The concept of “andropause” refers to age-related decline in testosterone levels in men. Unlike menopause in women, male hormonal decline is gradual and variable.
Testosterone levels decrease approximately 1% annually after the age of 30 to 40. Symptoms may include fatigue, decreased libido, reduced muscle mass, mood changes, and diminished bone density.
Diagnosis requires both clinical symptoms and biochemical confirmation of consistently low serum testosterone. It is essential to exclude reversible causes such as obesity, medication effects, and chronic disease.
Testosterone replacement therapy (TRT) may improve quality of life in appropriately selected patients. However, therapy must be individualized and monitored due to potential cardiovascular and hematologic risks.
Understanding the distinction between normal aging and pathological hypogonadism is fundamental to responsible erotic clinical practice.
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