Andropause – Causes, Symptoms, Diagnosis, Treatment in India

Andropause or Male Menopause, a scant publicised condition, could be responsible for a variety of inexplicable symptoms in men over 40,


I Andropause is a medical phenomenon, similar to female menopause, which can affect men between the ages of 40 and 55. “Unlike women, men do not have a clear-cut signpost such as the cessation of menstruation to mark this transition. This means that most men experience a variety of changes – physical and mental – yet cannot understand why they are taking place,” explains Dr Rajesh Taneja, consulting urologist, Pushpawati Singhania Research Institute, New Delhi.

Andropause - Causes, Symptoms, Diagnosis, Treatment in India

With age, the production of testosterone (the principal male sex hormone or androgen) decreases. Lower levels of testosterone and its consequences cause andropause as men age. Recent international studies show that after 30, testosterone levels generally decrease by one to two per cent per year – although this decline can vary widely. “As an urologist, I have noticed that roughly over the last decade, almost 28 per cent of men suffer from symptoms of andropause in the age group of 52-89,” says Dr DN Reddy, founding member, Indian Andropause Society and consultant at Apollo Hospital, Chennai.



I Testosterone is a hormone responsible for producing physical
characteristics of male puberty and maintaining the features typical of adult men. Testosterone is also very important for maintaining good health in many non-reproductive tissues. It is important for the growth of bones and muscles and stimulates the bone marrow to make red blood cells. Finally, testosterone affects the mood and certain aspects of mental ability. Essentially, testosterone is required for optimal health in men.


“Because the decline in hormonal levels is gradual, plus there is not much awareness about this condition even amongst the medical fraternity, very few males seek doctor’s help,” states Dr Reddy.



I Symptoms of andropause can vary from one man to the other. They may include lethargy or decreased energy, decreased libido or interest in sex, erectile dysfunction with loss of erection, irritability, muscle weakness and aches, inability to sleep, forgetfulness, hot flashes, night sweats, depression, infertility, abdominal obesity and thinning of bones or bone loss.



I “Recognising the warning signs of low testosterone is an important step in helping aging men maintain their health,” says Dr John Morley, a gerontology professor and director of the geriatric medicine division at St. Louis University School of Medicine, USA. Andropause can be diagnosed by measuring the level of testosterone in the blood. A simple serum testosterone blood test performed first thing in the morning on an empty stomach is a good screening test for this condition. “The test is available at almost all pathology laboratories across the country and costs could range from Rs 100$ to Rs 200$, depending on the centre,” explains Dr Reddy.



To treat andropause, doctors may advise the patient to undergo hormone replacement therapy. “Replacing testosterone can have a significant benefit, particularly in older men, with an improvement in general well-being, sex drive, sexual functions, muscle mass and strength and an increase in bone density,” Dr. Taneja states. There are now several alternatives available for testosterone replacement therapy in the form of skin patches and creams that can deliver testosterone into the blood in a non-invasive manner.


There are certain conditions in which testosterone replacement therapy should never be used. These include breast cancer in males and prostrate cancer. Men who suffer from some ailments like liver or heart disease, edema, enlarged prostate or diabetes must check with a doctor before taking the therapy.



I It is a fact that decline in testosterone levels with increasing age occurs in all men. However, according to doctors, some current studies suggest that smoking and high cholesterol levels may increase the risks of early andropause. Thus, one should quit smoking and target at better cholesterol levels to prevent an early onset of andropause. Regular exercise will also help maintain the muscle and bone mass. Stress and the ills of urbanisation are also supposed to be a contributing factor. Yoga and meditation are advised with the onset of middle age.


One Comment

  1. I’ll immediately clutch your rss feed as I can not to find your email subscription hyperlink or
    newsletter service. Do you have any? Kindly let me know so that I could subscribe.

