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Andropause -Male Menopause

Andropause (Male Menopause)

Are you among the millions of men who are losing vitality as you age also called andropause (the male version of menopause) -  the lowering of  "androgen" (male-type) hormone levels, DHEA, androstenedione and particularly, testosterone? Andropause is often missed by both patients and physicians; it is usually much more gradual than its female counterpart, menopause.

Andropause is less known and accepted as a medical reality; socially, it is more acceptable for women to talk about their menopausal symptoms; for men, the exact opposite is true.

In addition to, or because of this, men seek medical help far less than women. A few statistics below bears witness to this:

         Men visit doctors 150% less than women.

         A March 2000 survey by the Commonwealth Fund titled, "Out of Touch: American Men and the Health Care System," found that 24 percent of men did not see a physician in the year prior to the survey -- three times the rate found for women (8 percent)

What are androgens? Androgens are substances producing or stimulating masculine characteristics. They are involved in immune function, development and maintenance of muscle and bone, and erythropoiesis, i.e. bone marrow-making RBCs. Low serum testosterone correlates with depression, accelerated arteriosclerosis and diabetes. Some signs and symptoms of lowered androgen levels and function are:

  • Body fat increase, especially abdominal

         Concentration difficulty

         Erectile dysfunction and decreased libido

         Ambition and work performance decreases

         Memory loss

         Mood disturbances, including depression, fatigue, irritability and loss of stress tolerance

         Muscle size and strength decrease, and endurance decreases

         Osteoporosis

         Blood glucose elevation and insulin resistance

         Restlessness and sleep difficulties

         Lack of energy

         Declining physical coordination and agility

         Cognitive decline (memory and concentration)

         Loss of self-esteem and altered states of well-being

         Skin changes (loose skin/wrinkles)

Testosterone peaks in early to mid 20s, then begins a slow average annual decline of: total testosterone by 1.6%, free testosterone by 2%, and bioavailable testosterone by 2.5%. Sex hormone-binding globulin rises roughly 1.6% per year. After age 50, 50% of men are considered hypogonadal - based on levels of bioavailable testosterone.

About 98% of T is bound to plasma proteins & is unavailable. About 2% of T is free, and represents almost all of its biologic activity. Of the bound testosterone, 40% is tightly bound to SHBG; the remainder is weakly bound to albumin. Bioavailable is free testosterone plus that which is bound to albumin. Aging increases the amount of testosterone that binds to SHBG.  As testosterone levels fall, the liver is stimulated to increase SHBG, estrogens will also increase SHBG, increasing total serum testosterone to normal range, but in actuality, a relative deficiency of bioavailable testosterone often occurs.

Testosterone is further metabolized to: DHT or Estradiol.

Higher estrogen levels may, at times, be beneficial for menopausal women, but excess in andropausal men may be disastrous. Common causes of elevated estrogen in men are: stress and psychological factors, abdominal obesity, pharmaceutical drugs, alcohol consumption, increasing insulin resistance, impaired liver function, and zinc deficiency.

Next mont:h: Steps to regaining your vitality!


Dr. Dennis Godby, Doctor of Naturopathy, Sutter Medical Foundation.
He may be reached online or at his Sacramento Office (916) 446-2591.




Placer County News Headlines

Writing Your Life Story Workshop September 13thBud Gardner, co-author of Chicken Soup for the Writer's Soul, part of the New York Times best-selling series, will conduct a workshop, How to Write Your Life Story, on Saturday, Sept. 13th

Jessup Gala to Celebrate 75th Anniversary on September 20thROCKLIN, Calif., - William Jessup University will host the Jessup Gala on Saturday, September 20 from 6-9 p.m. The dinner and program festivities raise funds for student scholarships.

Brandman University Adding Roseville LocationRoseville,CA -- Brandman University will be locating at 400 Sunrise Blvd. The 9,182 square foot tenant improvement is valued at over $300,000.

Roseville California Crime Brief (8.31.14)Roseville, CA - Roseville California crime brief update report for August 31, 2014.

Acura ILX: Luxury Vehicle, Reasonable PriceFor car shoppers looking for an upscale luxury sedan that doesn't arrive with a luxurious price tag, Acura debuted the ILX a year ago and its back for 2014 virtually unchanged

People with Autism Especially VulnerablePerhaps like you, recently I read of an incident in Okeechobee, Florida, in which an 18-year-old man was recorded on video beating, choking, kicking, and holding a knife to the throat of a 16-year-old boy with autism.

54 Year Old Roseville Woman Killed with Own VehicleRoseville- 54-year-old Bernadette Ann Richardson was killed when her SUV rolled backwards as she was retrieving a bicycle from her 1997 Ford Explorer.

Photos: Napa Earthquake DamageWe recently had the opportunity to tour Napa following the magnitude 6.0 earthquake. The downtown area of Napa which contains many older buildings was hit especially hard.

California Senate Passes New Gun Violence BillCalifornia's state today passed the "Gun Violence Restraining Order (AB 1014)," legislation that would allow family members or law enforcement to petition a court

Laura's Law Implementation in Placer CountyPlacer County became the sixth county in California Tuesday to implement Laura's Law - a state statute that authorizes court-ordered assisted outpatient treatment of residents with severe

$22 Million Animal Services Center in Auburn Moves ForwardThe Placer County Board of Supervisors awarded a design-build contract on Tuesday that paves the way for construction of a long-planned Animal Services Center in North Auburn that

Autism in Girls Study Launched in CaliforniaAutism is far more common in boys than girls - affecting 1 in 54 boys and 1 in 252 girls - but little is known about biological differences between boys and girls with autism.


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