Menopause, which is the end of menstruation, occurs around age 50 to 60. A falling testosterone level is a common complaint. It usually occurs between 50 and 60. The gradual decline in testosterone levels starts much earlier.

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What is the point at which Testosterone Levels begin to drop in Men?

As early as the mid- to late 30s, testosterone levels start to decline in men. This happens slowly. Symptoms and complaints can often appear after many years or decades.

Signs:

• These are some of the signs that can indicate a testosterone deficit in men.
• Reduction in desire to sex
• Erectile dysfunction
• Reduced muscle mass and strength loss
• Abdominal fat increases
• Reduced body hair
• Despite adequate sleep, lack of drive, fatigue, and tiredness can all be a problem.
• Depression can swing from moody to depressing
• It is difficult to fall asleep and stay asleep
• Hot flashes
• Reduced bone density (osteoporosis).
• Metabolic syndrome

What can men do to combat Testosterone deficiency?

A testosterone deficiency could be the cause if you have any of these symptoms. Other causes could also be involved, especially if you have unspecific symptoms. If you experience symptoms that indicate menopause, it is important to consult your doctor.

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Which doctor can diagnose a Testosterone deficiency?

Your family doctor is the first to contact in this situation. If there are grounds for suspicion, they will refer you on to a specialist or specialist in andrology. Your testosterone level can be determined by your doctor to determine if you have a testosterone deficit or if it is age-appropriate.

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The blood serum is used to determine the doctor’s testosterone level. Because the testosterone level fluctuates in blood, it is common to take two to three blood samples, each one about half an hour apart. Morning is the best time to do this, since the testosterone level is higher in mornings. The average value of the three samples is then calculated.

This value should not fall below 12.1 nmol/l, according to the European Society of Urology. It is recommended that you also determine the free testosterone level in the event of values slightly lower than 8 or 12 nmol/l. This indicates a testosterone deficiency if it falls below 243 pmol/l. It is possible to test for all hormones related to a testosterone deficiency from the comfort of your own saliva. Hormone Profile man Plus

Treatment

Artificial hormones can be used to replace testosterone if there is a true testosterone deficiency. To achieve this, you can inject testosterone into the muscle, or use a gel patch or patch to the skin. Or, take a capsule, spray, or nasal spray. After balancing hormones quickly, sexual desire and other symptoms can be restored within four to six weeks. Changes in potency are only to be expected after approximately half a year.

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Is Testosterone dangerous?

Because testosterone administration can cause minor changes in the prostate within the first year of treatment, it is important to conduct regular monitoring exams during the first 12 months. The guidelines state that there is no increased risk of developing prostate carcinoma. But, testosterone replacement therapy shouldn’t be considered a lifestyle option. It doesn’t prolong your life nor restore your youth. If the doctor determines that the testosterone level is too low or if there are serious problems, the doctor will prescribe it.

What can you do if your Testosterone Levels are low?

Before (M.)ann begins with a testosterone treatment he should first explore other options to relieve the menopausal symptoms.

These are often similar in effectiveness, but without side effects:

• Little alcohol
• No nicotine
• 30 minutes of sport and exercise daily
• Lose weight
• Relaxation and stress reduction
• Hygiene during sleep

Reduce the risk factors for a Metabolic Syndrome

A lifestyle change can make it possible to raise testosterone levels. It is because the effects of aging, stress and diseases of civilization like obesity and type 2 diabetes, can cause testosterone levels to fall more rapidly in older men. You can improve your overall well-being by losing weight, eating better, exercising, relaxing, and avoiding stimulants like alcohol and nicotine. This will help you prevent secondary diseases and increase your testosterone levels.

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Midlife is a time when many men experience a decrease in energy and vitality. The body’s changes, like the loss of muscle or the rise in abdominal fat, can be a major burden. Mental losses, like irritability and hopelessness, can also be a problem. This is something that men rarely talk about and attribute to the stress and demands of daily life. These complaints can sometimes be caused by something simple and easily fixable.

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Menopause in Men

Hot flashes, low motivation, mood swings, and loss of libido are all common complaints among women going through menopause. A drop in the hormone levels of important sexual hormones can also lead to many complaints in men.