Leave a Reply to Kristen Cancel reply

Your email address will not be published. Required fields are marked *

Urology Procedures India

Urocare india | Prostate Cancer Treatment India | Common Urology Surgery | Common Urology Conditions | Robotic Prostatectomy Surgery in India | HIFU for Prostate Cancer Surgery in India | Artificial Sphincter Surgery Surgery in India | Kidney Transplant Surgery in India | Nephrectomy Surgery India | Extracorporeal Shockwave Lithotripsy in India | Endopyelotomy Surgery India | Percutaneous Nephrolithotomy PCNL India | Lithotripsy Surgery India | Urethroplasty Surgery India | Laparoscopic pyeloplasty Surgery India | Orchiectomy Surgery India | Penile Implant Surgery India | Orchiopexy Surgery India | Phalloplasty Surgery India | Radical Nephrectomy Surgery India | Transurethral Resection of the Prostate TURP Surgery India | Radical Prostatectomy Surgery India | Green Light PVP Surgery India | HOLMIUM LASER ENUCLEATION OF THE PROSTATE India | Internal Urethrotomy Surgery in India | Uterine Fibroid Embolization India | Tubal Ligation Reversal Surgery India | Total Cystectomy Surgery India | Priapism Treatment India | Laparoscopic Ovarian Cyst Surgery India | Laparoscopic Myomectomy Surgery India | Inguinal Hernia Surgery | Umbilical Hernia Surgery India | Hiatus Hernia Surgery India | Anal Fistula Surgery India | Hysterectomy Surgery India | Penectomy Surgery India | Bladder Prolapse Cystocele Surgery India | Pelvic Lymph Node Dissection Surgery India | Understanding Prostate Cancer Cause Symptoms Treatment in India | Robotic Prostatectomy Surgery India | Radical Retropubic Prostatectomy India | Radical Perineal Prostatectomy India | Laparoscopic Prostatectomy India | Transurethral Resection of the Prostate (TURP) India | Holmium Laser Surgery (Holep) for Prostate Cancer Surgery in India | HIFU ( High Intensity Frequency Ultrasound) in India | Green Light Laser (PVP Technology) in India | Brachytherapy ( Seed Guided Radiation) in India

Mobile Links

Erectile Dysfunction ED Treatment in India | Diabetes cause Impotence Treatment India | Penile Prosthesis in India | Penile Implant Surgery Treatment in India | Prostate Cancer Impotence Treatment in India | Penile Implant International Patient Experience | Medical Tourism in India | Phalloplasty Surgery in India | Cosmetic Penile Surgery in India | Penile Implant candidate | Types of Penile Implants | Top Urologist Surgeons in India | Causes of Impotence and Treatment in India | Lithotripsy Surgery in India | Peyronie Disease Treatment in India | Priapism Treatment in India | Shockwave Therapy for Erectile Dysfunction in India | ED1000 Treatment in India | Urethroplasty Surgery in India | Urethral Stricture Surgery in India | Cystoscopy Surgery in India | Inguinal Hernia Surgery in India | Urologic Pelvic Pain Syndrome Surgery in India | FAQ About Penile Implant Surgery in India | Urinary Incontinence Treatment India | TUR-Bladder Tumour Surgery in India | Internal Urethrotomy Surgery in India | Anastomotic Urethroplasty Technique India | Tissue Transfer Urethroplasty Surgery in India | Buccal Mucosal Graft Urethroplasty India | Penile Urethroplasty using Skin Flap India | Johansen's Urethroplasty India | Radical Nephrectomy Surgery India | Nephrostomy Surgery India | Endopyelotomy Surgery India | Ureteroscopy for Kidney Stones India | Transurethral Resection of Prostate (TURP) India | Total Cystectomy Surgery India | Percutaneous Nephrolithotomy India | Laparoscopic Pyeloplasty Surgery India | Orchiectomy Surgery India | Orchiopexy Surgery India | Radical Prostatectomy Surgery in India | Vesicovaginal Fistula Surgery in India | Trans Vaginal Tape India | Premature Ejaculation Treatment in India | Robotic Prostatectomy Surgery in India | Artificial Urinary Sphincter Surgery in India | Fibroid Removal Myomectomy Surgery in India | Penectomy Surgery India | ASK THE DOCTOR | Prostate Cancer - Overview, causes, symptoms and treatment in India