Diagnosis and Treatment of Male Menopause
Common treatment for loss of testosterone has been Testosterone Replacement Therapy. There
has been some concern over the connection between this replacement therapy and prostate cancer
The first thing men notice is that they are experiencing difficulty with sexual function, they may not
realize that there is a connection to the other symptoms they may have such as irritability, anger issues, fatigue,
joint aches, and short term memory loss. They may not realize that all of these symptoms combined may mean that
they are suffering from a loss of testosterone. These symptoms may occur gradually over a period of years and
although they may start at age 35, they may not disrupt life enough to be bothersome until the male is in his 40's
or 50's. The female in their life may call attention to the presence of symptoms.
At some point the male will decide to have a medical professional investigate the symptoms. A complete medical
history including sexual symptoms, and any other symptoms will be noted along with any history of disease. Any past
or current medications and surgeries will also be noted. A complete physical exam will then be conducted including
the genitals. Blood tests will be drawn to determine hormone levels. These blood tests may be repeated at
Some symptoms may lead to a disclosure of the presence of a condition or disease that may be the root cause of some of the symptoms. Some symptoms may be attributed to the aging process. Other symptoms may turn out to have the explanation of being associated with menopause.
Common treatment for loss of testosterone has been Testosterone Replacement Therapy. There has been some concern
over the connection between this replacement therapy and prostate cancer. There have however been no studies to
prove the connection between the two. There has been another concern that this type of replacement therapy may
increase the male's risk for heart disease as increasing the "male androgen levels would also increase both serum
cholesterol and serum LDL-Cholesterol levels, according to Drs Caroline and Andrew Dott, who are professional
lecturers and teachers.
One of the oral forms of testosterone that is available in the USA for males diagnosed with male menopause
contains methyltestosterone which when used over a period of time has been shown to damage the liver as cited in
The Physicians Desk Reference.
The subdermal pellets are implanted under the skin and slowly dissolve over a period of 3 to 4 months. The
injections need to be given either weekly or bi-weekly.
Once replacement therapy has started the testosterone that is produced within the body ceases to be produced and
replacement therapy must be continued throughout the balance of lifetime. This is why males who have not lost all
natural production but only have low levels must be careful concerning replacement therapy.
The benefits of treatment:
Males who undergo hormone replacement therapy experience an improvement in health and in their sense of
well-being. One symptom (impotence) does not respond well to this replacement therapy.
The different forms of testosterone treatment available are:
Treatment is something that should be discussed with the medical professional and all risks weighted carefully.
Treatment is something that is long-term and both the health risks and costs must be considered. The benefits may
outweigh the risks especially for males who are having difficulty coping with family life or work. There are fewer
risks associated with natural testosterone treatment.