Analogous to women’s menopause, this is also called the “menopause” in men. Also known as the “climacterium virile” in Latin, it is also known as the “menopause”. Other terms include andropause, PEDAM (the abbreviation of “partial endocrine deficit of the elderly male” or PADAM (the abbreviation of “partial androgen deficiency for the aging female” or late-onset Hypogonadism).

All these terms refer to the same thing, hormonal changes in men, which occur with age and a decrease in testosterone. Menopause does not happen as abruptly in men, unlike in women. It happens much slower, almost insidiously.

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How many men are affected by Testosterone Deficiency?

Not all older men are affected by a testosterone deficiency. The EAU guideline Male Hypogonadism states that only ten percent of men aged 40-79 years are affected by a testosterone deficiency. Only about six percent of these men have clear symptoms.

What is the role of Testosterone in Men?

Testosterone, a sex hormone, is the most important hormone for men. Because testosterone is responsible to the formation of male sex organs, it ensures a typical male physique, with increased muscle, deep voice, body hair, and beard growth. The body also uses testosterone to control sexual desire and fertility, as well as a variety of other vital processes.

Although testosterone is also produced in the adrenal glands by women, it is much less. The testosterone production in men is primarily in the Leydig’s interstitial cells of the testis. It also occurs in a smaller amount in the adrenal glands. The hypothalamus, pituitary and thyroid glands control it. These brain areas secrete so-called gonadotropin-releasing hormones, especially at night and early in the morning, which indirectly trigger testosterone production.

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Causes

An underactivity in the testes can cause testosterone deficiency. There are many reasons for this. Reduced testosterone production can be caused by rare genetic defects such as Klinefelter Syndrome, a testicular cancer, or congenital developmental disorders such as Kallmann Syndrome.

However, acquired diseases such as severe inflammation or varicose veins can also permanently affect testosterone production. Most cases of testosterone deficiency in men are due to increasing age. This condition is known as age-related hypogonadism.

How does Testosterone deficiency develop?

However, some men experience very distinct impairments due to the drop in hormones. As the European Association of Urology (EAU), emphasizes in their current guidelines, this is true even more so if the men affected are more overweight and older. Many concomitant diseases are more common in older men.

These include insulin resistance, type 2 diabetic, obesity, lipid metabolism disorders, cardiovascular disease, and high blood pressure. The metabolic syndrome and certain medications can cause testosterone levels to fall more quickly. This can cause a variety of problems for those who are affected. It can also have noticeable effects on their mental and physical health, as well as their sexuality.

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The sex hormone testosterone is found in both women and men. Only the concentration makes the difference. This is about ten times higher in men than in the female sex. In men, the hormone is mainly produced in the testicles, in the so-called Leydig cells.

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What happens when there is a Testosterone Deficiency?

Between the ages of 30 and 35, there is an annual decrease in testosterone levels in men. Initially, this is completely natural and usually has no health consequences. Nevertheless, older men often take testosterone products because they think it helps their youthfulness and fitness. However, these supplements do not help healthy aged men and uncontrolled intake can lead to various side effects such as cardiovascular failure.

Testosterone has many essential functions in the male Body:

• Formation of the male physique and hairiness.
• Development of the sexual organs
• Sexual interest
• Production of sperm

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However, there is also disease-related testosterone deficiency, which also needs to be treated. It occurs very rarely in boys and younger men. The symptoms are extremely severe. For example, sexual maturity may not even set in, or masculine characteristics may even regress in younger men. This results in depression, anemia, infertility or even muscle weakness.

But there are now therapies for those affected. Testosterone can be administered in the form of a gel, a patch or an injection to compensate for the deficiency. However, it is advisable to monitor testosterone levels closely to avoid overdosing, because too much testosterone can also lead to enormous side effects.

What are the Symptoms of too much Testosterone?

Just like testosterone deficiency, the body can also experience an excess of the hormone. This can be due to a tumor disease, for example, or it can also be hereditary. However, some athletes also have too much of the sex hormone in their blood because they resort to doping preparations. A permanently high testosterone level can cause various symptoms: Skin blemishes, irritability, thrombosis and high blood pressure. This significantly increases the risk of stroke.

