As a man ages, there is a general decline in
testosterone. Because this decline occur gradually, it goes relatively
unnoticed. Usually changes manifest in middle-aged men, but can begin
for men as early as in their mid-twenties. Since testosterone imbalances
may develop for reasons other than low hormone production, it is
important to diagnose what form of testosterone disparity exists and the
reasons behind it. This syndrome is termed andropause.
It becomes critical to identify the signs and symptoms
of andropause. The following are the most common occurrences:
- Decrease or loss of morning erections - Decrease in libido or sex drive - Difficulty starting, maintaining, or decreased fullness of erection - Muscle loss or soreness - Tendency to depression, mental fatigue, difficulty with concentration - Lack/decrease of initiative and/or physical stamina - Weight gain around the mid-abdomen area - Fat increase around the hips and breast areas
These changes may be accompanied by increases in
cholesterol or triglycerides, increased blood glucose levels and
possible elevation in blood pressure.
One or two of these
changes do not necessarily indicate andropause, but an overview of
decreased vitality and/or sexual function may be good indicators that
this process has started.
Other factors may come into play and
directly impact testosterone physiology. Genetics, autoimmune illness,
enzyme imbalances, and tumors may be part of the picture, but they are
relatively uncommon.
PROGRAM:
History and executive physical
Urinary evaluation via flow rate and bladder ultrasound.
Urologic evaluation to rule out prostate cancer
Diet and exercise counseling
Discussion of blood test
Hormone replacement therapy when appropriate: may include testosterone, growth hormone, thyroid and adrenal replacement.
Cognitive testing
Whole bone density scan
Whole body fat composition
Zerona body contouring
Whole body thermography
Discussion of a program directed to the patient’s specific needs.
