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ANDROPAUSE

IT CAN BE
TREATED

            Andropause is
            sometimes referred to
            as male menopause.
WHAT IS ANDROPAUSE?




You’re experiencing low sex drive, your energy level
isn’t up to par and your strength isn’t what it was. These
are conditions that may occur in any man as we get
older, but they’re also often related to a drop in
hormone production. And that’s what andropause is all
about.
MORE ABOUT ANDROPAUSE
• It’s been known for a long time that levels of male
  hormones produced in the testes drop as men get
  older.

• Lately more attention is being paid to what this
  means clinically.

• Men used to shrug it off as an expected part of the
  aging process. However, physicians are now
  discovering medical solutions to address these
  symptoms of andropause.

• Many men get into a very poor cycle – they are tired,
  and don’t have energy to exercise. This often leads
  to increased weight gain, difficulty sleeping, and
  more exhaustion. This vicious cycle can be very hard
  to reverse.
SYMPTOMS OF ANDROPAUSE
    Andropause is not a sudden condition; it
      usually creeps up on you gradually.

Andropause symptoms include:

• Low sex drive and erections not as strong as they
  were. Nocturnal erections don’t happen as often.

• Mood changes, irritability or depression

• Low energy levels
SYMPTOMS OF ANDROPAUSE - CONT
  • Insomnia or other sleep difficulties

  • Lean body mass reduces along with muscle and
    mass strength.

  • An increase in belly fat

  • Bone density decreases resulting in osteoporosis,
    which can lead to the occurrence of bone fractures
    and breaks.
ANDROPAUSE EFFECTS MEN
   IN DIFFERENT WAYS




Some men get two or three of the symptoms, others
      may experience most or all of them.
DO I HAVE ANDROPAUSE?

           One of the best and
           simplest ways to find
           out if you might have
           andropause – and may
           want to consider
           speaking to a doctor
           about your symptoms –
           is by taking the
           ADAM Questionnaire.
ADAM QUESTIONNAIRE
     Androgen Decline in Aging Males
Take the ADAM Questionnaire by clicking here.
ANDROPAUSE DIAGNOSIS

• To diagnose andropause, a blood test is necessary for
  measuring testosterone levels.

• While it’s true that decreased testosterone levels are a
  factor, other issues may weigh in.

• For instance, more sex hormone-binding globulin
  (SHBG) may limit testosterone from traveling out of the
  bloodstream to the tissues.

• Other hormone problems may cause less testosterone
  production or may mimic low testosterone symptoms.
ANDROPAUSE DIAGNOSIS – CONT.
 A few issues you should be aware of:

 • The definition of low testosterone varies.

 • It is usually impossible to compare your current levels
   to the ones you had earlier, because testosterone is
   usually not measured in younger men.

 • It’s important to measure your testosterone levels
   more than once, as the levels can vary even within
   the same hour.

 • There is no one “right” level of testosterone for all
   men.
ANDROPAUSE TREATMENT
   Once andropause is diagnosed, andropause treatment
             is often very easy and effective.

The goal is to reduce the andropause symptoms:

• Improve sexual functioning

• Increase libido

• Increase energy level, mental functions and sense of well-
  being

• Improve muscle strength and reduce body fat

• Prevent or reverse osteoporosis by optimizing bone density
TESTOSTERONE REPLACEMENT
          THERAPY
• Testosterone replacement therapy is often a very effective
  way to get your normal level of testosterone back.

• There are a number of ways to treat andropause with
  testosterone therapy.

• These methods include injections, long-acting slow release
  pellets and transdermal (through the skin) patches and
  gels.

• All of these are FDA approved.
WHAT’S THE NEXT STEP?

If you feel you may have andropause,
     take the ADAM Questionnaire

     For more information or to make an appointment,
     please contact Dr. Michael A. Werner's office at:

           Manhattan Office: (646) 380-2700
           Westchester Office: (914) 997-4100
           Connecticut Office: (203) 682-6530
              Email: info@wernermd.com

             www.andropausespecialist.com

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What is Andropause?

