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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

Placer County Republican Party To Hold 2014 ConventionLOOMIS - The Placer County Republican Party will hold its endorsement convention on Aug. 23 to select which candidates to support for local offices in Placer County.

Job Fair in Roseville August 22ndRoseville, CA -- Multiple community agencies including Brandman University, The City of Roseville Libraries, Placer, Sacramento and El Dorado Counties, Golden Sierra Job Training, and Sacramento Works

Roseville Crime Report Digest Update (7.23.14)The Roseville Police Department weekly crime report digest update for July 23, 2014.

California Limits Full Contact Football for StudentsGovernor Jerry Brown signed into law AB2127 which limits, but does not eliminate full contact football practices for middle and high school students.

Beware of Deceptive Home Improvement OffersThe California Contractors State License Board (CSLB) is urging consumers to be aware of home improvement offers by individuals who use unethical business practices to gain entry into their homes

Continuous Improvement Network: August 6th & 20thSierra College CACT provides Value Stream Mapping Training in Sacramento on August 6 & 20 for the Continuous Improvement Network

Alternative Transportation Programs in Placer CountyPlacer County Transportation Planning Agency (PCTPA) is your resource for information about alternative transportation services in Placer County.

Auburn Woman Attacked Inside HomePlacer County sheriff's detectives are looking for a man who attacked a woman at her north Auburn home early this morning.

Western Nationals Softball Tournament in Roseville and LincolnASA Softball is bringing the Western Nationals for the Girls B 10U & 12U divisions to the Placer Valley Area. The event is six days long, taking place from July 28-August 3.

Tahoe Public Projects Garner AttentionTahoe Transportation District has been recognized nationally and by the state of Nevada for its positive impacts, collaborative initiatives, environmental enhancement, and service to the community's

Rocklin National Night Out Events August 5thEach community member is invited to join their neighborhood watch group and the Rocklin Police Department for National Night Out on Tuesday, August 5, 2014.

Recovery Plan for California Salmon and SteelheadNOAA Fisheries and the California Department of Fish and Wildlife (CDFW) jointly released two plans to restore populations of salmon and steelhead in California's Central Valley


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