Introduction to Andropause
As coaching psychologist James Davis neared the big 5-0, he found himself burning out faster than candles on a birthday cake. “It was actually my wife, Claire, that noticed I was becoming more withdrawn, that I was struggling more than normal to focus, that I was lacking get-up-and-go,” Davis, who lives in the UK, told The Post. “I checked in with myself and actually I realized I felt low, a little apathetic, like life had gone a bit flat and that I was struggling for motivation and direction with work.” Davis discovered that he was going through andropause, also known as “male menopause” or “manopause.”
Understanding Andropause
While menopause is a well-defined and universal experience that marks the end of a woman’s fertility, andropause is more ambiguous and subtle — and it doesn’t affect all men. “‘Andropause’ is a convenient term that the public may use because many people already are familiar with the term ‘menopause,’ ” Dr. William T. Berg, an assistant professor of urology at Stony Brook Medicine, told The Post. “Generally, [it’s] the age-related decline in serum testosterone levels associated with clinical symptoms such as fatigue, decreased libido, concentration issues, depressed mood, poor sleep.” Andropause is believed to affect 40% of men older than 45 and half of men in their 80s, though it’s often underreported.
The Impact of Andropause
Societal pressure and the fear of being perceived as weak may prevent men from seeking medical help or even acknowledging their struggles. Take it from the pros — don’t ignore the warning signs. Here’s how to fight to get your mojo back. UK coach James Davis noticed andropause symptoms before he turned 50. James Davis
Inside the Decline of Testosterone
Andropause starts where everything does — in your cells. Leydig cells in the testes utilize cholesterol to produce testosterone, which is the primary male sex hormone. TV show host, model and actor Israel Cassol recognized the red flags of low testosterone before he turned 40. Israel Cassol Leydig cell function declines with age, causing a gradual decrease in testosterone levels that usually starts around age 30. Dwindling testosterone can also be blamed on excess body fat, which boosts the conversion of testosterone to estrogen, and chronic conditions, like diabetes and liver disease, that suppress testosterone production.
How Testosterone Therapy Works
“Once [andropause] has developed it is considered a permanent state,” said Berg, director of Stony Brook Urology’s Men’s Health Program. The good news is that losing that spare tire and hitting the gym can naturally increase testosterone levels. Unfortunately, lifestyle changes may not be enough, making testosterone therapy necessary. “The goal of therapy is to achieve testosterone levels of 450 to 600 ng/dL with resolution of symptoms,” Berg said. “It is typically treated with exogenous testosterone formulations that include shots, pills, topical gels or creams, a nasal gel or pellets inserted under the skin.” Cassol, who is based in London, said he’s explored hormone therapy under medical supervision. Now, Cassol raises awareness about andropause by highlighting his own experience. Israel Cassol
Focusing on Mind, Body, and Spirit
Like Cassol, Davis overhauled his diet. He cut sugar, alcohol and processed foods in favor of lean protein, more water and supplements such as vitamins C and D3, zinc, magnesium, omega-3 oils and ashwagandha. Davis visits companies to educate men about andropause. Plus, he wrote a book on the subject. James Davis Long cardio workouts were shelved for short bursts of high-intensity interval training. Heavier weights, fewer reps became the mantra. Davis also tightened his schedule, prioritizing rest days and eight-hour slumber while concentrating on nourishing his soul. “One element that’s overlooked is how your emotions and psychology can be affected by lower T levels,” he said. “I knew I’d been feeling low, so I leaned into positive psychology techniques such as daily gratitude, future-self visualization, setting goals and getting out of my comfort zone.”
Conclusion
Andropause, or “male menopause,” is a condition that affects many men as they age, causing a decline in testosterone levels and associated symptoms such as fatigue, decreased libido, and concentration issues. While it can be a challenging condition to navigate, there are ways to manage its symptoms and regain one’s energy and motivation. By understanding the causes of andropause, seeking medical help when necessary, and making lifestyle changes such as overhauling one’s diet and exercise routine, men can take control of their health and well-being. As Davis and Cassol’s stories show, it is possible to come out stronger than ever after experiencing andropause.
FAQs
Q: What is andropause?
A: Andropause, also known as “male menopause,” is a condition that affects men as they age, causing a decline in testosterone levels and associated symptoms such as fatigue, decreased libido, and concentration issues.
Q: What are the symptoms of andropause?
A: The symptoms of andropause include fatigue, decreased libido, concentration issues, depressed mood, and poor sleep.
Q: How is andropause diagnosed?
A: Andropause is diagnosed by a testosterone level below 300 nanograms per deciliter and associated symptoms of testosterone deficiency.
Q: What are the treatment options for andropause?
A: Treatment options for andropause include lifestyle changes such as diet and exercise, as well as testosterone therapy.
Q: Can andropause be prevented?
A: While andropause cannot be completely prevented, making healthy lifestyle choices such as maintaining a healthy weight, exercising regularly, and eating a balanced diet can help reduce the risk of developing the condition.
