ANDROPAUSE THE MALE EQUIVALENT OF MENOPAUSE, OR IS IT REALLY?
Many people think that menopause in women and andropause in men are equivalent processes. It turns out
Treatment of andropause
At Vedi Clinic, we encourage all men aged 40+ to consult with our specialists to diagnose andropause and begin appropriate treatment. Let's take care of our health so that we can enjoy life to the fullest and remain active at every stage of adulthood. Appropriate treatment provides an improvement in overall wellbeing, energy, sexual performance and function, a reduction in the risk of cardiovascular disease, an increase in muscle mass and improved physical performance, helping to prevent many diseases associated with low testosterone levels, such as osteoporosis, type 2 diabetes and obesity. Often, testosterone deficiency results in a negative mood, causing feelings of fatigue, irritability and depression. Treatment for andropause can help not only to improve erections but also to balance mood and improve emotional wellbeing.
Consult with our andropause treatment specialists:
- Urologist Anna Bonder-Nowicka, MD
- Endocrinologist Elżbieta Deptuła-Krawczyk, MD
- Prof. dr hab. n. med. sexologist Józef Haczyński
- Urologist, andrologist Piotr Dzigowski
- Urologist, andrologist Paweł Pudełko
Worth knowing:
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| mon.: | 8 am - 8 pm |
| tue.: | 8 am - 8 pm |
| wed.: | 8 am - 8 pm |
| thu.: | 8 am - 8 pm |
| fri.: | 8 am - 8 pm |
| sat.: | Closed |
| sun.: | Closed |
Treatment of andropause
Andropause, also known as testosterone deficiency, is a natural ageing process in men in which testosterone production gradually declines. Unlike menopause in women, andropause is not a sharply defined moment in a man's life and the process can take several years. Also, clinical symptoms may appear with varying intensity.
Andropause can occur in men at different ages, but usually starts after the age of 40 and progresses gradually with age. However, in some men, particularly those who are overweight or obese, testosterone levels may start to decline earlier, such as at the age of 30-35.
Meet our experts
Dr Elżbieta Deptuła-Krawczyk
endocrinologist
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Prof. Józef Haczynski, MD, PhD
sexologist, internist
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Dr Piotr Dzigowski
urologist, andrologist
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Dr Paweł Pudełko
urologist, andrologist
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What is the course of treatment?
Treatment of andropause depends on the severity of the individual symptoms and the cause of the decrease in testosterone. In some cases, lifestyle changes, altering diet, increasing physical activity and maintaining a healthy body weight can help reduce the symptoms of andropause.
In cases where symptoms are more severe or related to testosterone secretion disorders, the doctor may recommend testosterone replacement therapy. This therapy can be administered as a skin gel, patch, tablet or injection and is designed to externally supply the testosterone missing from the body. Usually, before deciding on testosterone replacement therapy, the doctor will carry out diagnostic tests to rule out other diseases or factors that may be causing the symptoms present.
It is also important that a patient who may have symptoms suggestive of andropause does not start treatment on his own with testosterone preparations, dietary supplements or other 'miracle preparations' often advertised on the internet, but seeks advice from a specialist andrologist, sexologist or endocrinologist. Once a diagnosis has been made and a treatment regimen established, it is advisable to visit the doctor regularly to monitor the progress of the treatment and to modify the dose or change the medication if necessary.
Price-list
| Consultation with a sexologist | 390 PLN |
| Consultation with an urologist/andrologist | 350 PLN |
| Qualifying consultation for LSWT therapy | 350 PLN |
| Urinary tract ultrasound with evaluation of backflow | 260 PLN |
| Ultrasound of the testicles/ scrotum | 260 PLN |
| Tissue-structure ultrasound of the penis | 350 PLN |
| Penile Doppler ultrasound with consultation | 800 PLN |
| Transrectal urological ultrasound | 260 PLN |
| STORZ therapy – 1 treatment | 700 PLN |
| STORZ therapy – a package of 4 treatments | 2 400 PLN |
| RENOVA therapy – treatment of impotence – 1 treatment | 800 PLN |
| RENOVA therapy – treatment of impotence – a package of 4 treatments | 2 800 PLN |
Patients' opinions
Q&A
Some common symptoms of age-related decrease in the secretion of male sex hormones (andropause) are:
- reduced libido (desire and willingness to engage in sexual activity),
- often accompanied by erectile dysfunction (rigidity of the penis) and premature ejaculation may also occur,
- decrease in vital energy,
- reduction in muscle mass and strength,
- mood swings, tearfulness, explosiveness,
- excessive sweating,
- hot flashes,
- sleep disturbances and oversleeping after meals, need for an afternoon nap,
- the possibility of depression,
- increased body weight, leading to overweight or obesity, the emergence of insulin resistance,
- at a later age also a decrease in bone mass, leading to osteoporosis.
