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Men’s Health

Hormone Replacement Therapy for Men

Men also experience diminishing hormone levels that parallel the changes women experience during menopause. For many men, lowered testosterone levels occur in a slower decline, with symptoms developing over a period of time.

Symptoms of testosterone deficiency affect approximately 1 in 200 men and may include:
• Weakness
• Fatigue
• Reduced libido
• Osteoporosis

This condition is commonly referred to as "Andropause" and less often as "Androgen Deficiency in the Aging Male" (ADAM).

A man may be considered hypogonadal at any age if total testosterone is less than 200 ng/dl, or bioavailable testosterone is less than 60 ng/dl. Basaria and Dobs of Johns Hopkins University recommend that elderly men with symptoms of hypogonadism and a total testosterone level < 300 ng/dl should be started on hormone replacement.

Goals and Therapy

Goals of Testosterone Replacement Therapy in Adult Hypogonadal Men (age 50 or older)
• Improvement in psychological well-being and mood
• Improvement in erectile dysfunction
• Improvement in libido
• Increased muscle mass
• Increased strength and stature
• Preservation of bone mass
• Possible decrease in cardiovascular risk