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But not only men, women can also have excess testosterone due to heredity, illness or discontinuation of the pill. This can lead, among other things, to intense facial hair, a lower voice pitch or severe menstrual cycle disorders. In this case, intensive medical consultation and care is recommended, as hormone therapy may be helpful depending on the cause.

In men, especially in the case of tumors, surgical removal of the testicles can be a helpful means of significantly lowering testosterone levels. This is usually used for testicular tumors. However, hormone therapies with estrogen can also lower the level again.

Conclusion: Testosterone is sometimes a highly underestimated hormone that is generally partly responsible for male and female health. It is therefore worth seeking medical help if you have too much or too little testosterone.

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The male sex hormone testosterone has a significant impact on male psychological health. It not only affects physical bodily functions like muscle strength and penile erection, but also influences the male psyche. High testosterone levels were associated with aggressive and risk-averse behavior in the past.

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What are the Symptoms of Testosterone Deficiency?

However, today, the correlations can be seen in a more distinct way. It is now known that testosterone promotes motivation and social status. Hypogonadism, which is a sign of a testosterone deficiency in men, can cause depression, dejection and reduced self-perception. This will severely impact the quality and enjoyment of your life.

Functional hypogonadism can be defined as a symptomatic, undiagnosed testosterone deficiency that does not have an organic cause. It is usually accompanied by other diseases like type 2 diabetes, hypertension, or obesity. It can lead to common sexual and physical symptoms such as decreased sexual desire, sexual activity, erectile dysfunction, and a decrease or increase in visceral fat tissue.

A testosterone deficiency may also cause psychological symptoms like:

• Mood swings, irritability
• Fatigue and exhaustion
• Anxiety and sleep disturbances
• Depression
• Cognitive function declines

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The Quality of Life and mood are affected by Testosterone

A meta-analysis of therapy with exogenous testosterone in hypogonadal men compared with placebo evaluated 23 randomized-controlled trials (RCTs) with over 3,000 participants. Compared with placebo, testosterone significantly improved quality of life (scales evaluated used included Aging Males’ Symptoms, MLHFQ [Minnesota Living with Heart Failure Questionnaire], and SF-36-sexual-function-domain).

In this meta-analysis, 12 RCTs that involved more than 800 patients addressed the link between testosterone deficiency (depression) and these patients also showed improvements in their depression symptoms. A meta-analysis of 16 studies involving 944 subjects was also conducted. The statistical significance of testosterone therapy’s positive effects on general mood in men aged 60 years and hypogonadal subjects was high (p 0.0001) Recent research on prostate cancer (PCa), therapy, supports the idea that testosterone deficiency is a “depression driver”. It was shown that depression symptoms are more severe and frequent in men with PCa.

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Self-perception and Testosterone Levels

However, testosterone can also have an effect on other psychological domains. It can increase an individual’s motivation to achieve and maintain social status. Testosterone is closely linked to the psychological concept of self-concept, or self construal, which is used as a basis for competitive behavior and social status. It also influences self-esteem, self-acceptance, risk acceptance, and other psychological factors such as self-esteem. One study found that pharmacologically increased testosterone levels decreased the willingness to cooperate under pressure and increased risk-taking among men with an “independent” self-concept (n = 400).

In independent self-concept people are more focused on differences between themselves, and others. Men with an “interdependent self concept” (which emphasizes relationships with others rather than their independence) were more likely, however, to seek help from other people after treatment with testosterone. The personality structure and self-concept of the individual determining the testosterone’s effect on them is also important.

Randomized clinical trials have not confirmed all of the findings regarding testosterone’s effect on psyche. It is now clear that testosterone in men has a significant impact on the psyche as well as psychovegetative functions. This means that it plays an important role in maintaining or restoring balance in mood, behavior and self-perception. Therefore, hypogonadism can cause psychological-psychiatric complaints ranging from listlessness and anxiety to depression.

Testosterone therapy may be indicated if a man is diagnosed with a testosterone deficiency. The current EAU (European Association of Urology), guidelines state that the goal should be to have a testosterone serum level within the normal range. EAU also recommends that short-acting preparations be used as a starting point for therapy. This will allow you to quickly discontinue treatment if side effects occur.

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