Sometimes the above symptoms occur singly or with varying degrees of severity and can sometimes pose diagnostic problems. Although the symptoms of andropause can be very distressing and not understood by many men, they can be alleviated through lifestyle changes - exercise, a healthy diet or, if necessary, through pharmacotherapy, with consideration of testosterone replacement therapy.
It is worth noting that not all older men experience symptoms of andropause and not all men who experience the symptoms listed above definitely have low testosterone levels. It is important that men who observe andropause symptoms or other distressing symptoms in themselves consult their doctor to determine the cause and develop an appropriate treatment plan, if necessary. Self-medication should absolutely be avoided, often with drugs or preparations from an unknown source that are sold on the internet or found outside the pharmacy trade.
Andropause, the decline in testosterone levels in men as they age, can result from a number of overlapping causes, including:
- Ageing of the body - A decrease in testosterone is a natural, age-related process. As the years pass, the male testicles produce less and less testosterone.
- Endocrine disruption - certain diseases, such as thyroid disease or pituitary disease, can lead to hormonal disturbances and a drop in testosterone levels.
- Unhealthy lifestyle - Smoking, excessive alcohol consumption, no or little physical activity and poor diet can all contribute to reduced testosterone levels.
- Certain drugs - such as, for example, selected agents that affect blood pressure or certain antidepressants, may also have an effect on testosterone concentrations in the body.
- Certain comorbidities - such as, for example, diabetes, atherosclerosis, heart disease and kidney disease or abdominal obesity can contribute to lower testosterone levels.
- Certain surgical procedures or injuries - such as testicular hydrops, testicular tumours, testicular removal or injuries that affect the testicles can also affect testosterone levels.
Andropause - also known as testosterone deficiency in men - is a natural process of male ageing in which testosterone production gradually declines. Unlike menopause in women, andropause is not a sharply defined moment in a man's life, and the process can take several years. Also, clinical symptoms may appear in a man with varying intensity. Andropause can occur in men at different ages, but usually starts after the age of 40 and progresses gradually with age. However, in some men, especially those who are overweight or obese, testosterone levels may start to decline earlier, such as at the age of 30-35.
Most men experience a gradual decline in testosterone levels of around 1% per year from the age of 30. However, for some men, the decline may be more significant and more rapid, leading to symptoms of andropause such as decreased libido, erectile problems, concentration and memory problems, decreased muscle mass and strength, decreased bone density, and increased risk of heart disease and diabetes. In any case, if a man notices symptoms that suggest a testosterone deficiency, he should consult his doctor, who will make an appropriate diagnosis and suggest appropriate treatment.
Andropause is a natural process - and while the process itself cannot be prevented, there are ways to slow it down for the individual patient. They can also help to maintain good health, get fitter and improve quality of life. These include:
- Healthy diet - A healthy diet can help to maintain a healthy weight and also provide the body with essential nutrients.
- Physical activity - Regular physical activity can help to maintain muscle mass and strength, as well as helping to maintain higher testosterone levels.
- Adequate sleep - Sufficient sleep duration and good sleep quality, without frequent awakenings during the night, is important for overall health and well-being.
- Stress reduction - Stress, especially chronic stress, can negatively affect a man's health, so it is worth looking for ways to help combat stress or reduce its intensity and negative consequences, such as meditation, yoga or aromatherapy, developing hobbies and interests, relaxation, body massage.
- Avoiding alcohol and cigarettes - Excessive alcohol consumption and cigarette smoking (including the popular electronic cigarettes or so-called iqos) can adversely affect a man's health and should therefore be eliminated completely.
- Regular medical examinations - Regular visits to the doctor can help detect diseases and conditions that may affect a man's health, including andropause.
In any case, it is best to consult your doctor, who will help you choose the right methods to prevent andropause and maintain good health during its onset.
Why is it worth to sign up for a consultation at Vedi Clinic?
- We offer comprehensive diagnostics to detect all symptoms and exclude other diseases of similar origin.
- The doctor selects the treatment method on a case-by-case basis, taking into account the patient's situation and accompanying symptoms.
- The treatment method we use - LSWT therapy - is completely safe for the patient, unlike the 'do-it-yourself' treatments offered on the internet.