Andropause corresponds to a syndrome of insufficient testosterone production that fuels the aging process in men over 45 years of age. While during menopause the ovaries stop producing eggs and the release of estrogen drops abruptly, during andropause sperm continue to be produced and testosterone production suffers a progressive decrease. So, the reproductive capacity ceases in menopause and the same does not happen in andropause. Testosterone is produced in the testicles, through its regulation by the hypothalamus and pituitary gland. This mechanism deteriorates with age, and is very different from man to man. It's up to testosterone (in men) Promote the development of primary and secondary sexual characteristics; Contribute to sperm production; Provide good sexual performance and reproductive function; Increase muscle mass and bone density. 10 clinical signs of andropause Sexual disorders (decreased libido, erectile dysfunction, ejaculatory and orgasmic disorders). Body hair loss and drier skin. Loss of ability to concentrate and memory (changes and interruptions in the rhythm of conversations, reduced ability to understand). Labile mood (irritability / nostalgia). Loss of muscle mass, loss of strength and energy. Sleep disturbances (insomnia / restless sleep). Loss of bone mass and increased bone fragility. Periods of spontaneous sweating. Increase in fat mass, especially abdominal one. Increased breast volume (gynecomastia) How andropause is diagnosed The diagnosis of andropause is made through clinical history , which can be complemented by determining testosterone levels in the blood, an analysis that should be carried out in the morning. Lower levels of testosterone without loss of quality of life are common and the opposite also is. Many of the signs of andropause may be due to other problems, so a medical assessment is important. Strategies to control the signs of andropause A more active and healthy lifestyle, which should include a healthy diet and physical exercise can contribute to general well-being, prevent the loss of muscle mass, improve concentration, energy and sleep. In some cases, testosterone supplements can be used, after the risks and benefits have been well assessed. Medical evaluation is essential for implementing treatment strategies. Author: Carlos Guimarães The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.
