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andropause image from New Medical Terms



Definition The term andropause (AP) dignifies a constellation of hormonal and behavioural changes seen in older men

Clinical findings Hot flashes, insomnia, mood swings, irritability, fatigue, weakness, lethargy, depression, reduced libido, erectile dysfunction, decreased sperm quantity and quality, reduced muscle and bone mass, frailty, increased body fat, impotence, and age-inappropriate behaviour*.

*E.g., trying to pull women young enough to be their daughter or (yikes) their granddaughters, driving fluorescent yellow (double yikes) Italian exotica, etc., etc. The name derives from the observation that the symptoms of AP are similar to those experienced by women during menopause; while the relationship between AP and hypogonadism is controversial, it is an important concern for those who provide health care for middle-aged–ages 45–70 men, who are projected to number 81 million by 2020.

Management Some data suggest that androgen replacement therapy may ameliorate AP.

Synonyms Male climacteric, male menopause


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