Friday, June 25, 2010

Can men go through 'the change' too?

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Can Men Go Through 'The Change' Too?

Dear Reader,

It's a topic that's passed around the room like a hot potato: Male Menopause.

In recent years, there's been a lot of discussion as to whether or not the male menopause exists in any real medical sense.

We know for sure that women go through definite physical changes in mid-life: Ovulation stops, hormone levels drop quickly and soon after women are unable to have children. Of course, this doesn't apply to men.

Now it looks as if research has finally proved that the male menopause exists but it only affects 2 per cent of middle- aged men...

What's up doc?

Researchers from the Development and Regenerative Biomedicine Research Group at the University of Manchester, studied the testosterone levels of 3,369 men aged 40 to 79 from eight European centres. The men were also asked questions about their sexual, psychological, and physical health.

Three sexual symptoms - poor morning erection, low levels of sexual desire and erectile dysfunction were linked to low testosterone levels.

Depression, fatigue and an inability to perform sexual activity were also linked to low levels of the hormone.

However, other symptoms commonly cited as an indication that men are going through a "menopause" including changes in sleeping patterns, poor concentration, feeling worthless, and anxiety were found to have no link to low testosterone levels.

Unlike classical hypogonadism (a condition where the testes fail to work properly, affecting hormone levels), where similar symptoms were accompanied by a diagnosable condition, this is not the case with late-onset hypogonadism.

Male menopause or late-onset hypogonadism has also been linked to poor health and obesity.

Hormones and Men over 40

It's clear that there is a lot more at play in determining exactly what causes the male menopause. While there is no refuting the fact that with age, a decline in testosterone levels will occur in virtually all men, there is no way of predicting who will experience symptoms severe enough to seek medical help.

Studies have also shown that the decline in testosterone can put men at risk of other health problems such as heart disease and bone weakness. Declining testosterone levels are linked to a decrease in sexual activity, muscle loss, and reduction in bone minerals. For some men more dramatic hormonal changes signal the presence of other diseases.

Professor Fred Wu, from the University of Manchester's school of biomedicine, who led the study, said that men who are dealing with age-related decline of testosterone are also prone to have a significant background of non-hormone- related complaints. He added that sexual symptoms were relatively common in ageing men - even those with normal testosterone levels. It is therefore important to specify the presence of all the sexual symptoms together with low testosterone, in order to accurately diagnose late-onset hypogonadism.

With regards to this and other previous studies, Dr Ian Banks, president of the Men's Health Forum, said "We need to be very cautious about the prescribing of testosterone therapy, and doctors need to balance the benefits against the risks... This research acknowledges it's a complex issue, and that caution is needed."

Psychological impact of the Male Menopause

The term 'male menopause' is often used because so many men experience mid-life dissatisfaction and difficulties. Menopause is a word some people are using to express, amongst other things, unfulfilled desires and expectations, work dissatisfaction, the loss of passion in personal relationships and the loss of a positive body image as the ravages of time become painfully obvious.

So how can you tell if what you're experiencing really could signal the onset of male menopause?

Symptoms include:

  • Decreased Libido and a loss of sexual passion

  • Erectile dysfunction

  • Decreased bone and muscle mass

  • Depression, nervousness and anxiety

  • Hot flushes and sweats

  • Tiredness and fatigue
  • Lack of concentration and focus

  • Weight gain and inactivity

  • Sleep disturbances



  • Hormonal changes can change your life. If these changes are causing distress and affect your quality of life, discuss some form of treatment with your doctor or natural health practitioner.

    Continues below...
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    Experts who worked on the National Institute for Health and Clinical Excellence (NICE) guidelines say more than 40,000 Britons die every year because of high levels of salt and fat in their diets. This is why they are now pressing for further reductions in salt and saturated fats in food, to help prevent deaths from cardiovascular disease. Better still, they're pressing for an all-out ban on trans fats!

    Professor Simon Capewell, vice-chairman of NICE and a public health doctor, said: "Everyone has the idea that prevention is worthy, but takes decades to be fulfilled... We found evidence from Poland, the Czech Republic and Cuba that changes in diet can lead to results with improved health in two to three years."

    It's not often that we get excited about the work of a national health agency, but this is surely a step in the right direction.

    As an aside, it's worth pointing out that the amount of salt in bread has already gone down by 40 per cent in the past five years... Did you taste the difference?

    Until next time,

    Francois Lubbe
    UK Editor


    P.S. This month's Health Sciences Institute (HSI) newsletter will tell you about the all-natural formula set to succeed against infections where antibiotics have failed. You'll also discover how to give yourself a 74 per cent chance of survival from sudden cardiac arrest. Plus we'll give you full details on how a substance found in broccoli could revolutionise the way we tackle cancer.

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    Sources:

    'Male menopause is 'rare' but it is not a myth' published online 17.06.10, news.bbc.co.uk

    'Research Points to the Rising Symptoms of Male Menopause' by Dr. KC Kelly, published online huliq.com

    'Oh boy, we've got women's troubles: Menopause, breast cancer, osteoporosis - thousands of men suffer from FEMALE ailments' by Jo Waters, published online 22.10.10, dailymail.co.uk

    'NHS watchdog NICE calls for trans-fats ban in foods' by Jane Dreaper, published online 21.06.10, news.bbc.co.uk

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