futuristic prospects.

Major Players Covered in this Report are:Kyowa Kirin, Teva, Actavis (Allergan), Mylan, Pfizer, Eli lilly, Upsher-Smith, Acerus Pharmaceuticals, Novartis, Endo International, AbbVie, Ferring Pharmaceuticals, Bayer

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The Testosterone Replacement Therapy Market study report analyses the industrys growth patterns through Past Research and forecasts potential prospects based on comprehensive analysis. The report provides extensive market share, growth, trends , and forecasts for the 20202025 period. The study offers key information on the Testosterone Replacement Therapy market status, which is a valuable source of advice and guidance for companies and individuals involved in the industry.

The research report will concentrate on leading global players in the Testosterone Replacement Therapy market report, which includes details such as company profiles, product picture and specification, creation of R&D, distribution & production capability, distribution networks, quality , cost, revenue and contact information. The study report discusses legal strategies, and product development between the industry dynamics that are leading and growing and coming.

Market Segmentation:

The report is divided into major categories comprising product, distribution channel, application, and end users. Every segment is further sub-segmented into several sub-segmented that are deeply analyzed by experts to offer valuable information to the buyers and market players. Every segment is studied thoroughly in order to offer a better picture to the buyers and stakeholders to benefit from. Information like highest prevailing product, highly demanded product by the application segment and end users are rightly mentioned in the Testosterone Replacement Therapy report.

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Regional Insights:

The Testosterone Replacement Therapy market is segmented as North America, South America, Europe, Asia Pacific, and Middle East and Africa. Researchers have thoroughly studied about the historical market. With extensive research, experts have offered details on the current and the forecast demand made by these regions. The Testosterone Replacement Therapy report also includes highlights on the prevailing product demanded by end users and end customers for better understanding of product demand by producers. This will help the producers and the marketing executives to plan their production quantity and plan effective marketing strategies to more buyers. Businesses can hence, increase their product portfolio and expand their global presence. Testosterone Replacement Therapy market research report further offers information on the unexplored areas in these regions to help the producers to plan promotional strategies and create demand for their new and updated products. This will again help the manufacturers to increase their customers and emerge as leaders in the near future.

In this study, the years considered to estimate the market size of Testosterone Replacement Therapy are as follows:

Research Objectives

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Testosterone Replacement Therapy Market 2020 Global Industry Size, Outlook, Share, Demand, Manufacturers and 2026 Forecast - The Think Curiouser

Foods that help improve libido (i.e. sex drive) are known as aphrodisiacs named after the Greek goddess of love, Aphrodite. A certain nut contains the key mineral that may get your juices flowing.

Medical News Today note how the mineral zinc can help "regulate levels of testosterone" the male sex hormone.

The pine nut, for example, contains high levels of zinc, which could boost your libido.

Harvard Medical School confirmed that testosterone is responsible for a person's sex drive in both sexes.

"As men age, testosterone levels drop very gradually, about one percent to two percent each year," stated Harvard Medical School.

Symptoms of testosterone deficiency in adult men include low libido and impotence (the inability to achieve an erection).

For women, low testosterone levels may lead to decreased libido, poor concentration or depression.

Dietician Maggie Michalczyk said: "Pine nuts contain about 6.5 grams of zinc per three-ounce serving.

READ MORE:The herbal extract you can take at home that's shown to greatly reduce anxiety symptoms

For their five-month experiment, the researchers restricted access to dietary zinc intake.

The researchers found that dietary zinc restriction in healthy, young men was associated with a significant decrease in serum testosterone after 20 weeks.

In addition, nine elderly men (on average, 64 years of age - plus or minus nine years), were found to be deficient in zinc at the beginning of the trial.

These men, in particular, were supplemented daily with 459 mol/d of zinc for six months.

Relate the relationship people charity highlights the important of your lifestyle in increasing sexual arousal.

This includes keeping physically fit by exercising, staying hydrated (by drinking two litres of water daily) and managing stress.

Other noteworthy factors include getting enough sleep, and cutting down or not smoking at all.

To keep things more interesting in the bedroom, the charity also adds that "having fun" could be the way forward.

Read more:
Loss of sex drive: The surprising nut that can boost your libido - Express

The COVID-19 virus could be more prevalent in bald men due to factors linked to testosterone levels, new research has shown.

Testosterone produces a hormone called dihydrotestosterone which is responsible for balding.

The same hormone could also make people more susceptible to COVID-19.

"In terms of baldness, studies in Spain shows that bald men were over represented in terms of having severe outcomes of COVID," infectious disease expert Sanjaya Senanayake told Today.

"That might sound weird but there is a biological basis for it because bald men have a high levels of dihydrotestosterone which incidentally helps COVID get into cells."

A converse study conducted in Italy showed men with prostate cancer in hospital who were taking an anti-testosterone for cancer were four times less likely to get infected.

People with certain blood types may also be more susceptible to having severe symptoms if infected with COVID-19.