  • 1. ANDROPAUSE IT CAN BE TREATED Andropause is sometimes referred to as male menopause.
  • 2. WHAT IS ANDROPAUSE? You’re experiencing low sex drive, your energy level isn’t up to par and your strength isn’t what it was. These are conditions that may occur in any man as we get older, but they’re also often related to a drop in hormone production. And that’s what andropause is all about.
  • 3. MORE ABOUT ANDROPAUSE • It’s been known for a long time that levels of male hormones produced in the testes drop as men get older. • Lately more attention is being paid to what this means clinically. • Men used to shrug it off as an expected part of the aging process. However, physicians are now discovering medical solutions to address these symptoms of andropause. • Many men get into a very poor cycle – they are tired, and don’t have energy to exercise. This often leads to increased weight gain, difficulty sleeping, and more exhaustion. This vicious cycle can be very hard to reverse.
  • 4. SYMPTOMS OF ANDROPAUSE Andropause is not a sudden condition; it usually creeps up on you gradually. Andropause symptoms include: • Low sex drive and erections not as strong as they were. Nocturnal erections don’t happen as often. • Mood changes, irritability or depression • Low energy levels
  • 5. SYMPTOMS OF ANDROPAUSE - CONT • Insomnia or other sleep difficulties • Lean body mass reduces along with muscle and mass strength. • An increase in belly fat • Bone density decreases resulting in osteoporosis, which can lead to the occurrence of bone fractures and breaks.
  • 6. ANDROPAUSE EFFECTS MEN IN DIFFERENT WAYS Some men get two or three of the symptoms, others may experience most or all of them.
  • 7. DO I HAVE ANDROPAUSE? One of the best and simplest ways to find out if you might have andropause – and may want to consider speaking to a doctor about your symptoms – is by taking the ADAM Questionnaire.
  • 8. ADAM QUESTIONNAIRE Androgen Decline in Aging Males Take the ADAM Questionnaire by clicking here.
  • 9. ANDROPAUSE DIAGNOSIS • To diagnose andropause, a blood test is necessary for measuring testosterone levels. • While it’s true that decreased testosterone levels are a factor, other issues may weigh in. • For instance, more sex hormone-binding globulin (SHBG) may limit testosterone from traveling out of the bloodstream to the tissues. • Other hormone problems may cause less testosterone production or may mimic low testosterone symptoms.
  • 10. ANDROPAUSE DIAGNOSIS – CONT. A few issues you should be aware of: • The definition of low testosterone varies. • It is usually impossible to compare your current levels to the ones you had earlier, because testosterone is usually not measured in younger men. • It’s important to measure your testosterone levels more than once, as the levels can vary even within the same hour. • There is no one “right” level of testosterone for all men.
  • 11. ANDROPAUSE TREATMENT Once andropause is diagnosed, andropause treatment is often very easy and effective. The goal is to reduce the andropause symptoms: • Improve sexual functioning • Increase libido • Increase energy level, mental functions and sense of well- being • Improve muscle strength and reduce body fat • Prevent or reverse osteoporosis by optimizing bone density
  • 12. TESTOSTERONE REPLACEMENT THERAPY • Testosterone replacement therapy is often a very effective way to get your normal level of testosterone back. • There are a number of ways to treat andropause with testosterone therapy. • These methods include injections, long-acting slow release pellets and transdermal (through the skin) patches and gels. • All of these are FDA approved.
  • 13. WHAT’S THE NEXT STEP? If you feel you may have andropause, take the ADAM Questionnaire For more information or to make an appointment, please contact Dr. Michael A. Werner's office at: Manhattan Office: (646) 380-2700 Westchester Office: (914) 997-4100 Connecticut Office: (203) 682-6530 Email: info@wernermd.com www.andropausespecialist.com