A guide to menopause for men over 40

“Manopuase” is a term, a buzzword mainly used as an explanation by the media How do men’s physical and mental performance decline in middle ageAlthough menopause seems to be a derogatory label, it does make sense-let’s face it, it sounds much better than “hypogonadism”; a medical term for people who produce little or no sex hormones. “Muscle and Fitness” Interview Dr Jeff Foster, British male health specialist and medical director H3 health Learn what we should know about menopause when we are close to and over 40, and the latest treatments in 2021, so that we can # befitover40 Use our body and our mind.

What is “menopause”?

Male testosterone gradually increases until they reach about 30 years old, and then begins to decrease at a rate of about 1% per year.Your level Testosterone can be affected by lifestyle factors For example, diet, stress levels and genetic predispositions, but once your level starts to drop, you will lose more than just your sex drive.

For women, menopause means a decrease in estrogen, while in men, menopause or hypogonadism basically means a decrease in testosterone production. Whether you like “menopause”, “hypogonadism”, “male menopause” or any other terms, you must understand their basic meaning. Due to lack of awareness, many men have symptoms that are easy to treat due to low testosterone levels, because they just attribute it to the aging process, but in fact, we can do many things to improve our quality of life. Testosterone provides metabolic benefits such as muscle mass, bone density, cognitive ability and many aspects of our personality. It can also reduce the likelihood of heart disease and type 2 diabetes, so it makes sense to have the best “T” level !

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What are the signs of menopause and low testosterone?

Signs that you may have low testosterone levels include low libido, difficulty getting or maintaining an erection, low semen volume, hair loss, fatigue, decreased muscle mass, increased body fat, mood swings, memory problems, and “brain fog.”

In the U.S, Low T is diagnosed when the level is less than 300 ng Per deciliter (ng/DL). In the UK, Dr. Foster is a practitioner, and the British Academy of Sexual Medicine uses different scales, where a target of 15-30 nanomoles/liter (nmol/L) is the ideal range for testing. In theory, low testosterone levels can be diagnosed with a simple blood test, but treating this problem is more complicated because there may be diseases that cause your levels to drop, such as asthma or depression. This is where the advice of men’s health practitioners becomes very beneficial.

“What we really want to know is the level of free testosterone; the real or’bioavailable’ testosterone in our blood,” Foster said. “A healthy man has only about 3% of available testosterone at any time, and the rest is bound to other proteins, mainly sex hormone binding globulin and albumin. This means that for some men, their testosterone levels look normal. , But in fact the amount they can actually use is lower than it should be. This is why it’s so important to see a male health professional, not just rely on online tests or even see a general doctor, because you may be told about your The level is normal, but it is not.”

Know this before starting testosterone replacement therapy (TRT)

Foster shared this: “Perhaps less cautious clinics will only provide men with low testosterone Alternative Therapy (TRT) But in fact, before starting treatment, we should always do two things. “

  1. Figure out why the level is low. Other medical problems can cause low testosterone levels, such as thyroid disease, type 2 diabetes, anemia, brain pituitary problems, and some medications or lifestyle factors.
  2. Decide whether the level can be restored by treating the cause. For some men, poor diet, inactivity, little or no sexual activity, overweight, lack of sleep, stress, and some medications (such as asthma, blood pressure and antifungal drugs) can affect our testosterone.

“We can’t ignore these things,” Foster said. “We must always treat patients comprehensively by addressing the root cause. Investigate their lifestyle, and then if still needed, you can add TRT. Interestingly, although this is true, some people find that they are in a negative vicious circle It’s almost impossible to change these bad habits. For these men, we actually give them testosterone early because it provides them with the energy they need to lose weight, eat better, sleep better, and improve their mental health. And motivation. For these men, when their lifestyle or other medical problems are resolved, they may get rid of testosterone completely.”

Man with plastic gloves using testosterone cream
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The latest developments in low testosterone treatment

Advances in technology mean that TRT can be administered in the form of topical preparations or injections. For some people, daily use of creams or gels is a viable method, while others prefer injections, as this may mean several weeks between treatments. It is well known that maintaining a healthy weight, staying active, reducing stress, getting a better quality of sleep, and reducing alcohol consumption will have a positive impact on test levels, but experts such as Dr. Foster have also seen other improvements in his research. Clinic in Leamington Spa, Warwickshire.

“We are now using a combination of testosterone substitutes and daily tadalafil (a drug similar to Viagra but with a longer half-life),” Foster said. “For many patients, this seems to produce better results than using testosterone substitutes alone. Tadalafil is cheap and very effective. In addition to better sexual function, there may be other benefits, such as heart benefits. “

Although we tend to announce that we are “over the hills” when we are 40 years old, the existence of a low test affects any age group. “There are more than 150 men receiving treatment in my clinic, my youngest patient is 26 years old, and the oldest patient is 92 years old,” Foster said. “It can affect anyone. We have nearly 1 million men diagnosed with low T in the UK. (It is thought that in the United States, at least a quarter of men over 30 have low testosterone levels. And because of our long lifespan and other environmental factors, this number is still growing.) The key is to listen to your body and look for symptoms, not just thinking that they are “normal for my age”.” Very good Suggest!

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