"With blood groups it looks like blood group O is more protective against COVID and A is more severe," Prof Senanayake said.

"It could mean that blood group O is less likely to cause clotting."

Researchers are also beginning to identify new and peculiar symptoms of the virus including blistered feet and a loss of taste.

"The loss of smell can occur with quite a few viral infections that affect the upper respiratory tract and coronavirus as a group can be responsible," Prof Senanayake said.

"It tends to effect the olfactory nerve, which is your nerve for smell.

"It can also cause a lot of inflammation in the nose and that can effect smell."

One patient being treated for COVID-19 in Wuhan reported a change in his skin colour, however Prof Senanayake said this was more likely to do with the antibiotics opposed to the virus itself.

"Antibiotics, although they are wonderful at treating infections they all have side fix and everyone knows about getting diarrhoea and an itchy rash and it can ever weird things like change of skin colour," he said.

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Why bald men might be more susceptible to severe COVID-19 - 9News

Testosterone is blamed for violence in males, implicated in sport scandals, linked to sexual prowess, desired by gym devotees, and promoted as a tonic for ageing. But how many of us really understand what testosterone is, what it does, and why its important?

Testosterone levels are about 10 times higher in men than women. While it does have important functions in women, its role is quite different so this article will focus on testosterone in men.

Testosterone and development

Testosterone is the most important male sex hormone (androgen); its needed for normal reproductive and sexual function. Hormones are chemical messengers made by glands and carried in the blood to act on various organs.

This particular hormone is important for the physical changes that happen during male puberty, such as development of the penis and testes, and for features typical of adult men, such as facial and body hair. Testosterone also acts on cells in the testes to make sperm.

Its important for overall good health; testosterone helps the growth of bones and muscles, and it affects mood, libido (sex drive), and certain aspects of mental ability.

Levels dont have to decline as you age

The hormone is present in the body from the early stages of fetal life to old age. At the earliest stage of development, it helps the fetus develop a male body and a male brain (there are gender differences, or sexual dimorphism in the human brain).

Levels are highest between the ages of 20 and 30. As men age, testosterone levels fall by about one per cent to two per cent every year, although recent research suggests this may not be true of all men as they age. It seems a large part of the drop in testosterone levels in older men is due to chronic conditions, such as obesity and diabetes.

If men remain very healthy into old age, their testosterone levels may stay the same as when they were younger.

Effects of too little and too much

Low testosterone is usually caused by a genetic disorder (such as Klinefelters syndrome, the commonest chromosomal disorder in males that leads to poor testicular function) or damage to the testes or, in rare cases, a lack of certain complementary hormones made by the brain.

Its thought that about one in 200 men under 60 years of age and about one in 10 older men may have low testosterone levels, but exact numbers are not known.

Low testosterone levels have a variety of effects at different ages. In young boys and teenagers, it means the testes and penis dont grow properly and theres poor development of muscles and facial and pubic hair. Boys with low levels of the hormone may be taller than their peers and their voice may not deepen.

In adults, low energy levels, mood swings, irritability, poor concentration, reduced muscle strength and changes in body fat distribution, and low sex drive may result from low testosterone. But thats not to say that low levels of the hormone are the only possible cause of these symptoms.

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Research suggests that men with low testosterone may have a higher risk of chronic conditions, such as stroke and heart disease. Older men with low testosterone also have thinning bones and that puts them at risk of fractures.

Too much testosterone can cause problems too. Although people link the hormone with aggression, this hasnt held up under scrutiny. Rather, research has shown testosterone levels are associated with quite different traits, such as care-giving and empathy.

Supplementing it; a good or bad idea?

Longevity is highest for those men with testosterone levels in the mid-range not too high or too low and recent research supports the idea that too much or too little testosterone is best avoided.

For men with a clinical diagnosis of low levels, testosterone therapy can bring the amount of the hormone in their blood back to normal and restore and maintain good health. In boys, it can restore sexual development.

But in men with normal testosterone levels, taking supplements of the hormone is not appropriate and can cause problems. Taking testosterone can lead to a reduction in the size of the testes, and it can slow or stop sperm being made. And it can take many months to go back to normal once the man stops taking testosterone.

There is some controversy around studies suggesting that older men taking testosterone have an increased risk of cardiovascular disease but the jury is still out. What we do know is that theres no good evidence for the much-publicised benefits of testosterone supplements in old age, except for men with clinically diagnosed low testosterone.

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Ruto: I will defeat the deep state - The Standard

First of all it is important to make clear that andropause isn't the male version of menopause, says consultant urologist Dr Datesh Daneshwal.

"While all women go through menopause, all men do not experience andropause. It's not supposed to happen to every man and it only affects a very small percentage of men," he says.

Andropause is a condition where men experience a decrease in their testosterone levels that is not normal. While all men do start losing testosterone after the age of 30, the decrease isn't very significant (about 1% a year) and should not affect their well-being. Very different from menopause which signifies a sudden decrease in a womans hormone levels that causes ovulation to cease.

