Times change and people change. Baby-boomers are
resisting the effects of aging as no age group ever has before.
People are living longer and expect far more from the "golden"
years than did their parents. Men are now freer to discuss their
sexual performance problems with their doctors, wives and friends
without fear of being ridiculed or ignored. New treatments introduced
over the last few years have also made doctors more willing to bring
up the subject of Andropause and its symptoms with their patients.
Click on the Articles to the right for more information
"of a certain age" who are feeling less than their best
should talk with their doctors about their symptoms. A complete
medical examination that includes laboratory tests can determine
if there are imbalances in male hormones. If low DHEA or testosterone
is the cause of their symptoms, men will not have to wait long to
feel benefits of treatment.
Top 10 Signs of Andropause - the male menopause:
• Sleep problems
• Diminished libido
• Erectile problems
• Muscle loss • Weight gain
• Memory loss
• Thinning hair
• Decreased bone density
loss of a sense of well being -- 82%
Joint aches and stiffness of hands -- 60%
Hot flashes, sleep disturbances -- 50%
Depression -- 70%
Irritability and anger -- 60%
Reduced libido -- 80%
Reduced potency -- 80%
Changes in hair growth and skin quality
familiar..... for women at midlife.....
it is the same condition because
the relationship between the ovaries,
estrogen, the brain, and the pituitary
are exactly the same as the relationship
between the testis, testosterone,
the brain, and the pituitary. Acute
andropause in men is relatively uncommon,
compared to acute menopause in women,
because testicular function declines
gradually in most men.
it occurs gradually it is often confused with male midlife psychological
adjustment disorders because it exactly mimics depression in midlife
men. Male hormones decline gradually. Testosterone (from the testis),
human growth hormone (from the pituitary), and DHEA and androstenedione
(from the adrenal gland) all begin to drop. For many men, this does
not occur until their 60s or 70s but there are many instances where
it occurs much earlier. In addition, there is proteins in the blood
which bind testosterone in a biologically inactive form. These are
called sex human binding proteins or globulins. Their levels can
rise in response to many conditions including medical disorders
and exposure to other hormones including phytoestrogens (estrogens
derived from plant sources such as soy) and other environmental
estrogen -like compounds (pesticides, hormones used in agribusiness
to produce fatter animals, etc.) As an example, there is some data
suggesting that men on low fat or vegetarian diets have lower testosterone
levels. The overall effect of rising sex hormone binding proteins
is that there is less bio-available testosterone.
evidence is out this Syndrome Does Exists
men need to disassociate their ego from their testicles. Men need
to realize and accept that this disorder exists, that it is a simple
endocrine problem which is no different than thyroid disease or
diabetes, and that it can be treated. Spouses and employers also
need to be aware that this is real so they can identify these men
at risk early before their work, home, and families are disrupted.
Perhaps, more important, physicians, psychologists, and other health
providers need to be taught about this condition. The current paradigm
in medicine is that there is no biological basis for behavioral
changes in midlife men so it is ignored. But the diagnosis is quite
simple--namely measuring either free testosterone blood levels.
ANDROGEN LEVELS mean range
Free testosterone -- men 700 ng/dl 300-1100
Free testosterone -- women 40 ng/dl 15-70
Free Androgen Index 70-100%
a free androgen index less than 50% , symptoms of Andropause appears.
Of course, good medical care dictates that a comprehensive medical
and psychological assessment along with a thorough laboratory assessment
gradual decline, most often fully realized between the ages of 50
and 55, can produce a variety of changes and effects on the male
dysfunction (problems with erections)
Decreased libido (low sex drive)
Mood disturbances, including depression, irritability and feeling
Loss of muscle size and strength
Osteoporosis (bone thinning)
Increased body fat
Difficulty with concentration and memory loss
Menopause or Andropause?
This syndrome has been nicknamed ADAM, which stands for androgen
deficiency of the aging male. It differs most markedly from female
menopause in the speed with which the symptoms occur. In women,
the menopause (which means the ceasing of menses or periods) is
a universal and comparatively sudden change. In men, the change
is much more gradual and difficult to pinpoint. This difference
suggests that referring to the syndrome in men as "male menopause"
is not accurate and we prefer the term andropause.
Shocking as it may be to some men, male menopause, or andropause,
is becoming more widely recognized and accepted by physicians for
the changes many middle-aged men experience — from energy
loss to depression to loss of libido to sexual dysfunction.
changes that andropause wreaks in aging men may seem like they are
going through a "mid life crisis". They have a far reaching
impacting on middle aged men in the areas of "hormonal, psychological,
interpersonal, social, sexual and spiritual areas."
is characterized by a loss of DHEA or testosterone — the hormones
that make a man a man. Most men see testosterone levels drop as
they age. However, some men are impacted more than others are. Dr.
Rispoli says that as many as 25 million American males between ages
40 and 55 are experiencing some degree of male menopause today.
Andropause can be very insidious," explains
Dr. Rispoli, a Nutritionist who specializes
in Anti-aging and natural hormone balancing.
The loss of testosterone, which can
happen to men as young as 35, is gradual,
with testosterone levels dropping just
1 percent to 1.5 percent annually.
Unlike the precipitous loss of estrogen
that women hitting menopause face,
the gradual loss of testosterone may
take years to exact its mark on men
with a host of symptoms not unlike
changes menopausal women experience.
Are The Hallmark signs of Andropause?
Irritability, fatigue, depression, reduced libido and erection problems.
"I had no desire for my wife and felt depressed with no energy.
I almost ruined my marriage because I thought A younger woman could
awaken me sexually. I was wrong" said the 58-year-old handyman,
who discovered via a blood test nearly four years ago that his DHEA
levels and testosterone levels were low. The test literally saved
his marriage and a lot of embarrassment!
men suffering from the symptoms of Andropause are treated for a
specific medical condition. And therein lies the problem, says Rispoli.
For example, an Andropausal male may be diagnosed with depression
and prescribed an antidepressant, and both doctor and patient think
the man's problem has been addressed. However, if that man has other
symptoms of male menopause such as loss of libido, the antidepressant
will only exaggerate that problem.
holistic approach vs Conventional Therapy
advocates a more holistic approach
to Andropause, to address all of
the symptoms. This may include holistic
counseling, herbs, diet and exercise.
Natural Hormone replacement and hormone
precursors are often all that is
needed without the nasty side effects
and risks of synthetic hormone replacement.
and Cons of Testosterone Replacement
replacement therapy is the primary means of treating men with declining
levels of testosterone, and this is still a controversial area.
"What are the problems faced and can they be treated with testosterone?
That's where the question lies," Dr. Rispoli says.
where testosterone replacement therapy is advised, Rispoli says,
include men with clear bone density loss, which can lead to osteoporosis
and decreased height, and in treating sexual dysfunction in cases
where Viagra or other often prescribed remedies don't work. Another
area of possible benefits of testosterone therapy may be in cases
to maintain body composition and muscle — for instance, in
patients fighting cancer.
say that men considering testosterone replacement therapy—whether
by injection, patches, cream, gel or oral form—should get
their PSA levels checked as testosterone replacement therapy could
increase the risk of prostate cancer. (A PSA blood test identifies
a man's risk for prostate cancer.) Other risks associated with hormone
supplementation, particularly with injections, include the risk
of stroke, an increase in liver toxicity and breast development.
Ironically, testosterone supplementation also shuts down the production
of sperm, Werner says.
Rispoli also advises her male clients suffering from the symptoms
of Andropause to cut out alcohol from their diet and increase exercise.
The aromatase enzyme is also turned on by alcohol and fat, so men
with declining levels of testosterone are particularly vulnerable.
help increase testosterone production, Rispoli, Founder of Complete
Health in Agoura California suggests men take zinc and vitamins
C and E. Rispoli also suggests herbs, such as muira puama, and L-arginine
to increase a man's libido.
of libido, for example, can be treated with the vasodilator ginkgo
biloba, suggests Rispoli. For men hitting midlife, Rispoli recommends,
eating soy products, lower fat foods, cruciferous vegetables and
tomato products, the last of which can reduce the risk of prostate
cancer. Drinking plenty of water is a key component for healthy
Rispoli does a blood screen for all her male patients older than
age 50 to check their hormone levels.
hormones do we test?
Testicular Hormones - What makes you a man
• Testosterone - The total amount in your system, including
how much is actively available to your body
• Dihydrotestosterone - The total amount of used testosterone
in your body
• Estrogen - To make sure it’s not too high
• PSA - Prostate specific antigens – your prostrate
Adrenal Hormones - Your immune system, your energy level, and your
ability to handle stress
• Cortisol – the stress hormone
• DHEA – the “mother of all hormones”
Thyroid Hormones - Your metabolism
• TSH – Thyroid Stimulating Hormone
Your Body's System
• Prolactin and Luteinizing hormone
• Complete blood count, complete metabolic profile, Hemoglobin
A1C, Insulin and Lipid Panel
• Zinc and Vitamin D
Other Hormone Tests - The physician may suggest other tests for
Rispoli Founder of Complete Health in Agoura Hills, has a Ph.D.
in Nutrition and has been in clinical practice for 25 years. To
contact her for an appointment call (818) 707-3126.
to set up a nutritional consultation so that tests can be performed
and a comprehensive strategy of lifestyle, dietary modification
and nutrient supplementation can be implemented to aid you in reversing
Rispoli has her Ph.D. in Nutrition,
is a licensed Acupuncturist and
clinical researcher. She has been
in practice for well over 25 years.
It is through her clinical practice
that she has gained insights into
chronic health conditions. If
you are suffering from unexplained
symptoms that come and go you owe
it to yourself to find out why.
Find out today call for a Nutritional
Consultation with Dr. Rispoli.
happiness is a reflection of
your health call today For
an appointment, contact her office
at (800) 956-7083 or (818) 707-3125.
We also offer Functional Laboratory
tests that can be done through
the mail in the privacy of your
home to help determine why you
are having these symptoms. For
more information on these click
on lab tests.
The information herein is not intended
as diagnosis, treatment or a cure.
Should you have a medical condition
please seek the advice of your medical