The Male Menopause: Andropause

pic2Although, the male andropause has not been widely recognized, increased medical research has turned attention to the gradual hormone decline in males which generally presents with symptoms in the mid 40’s to 50’s. A recent World Health Organization (WHO) report, states that the male hormone, testosterone, drops about 10 percent every decade starting around age 30. It is estimated that by age 50, 30 percent of men have testosterone levels low enough to cause symptoms and put them at risk.


Hormonal decline is not limited to just testosterone. Other natural hormonal levels can be deficient in Andropause. These hormones can include Human Growth Hormone (HGH or IGF-1), DHEA, thyroid hormone, melatonin and others. Although, declining hormones are a normal part of aging, they are accompanied by a gradual and undesired decline in sexuality, mood and overall energy. Declining hormones also increase the risk of more serious medical conditions (such as cardiovascular disease and osteoporosis). Similar to Menopause in women, Andropause in males begins at a time when life often offers some of its greatest rewards.

What are the symptoms?

By the time men are between the ages of 40 and 55, the drop in hormone levels gradually (unlike the sudden changes in menopause) produce changes in attitude, mood, confidence, memory, energy level, sex drive, muscle tone, muscle mass, muscle strength, abdominal fat and physical agility. Psychological stress, alcohol, injuries, surgery, medications, and obesity can contribute to its onset.

More over, studies show that a decline in testosterone and growth hormone actually contributes to the risk of health problems like heart disease, osteoporosis and weak muscles leading to fraility. Since all this happens at a time of life when many men begin to question their values, accomplishments and direction in life, it’s often not recognized that the changes are related to a silent decline in hormones.

What are the risks of hormone deficiencies?

Since all cells in the body have receptors for hormones, declining hormones are a major contributor to deterioration of the brain, muscle, skin, bone, joints, vessels, heart and the quality of life. Each hormone has specific roles in the normal bodily functions. Specifically, testosterone builds protein and is essential for normal sexual behavior and producing erections. Additionally, each hormone affects numerous metabolic activities such as the production of blood cells in the bone marrow, bone formation, lipid metabolism, carbohydrate metabolism, liver function, brain function, prostate gland growth. Therefore, in addition to the symptoms described, declining hormones increase the risk of deterioration of organs , osteoporosis and cardiovascular disease.

Andropause and Osteoporosis Osteoporosis is not just a disease of women. In men, lifestyle, nutrition and hormones such as testosterone and growth hormone play critical roles in the maintenance of bones. As these decline, between the ages of 40 and 70 years, male bone density falls by up to 15 percent. What’s more, approximately one in eight men over age 50 actually have osteoporosis, increasing fractures of the hip, wrist and spine. Therefore, the incidence of hip fractures rises exponentially in ageing men, as it does in women, but starting about 5 to 10 years later.. After a hip fracture, up to one third of patients never regain full mobility.

Andropause and Cardiovascular risk It is now well accepted that women’s risk of atherosclerosis (hardening of the arteries) and cardiac events increases after menopause. New evidence suggests that a similar phenomenon occurs in men as their testosterone levels diminish with age. Research thus far point to a strong association between low-testosterone levels and an increase in cardiovascular risk in men.

How do you know if you are in Andropause?

Although, Andropause was first described in medical literature in the 1940’s, it is generally under diagnosed and under treated since sensitive tests are new. Under diagnosis is also due to often vague symptoms which can vary a lot among individuals. Some men find it difficult to admit that there’s even a problem. And often physicians do not think of low hormone levels as a possible culprit, attributing symptoms to medical conditions and normal aging.

Accurate diagnosis and treatment requires a thorough clinical history, physical evaluation and lab work to measure hormone levels.

How do you treat Andropause ?

Of course, any strategy to reduce the symptoms and risks of Andropause should be based on lifestyle approaches such as optimal diet, regular exercise, nutritional replacement, stress-management and the reduction of tobacco and alcohol intake. These critical factors affect hormone levels and effects.

Additionally, hormone replacement (i.e. testosterone, growth hormone, thyroid hormone, melatonin) should be considered for those who are experiencing clinical symptoms of hormone deficiency. No patient is too old to start hormone replacement therapy if it is indicated. As for any medication, hormones should be taken under a physician’s care, with appropriate follow-up evaluations. They are dispensed by injection, creams, gels, patches and oral capsules. If you have an established prostate tumor or breast cancer you would not be a suitable candidate for testosterone replacement therapy.

What is the role of Viagra/ Cialis in Andropause?

Testosterone replacement therapy works differently from Viagra or Cialis, which act on the penis only to maintain an erection. Testosterone works on the whole body, brain and all aspects of the sexual response including erectile quality and sexual desire.

What are the benefits of hormone replacement?

Clinical studies support the use of exercise, nutritional replacement, testosterone and growth hormone to treat the symptoms and prevent disease. Hormone replacement with testosterone and growth hormone has been shown to significantly improve sexual performance, libido, energy, mood, memory, brain function, heart disease, vessel disease, muscle strength, muscle tone, muscle mass, abdominal fat, bone density and overall sense of well-being. These effects are usually noted within just a few weeks.

What are the risks of hormone replacement?

A recent 2004 study in the New England Journal of Medicine concluded that there were no long term risks of replacement therapy which aims to restore normal hormone levels. Historically, testosterone use has been associated with aggression and hypersexuality. These effects stem from the use of testosterone by men with normal testosterone levels who took testosterone at doses which were much higher than supplementation doses that are used in men going through Andropause.

