The term “Andropause” refers to a decline in testosterone with aging, in men. Unlike the menopause in women, its effect does not present suddenly, and many men are not affected by symptoms.
The symptoms of Andropause may begin to manifest in middle age. Initially, they may be attributed to lifestyle effects of work, stress, travel, relationship difficulties, or even considered a “normal” part of aging. As a result, symptoms are often present for a long time, sometimes years, before they are recognised and investigated as a medical condition that can be treated.
Andropause symptoms are those of low testosterone, often with an overriding perception of no longer functioning as the man one was and still should be, along with decreasing wellbeing and quality of life. This needs to be distinguished from normal aging and from other medical conditions. Some symptoms may be absent even in the presence of testosterone deficiency or they develop at a later stage as testosterone continues to decline. The severity of symptoms due to low testosterone or testosterone deficiency can be assessed by a questionnaire.
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