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Low Testosterone Level causes Andropause. Andropause seems to be a portmanteau word made by combining Androgen and Pause. With aging the level of Testosterone shows declining and just like women who encounter menopause, men also face a state of stopping the release of Testosterone. This state has been lovingly termed as Andropause, aka Male menopause. This misery or shellacking as a result of Hypoganadism (low Testosterone level) is aggravated when the slow but steady cutback of the release of the hormones – Testosterone and dehydroepiandrosterone – is diagnosed in the late 30s or in much later stages of a male-life. Leydig cells of human body are to be blamed for all these low Testosterone level or Hypoganadism.
What if Testosterone level becomes low or shows insignificant presence in male body organisms? Will they be experiencing similar poor Libido taste as female?
Clinical studies have found that men are exceptions in expressing their libido or sexual urge irrespective of their growing ages. Unlike female, men are not completely deprived of the reproductive system. But there is no denying that as both men and women age, their Testosterone level starts to be ebbing, thereby weaking their sexual stamina. That both of them can stop further declining of Testosterone level or increase the level of Testosterone by undergoing Testosterone Replacement Therapy.
The physicians and researchers have suggested different names of their personal choices as per their observations for the declining stages of the release of Testosterone. Some of those observations in reference to Andropause are like ‘male menopause’, ‘male climacteric’, ‘androgen deficiency of the aging male’ (ADAM), ‘partial androgen deficiency in aging males’ (PADAM), ‘viropause’ or ‘late onset hypoganadism’ (LOH).
The state of Andropause shows loss of libido and potency, depression, nervousness, dementia or loss of memory, hot flushes, insomnia, frequent tiredness and sweating and low concentration power as well as Alzheimer’s disease has been diagnosed associated with it. These plights during Andropause are clinically resistable by Testosterone Replacement Therapy. Physicians and clinical researchers have found men begin to decrease Testosterone level considerably as they age. Men generally start experiencing low Testosterone level at the onset of fourth decades of their life.
Clinical studies and observations have detected some common symptoms due to the low Testosterone level as they follow:
Ongoing debates relating to the definite causes of low Testosterone level resulting in Andropause abound in and indicate that clinical researches are still to be continued until their advancement satisfies the tenets of World Health Organization (WHO). The causes for Andropause which have so far been pointed out are like the following:
Clinical studies have so far found causes of Andropause or low Testosterone level due to the above-mentioned points along with general ailments as consequences of aging which reflect in the feeble potency or relative increase in circulating levels of estrogen (that vies for cellular receptor sites with Testosterone) leading to tilt testosterone-estrogen balance adversely. This unhealthy ratio of circulation can lower the availability of testosterone to target cells.
To conquer the sorrows and suffering out of andropause, one need follow the below-stated physicians’ prescribed guidelines.
Testosterone Replacement Therapy (TRT) requires a thorough diagnosis before taking a plunge into TRT. It would be a childish and churlish idea to opt for TRT without complete clinical understanding of the unavoidable necessity for Testosterone Replacement Therapy. So, to qualify for TRT, one need to follow minutely the advices of a qualified physician for this therapy. There are widespread apprehensions regarding TRT. Those apprehensions are null and void intrinsically. One such aspersion labelled against the use of Testosterone Replacement Therapy is that TRT increases the chances of prostate cancer. Clinical studies negate such aspersion vehemently as the calumny may be malicious. They have been able to prove that prostate cancer is more a cause out of estrogen than of testosterone. Physicians, however, have found that patients who are suffering from cancer of the prostate may have chances of a flare up and aggravation of the disease. So, the idea of applying the Testosterone Replacement Therapy onto them may be injurious.
Diagnosis for qualifying Testosterone Replacement Therapy involves some irrefutable procedures. Patients with complaints of low Testosterone level should be put through an investigation of Serum Free Available Testosterone (FAT), which is diagnosed in a pooled early morning blood sample. If the investigation shows Testosterone level low, that patients may be suggested for Testosterone Replacement Therapy and a common check-up of rectal examination followed by tests like the lipid profile, hematocrit, cardiac function investigation, liver function investigation, measurement of prostate specific antigen (PSA) and trans rectal ultrasound (TRUS) must be conducted as at the beginning of the TRT as during the TRT period at 3 or 4 months intervals. Patients should be made well aware of the probable side-effects like Thrombophlebitis and Hypercoagulability of blood, or liver tixocity.
There are commonly three effective forms of TRT available in clinical therapuetic care for increasing lowered level of Testosterone. They are Testosterone Injections, Testosterone Booster, and Testosterone Cypionate. Simply put, they are injectable, oral, implants and trans-dermal. The oral therapuetic care is generally avoided because of high risk of liver toxicity. Some latest forms of testosterone are allegedly consumed through the lymphatics, whereby bypassing affecting liver and causing less toxicity. As of the injectable testosterone, injectables have been found safe and secure. Still, Testosterone Injections are not as if totally free from side-effects. Testosterone injectable may be a cause of apprehension when any excess to the blood-stream, whose level is ever changing, may be converted to estrogens, that is counter-productive and may alter the testosterone-estrogen balance significantly. So, careful measures are required to take while prescribing an injectable Dosage so that normal blood level of FAT may be achieved, and if pursued carefullya with proper therapuetic guidelines, a considerable improvement in symptoms can surely be expected.
Besides these therapies, new additions like patches, pellets, gels and creams have been detected equally effective. Preferences will be given to any one of them as per the understanding and revelations of diagnoses and severity of symptoms in addition to the economic-status of the patients. Preferences must be given to those therapuetic care only which might seem effective and safe for long-term.
There is no denying that Andropause does come, for some it happens at the fourht decade of their life (40 years) or ealier than these years. But less libido or shadow of impotency is a sure phenomenon and the resistance or supportive therapuetic care by Testosterone Replacement Therapy has been detected much safe, secure and effective.