Hormone Overview
Andropause, also known as “male menopause,” refers to the age-related decline in testosterone levels in men, which can lead to various physical, sexual, muscle mass, bone density and psychological symptoms. It is a gradual process. Testosterone is a crucial hormone, primarily known for its role in male sexual development and characteristics.
- Testosterone levels naturally decline with age, typically starting around age 30 or 40.
- This decline can lead to decreased sex drive, fatigue, mood changes, and muscle loss.
- Testosterone levels naturally decline with age, typically starting around age 30, with a gradual decrease of about 1-2% per year.
Evaluation and Treatment Protocol
Treatment options include:
Testosterone replacement therapy (TRT):
Can help alleviate symptoms, but requires careful monitoring and management.
Testosterone RX
- Injections
- Creams/Gels
- Patches
- Pellets
- Estradiol Blockers as needed (Anastrozole, Arimidex)
- Viagra Rx (Sildenafil)
Lifestyle changes:
Healthy diet, regular exercise, and stress management can also play a role in managing symptoms.
Common Tests for Complete evaluation:
Health labs
- Complete Metabolic Panel (CMP)
- Complete Blood Count (CBC)
- TSH, T3 free, T4 free, TPO (Thyroid)
- Lipid Panel (Cholesterol)
- Diabetic screening (HBA!C)
- Prostate Specific Antigen (PSA)
Hormone Labs:
- Estradiol
- Testosterone Total & Free levels
- Progesterone
- DHEA
- Yearly Physical Exams. Can be done by your primary care provider (PCP)