In conclusion, correction of nutritional and hormonal deficiencies is important for the treatment of andropause symptoms and the prevention of degenerative diseases such as osteoporosis and cardiovascular disease.


Testosterone improves cognitive function, memory. Alzheimer’s ( Aging Male 2003, J Clin Metab 2002, J Clin Endocrin 1999)

T protects against atherosclerosis and plaque rupture. J Endocrin 2003, J CLin Endocrin 1999

GH protects against beta-amyloid plaques. J Neuroscience 2001

Testosterone protects against CV disease. NEJM 2004

Testosterone improves mood and erections. Androl 1992

Testosterone improves depression. Am J Psychiatry 2003

Testosterone reduces angina Circulation 2000, reduces atherosclerosis. J Endocrin2003.

Testosterone improves CHF. Heart 2003

Testosterone improves strength and body composition. Mayo Clin Proc 200

Testosterone improves DM. Aging Male 2003

Testosterone increase coronary blood flow circulation 1999

GH increases bone density

GH decreases abdominal obesity in men

GH decreases fatigue

Increases energy, vitality, well being, self control decreases anxiety, depression

No evidence of increased cancer or CV disease. NEJM 2004

Body composition improves with GH.

  1. Improvement in mood and sense of well-being
  2. Increased mental and physical energy
  3. Decreased anger, irritability, sadness, tiredness, nervousness
  4. Improved quality of sleep
  5. Improved libido and sexual performance
  6. An increase in lean body mass, a decline in fat mass
  7. An increase in muscle strength (hand grip, upper and lower extremities)
  8. Potentially, a decrease in the risk of heart disease

Understanding Risks

There are several conditions in which you should never use testosterone replacement therapy. These include:

  1. Breast cancer (in males)
  2. Prostate cancer

In some other cases testosterone replacement therapy may not be right for you. If one of the conditions below is applicable to you, your doctor will decide whether (in your specific case) testosterone replacement therapy is the right solution.

  1. Liver disease
  2. Heart or blood vessel disease
  3. Edema (swelling of face, hands, feet, or lower legs)
  4. Enlarged prostate
  5. Kidney disease
  6. Diabetes mellitus

To help your doctor determine your best treatment plan, you should also discuss the following:

  1. If you have ever had any unusual or allergic reaction to androgens or anabolic steroids.
  2. If you are an adult male who plans to have children; high doses of androgens may cause infertility.
  3. If you are bedridden.
  4. If you are now taking any other prescription or nonprescription (OTC) medicine, especially anticoagulants (blood thinners).

Treatment for Andropause consists of replacing lost hormones with natural hormones that are molecularly equal or bio-identical to those produced naturally within the body. By choosing hormones from sources that are bio-identical to our own bodies naturally produced hormones, one can receive the optimal benefits of therapy while reducing the risks associated with chemical agents.


About lisachristiansencompanies

A U T H O R • I N N O V A T O R • E X P E R T Dr. Lisa Christiansen is one of the most sought-after motivational speakers, life coaches, and business consultants worldwide, building an impeccable record of client satisfaction in the process. A best selling author as well, Dr. Lisa Christiansen has written such inspirational titles as My Name Is Lisa; The Two Millimeter Shift; White Sheep, Blue Skies, Green Grass; 101 Great Ways To Enhance Your Career; and others, in which she sheds light on some of the biggest questions of self-empowerment and fulfillment. Among her most recent publications, Dr. Lisa Christiansen contributed to the book 100 Ways to Enhance Your Career, which features wisdom from other well-known figures in the self-help world, including Jack Canfield, John Gray, and Richard Carlson. In 100 Ways to Enhance Your Career, Dr. Lisa Christiansen shares a step-by-step process for increasing job satisfaction, gaining more from one’s career, building wealth, and taking control of one’s destiny. Aside from her numerous books, Dr. Lisa Christiansen hosts a wide variety of seminars and retreats, where she teaches her students the secret to unlocking their inner potential and living their dreams. Some of the popular events held by Dr. Lisa Christiansen include Mastering Your Wealth, Claim Your Future, and Design Your Destiny, all of which feature her intensive coaching and unique strategies of personal transformation. Her website has a wealth of additional information on her conferences, retreats, books, and other endeavors. Join the millions of people who have already revolutionized the quality of their lives. “You already know how to survive global changes in the economy, environment and political arena, now it's time to thrive and prosper at a level beyond what you ever thought was possible,” Christiansen said. “My seminar is about seizing the power within today. Press Summary: Creator of extraordinary lives, Lisa Christiansen has served as an advisor to leaders around the world for the last two decades. A recognized authority on the psychology of leadership, organizational turnaround and peak performance, Lisa has consulted Olympic athletes, world renowned musicians, Fortune 500 CEOs, psychologists, and world-class entertainers. Lisa’s strategies for achieving lasting results and fulfillment are regarded as the platinum standard in the coaching industry. Lisa captured the attention of heads of state and the U.S. Army. Christiansen has impacted the lives of millions of people from 30 countries. Lisa has been honored by Cambridge Society of Who’s Who as one of the Top Business Intellectuals in the World. Lisa has helped millions of people create extraordinary lives globally. Her expertise and guidance has enriched the lives of icons such as pop superstar Kelly Clarkson, Olympian Dara Torres, and superstar Patrick Dempsey.

Posted on April 24, 2014, in Wealth Creation and tagged , , , , , , , , , , , , , , , . Bookmark the permalink. Leave a comment.

This inspired me to share my thought in this comment,

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: