Some Elderly Men Really Suffer From Andropause, But Much Less Frequently Than Previously Thought – Part 2 of 3
For this study, the research team, from Imperial College London and the University of Manchester, measured testosterone levels in 3,369 men age-old 40 to 79 and then correlated these levels with different symptoms. Of 32 possible symptoms, only nine were linked with decreased testosterone levels. Three were physical – not being able to contract with in strenuous physical activity, not being able to walk more than 1 kilometer and not being able to bend over or kneel – and three were psychological – low energy, sadness and fatigue.
But these six symptoms were only peripherally linked to disconsolate testosterone levels. Three sexual symptoms – less frequent morning erections, lower sex drive and erectile dysfunction – were more robustly related to testosterone levels. Men privation to have all three sexual symptoms plus measurably lower levels of testosterone to qualify for the diagnosis of late-onset hypogonadism, the authors stated.
But even with this new diagnostic criteria, the trial of treating men with sexual and other symptoms of male menopause is still far from straightforward. “These symptoms that are associated with hypogonadism are not necessarily going to be treated by testosterone therapy,” pointed out Dr Natan Bar-Chama, president of male reproductive medicine and an associate professor of urology at Mount Sinai Medical Center in New York City. “We know very well that erectile dysfunction is complicated.