Men over 45 years of age may experience what some call male menopause. This is caused by a reduction in the male hormone of testosterone. It can be caused by aging, or also by underlying medical conditions like obesity, diabetes, or high blood pressure.
Dropping testosterone levels is normal for men as they age. Generally that’s a gradual drop though. If there’s a rapid decrease there’s more likely to be a problem. Plus, you can have problems with testosterone production at any age if the testes are damaged.
If you damage the testes via injury, infection, chemotherapy, surgery, or radiation, there may be impairment to testosterone production. This production is also mediated by the hypothalamus and pituitary gland in the brain.
Damage to either of these parts of the brain will result in them not giving the required signals to cause normal testosterone production. As a result, testosterone levels will be reduced.
The reason a drop in testosterone is a problem is that it causes various conditions and symptoms. Men with low testosterone may also develop osteoporosis. They may complain of reduction in libido or sex drive, erectile dysfunction, depression, fatigue, and muscle weakness.
Most men who have a reduced level of testosterone experience a gradual reduction. This is usually not so much of a problem that it needs treatment. If the drop is significant, they can get hormone replacement therapy.
Hormone replacement therapy is only used in extreme cases because it increases risk of prostate cancer. If your doctor does decide that hormone therapy is right for you, you may receive oral medication, implants, patches or injections.
Most of the time, doctors will medically manage symptoms rather than addressing a gradual or mild drop in testosterone. For one thing, your doctor will likely recommend regular exercise and a healthy diet to avoid obesity, and also for depression you may be given antidepressants.
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