Andropause: Myth or Reality?
Dr. Gerardo Gimenez
Andropause is a very heard word nowadays. Many people ask
themselves what it is and men are afraid of it. Though it
does not represent a cease or pause of masculinity, it involves
a series of symptoms and signs produced by a diminished
production of male sexual hormones (androgens) that affect
men once they reach middle age, 40 and up. It is also known
as Androgenic Deprivation of the Aging Men (ADAM by abbreviation)
or Aging Men Hypogonadism.
Testosterone, the main androgen, is the protagonist of this
disorder. This hormone is responsible for the differentiation
of the embryo into male sex (by the Y gene men have), secondary
sexual features that develop during puberty (masculinization
of the body), sperm production, maintenance of anatomical
structures (muscle, bone, blood, vessels, erectile corpora
of the penis) and a very large part of behaviors (impulsivity,
aggressiveness and sexual desire).
Considering the androgenic effect of this hormone, its
deficiency can be assessed (when it is suspected) by a scale
denominated AMS (Aging Males Symptoms) and, of course, determining
total and free testosterone levels in blood. Only this way,
and having a complete examine which includes the prostate
gland, can the physician diagnose the precise hormonal replacement
with pharmacological formulations to be considered, especially
Items evaluated in AMS are:
If you suspect that you are suffering a combination of
any these symptoms, visit your primary care physician as
these symptoms may reflect a deterioration in your quality
of life and lead to other medical problems such as osteoporosis.
Medical science advances everyday and increases therapeutic
alternatives thus it’s good to see your primary care