But sometimes, when a man's biochemical dip is more drastic, it can cause a broad range of symptoms that affect their overall health and temperament.

These symptoms include a decline in muscle mass and strength, a buildup of body fat, a loss of bone density, flagging energy, emotional instability, deranged sugar and cholesterol levels, lowered fertility and fading virility.

"A drop in testosterone coupled with these symptoms is what is classified as andropause. When it interferes with your well-being and health," explains Dr Datesh. "Many people have a misconception that testosterone is purely for sexual function which it is not. It is the elixir that keeps the brain sharp, affects one's mood, muscle bulk and weight management and also collesterol and sugar levels. Low testosterone can cause insomnia and depression and, of course, sexual dysfunction too. Men need a certain level of testosterone to function well in all aspects of their life and if it dips too low, their health is at risk," says Dr Datesh

Getting help

David was 38 when he started noticing the symptoms.

"I was experiencing a gradual but progressive decline of erectile function, decreased libido, frequent and more prolonged periods of low moods, decreased energy levels and frustration, sadness and despair that my interest in the opposite gender was not what it once was," says David who is now 61.

Although he initially started taking Viagra to help with his sexual dysfunction, David decided to consult a doctor when the symptoms persisted.

"For many years, l absorbed myself in my work and largely shrugged off and just accepted my symptoms without question. ince retiring a few years ago, l have had the time to become more aware of the physical and psychological fallout these symptoms have been having on me. The biggest psychological symptom was the diminishing confidence that l keenly felt in pursuing new relationships with women (l am, and always have been, a single guy) not least because l was conscious of the increasing difficulty of consummating such relationships.

"On a physical level, l felt myself becoming more anxious and subject to low moods as well as experiencing decreasing energy levels. I felt that l owed it to myself to get my symptoms properly evaluated by qualified professionals in this area," he said.

David was diagnosed with hypogonadism, a condition where the body doesn't produce enough testosterone which can occur from birth or later in life, often from injury or infection. He is currently on testosterone replacement treatment as well as medicine for erectile dysfunction which he says has helped him tremendously.

"Physically, l feel more energised, l have a stronger libido and my erectile functioning difficulties have been greatly improved, with further improvements anticipated after further testosterone injections. Psychologically, my confidence in interacting with women has been greatly boosted l think this is the most dramatic change l have notice.

"My advise to other men who are going through this is to not ignore the symptoms but to take action! Go and get specialist advice initially from your doctor and better still from a Urologist who has special expertise in this area. Please do not be embarrassed about talking through your symptoms with a doctor or urologist, particularly around erectile dysfunction. Remember that these medical people have seen and heard it all before many, many times. ln most cases your symptoms are likely to be physiological rather than psychological and can be resolved with treatment," says David.

Strength training exercises and a healthy lifestyle can stimulate the body's own production of testosterone. Photo: Pixabay

The stigma is real

Although there is a lot of literature available or andropause, men rarely seek medical help even when the symptoms can be affecting their life significantly, notes Dr Datesh.

"There is a stigma associated with this, unfortunately. And that's because we immediately associate testosterone with sexual function. That's why we need to raise awareness about how men need healthy levels of testosterone to lead a healthy life all around. If you are over 40 and are not feeling yourself notice that you put on weight, lose muscle bulk, emotional instability, find you are no longer attracted to your partner anymore, come and get tested. All it takes is a simple blood test and if it is because of low levels of testosterone, there is a solution now. You can get treated and change your life not just for yourself but for your family too," says the urologist from Prince Court Medical Centre.

Hormone replacement therapies for men come in the forms of pills, injections and gels although the most effective and popular option in Malaysia are thelong-term injections that are adinistered every three months.

"Hormone replacement is a science though and cannot be administered simply without ruling out a few things. First and most importantly, we have to make sure that the patient has no signs of prostate cancer because testosterone is fuel for prostate cancer cells. Second, while testosterone administered externally may help with a man's virility, it may affect his fertility. These things have to be discussed with the patient before he starts on treatment," says Dr Datesh.

How long a patient has to be on them really depends on the individual, he says.

I have had patients who, after a couple of doses, were feeling better and able to resume an active lifestyle which can stimulate the body's ability to produce it's own testosterone," he explains.

Men experiencing the symptoms of andropause are advised to make healthier lifestyle choices. Aerobic exercise to release endorphins that improve mood, strength training to increase blood flow and strengthen the hear as well a healthy diet and a decrease in alcohol and tobacco intake.

Muscle-building exercises, he says, can encourage the body's own production of testosterone.

"But a person experiencing andropause will not have the energy to do weight training - they'd need a boost of hormones get they them feeling energised enough to start exercising and building their body up," he says.

The rest is here:
Andropause: Not the same as menopause but needs to be addressed - The Star Online

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