Management of Male Menopause

The management of Male menopause should include lifestyle modification, weight loss and diet change if needed. Other diseases and conditions should also be adequately treated and controlled as they could be contributing to the lowered testosterone. Specific treatment, like supplementation with testosterone could be of benefit to some men but should always be combined with lifestyle modifications. Psychiatric and psychological issues should not be disregarded.

testosterone therapy

Testosterone injection, skin cream and gel

  • Testosterone Replacement Therapy
  • If the patient’s blood results show that a decreased level of testosterone is present and the patient is experiencing symptoms of inadequate testosterone, testosterone replacement therapy (also called androgen replacement therapy) is the treatment of choice. It is usually administered by either injection, testosterone skin creams or gels. The injection, depending on the deficiency is administered every 2-3 weeks intramuscularly. The testosterone patch is usually applied daily to the scrotum. Testosterone gels are applied daily to the shoulders and upper arms. Muco-adhesive material is also available which is applied twice daily to the gums. The medication is then absorbed into the bloodstream through the gums. Testosterone does have adverse effects on some patients so the medical professional treating the patient should weigh up the risks versus the benefits of testosterone therapy.

    There are many products on the market, labeled as oral testosterone, some even claim to be natural. It is best not to try any of these tablets before discussing it with a medical professional as most oral testosterone is not adequately absorbed and can cause severe side-effects like liver dysfunction.

    Testosterone Replacement therapy for treating male menopause is still a much debated subject. Testosterone can definitely be dangerous if not used properly but it can also be a very effective form of treatment. If testosterone is in the lower limits of normal, it is generally recommended to first try boosting testosterone with diet, exercise and lifestyle before using testosterone replacement therapy.

    healthy diet

    Healthy diet

  • Diet
  • Weight loss and a healthy diet are very important in the management of male menopause. If the patient is unsure of what he should eat, a dietician can be useful.
    Alcohol should be avoided as far as possible because it not only makes the man fat but also contributes to lower testosterone levels when used in high quantities. The patient should strive for a balanced diet that includes fresh fruit and vegetables.
    Eating meat, dairy, fruit and vegetables which are organically produced could be of benefit. Processed foods and foods containing lots of artificial chemicals should be avoided. The patient should not start consuming excessive amount of protein unless he is sure that the meat he is eating is free of hormones. The key to diet change should be to obtain and maintain the patient’s goal weight. This diet should be sustainable, so fashionable “crash diets” should be avoided.

    physical activity

    At least 30 min of daily exercise is encouraged

  • Exercise
  • At least 30 minutes of daily exercise is encouraged. The patients exercise program should consist of adequate cardiovascular exercise like walking, swimming or cycling. It should also include weight training to build muscle which will not only help with losing fat but will also increase testosterone levels. A physiotherapist or qualified personal trainer can help direct the patient to what exercises to do to achieve his goals. It is important to start gradually to prevent injury.

    stress management

    Techniques for managing stress

  • Lifestyle changes
  • Along with diet and exercise, lifestyle changes should include limiting stressful situations, participating in relaxing activities and leading a balanced life. If the patient is under severe stress, the reasons for stress should be evaluated and the patient should strongly consider making positive changes. This could also include techniques for managing stress better. The lifestyle change that needs to be made is unique for every patient. Involving a multi-disciplinary team in the patient’s management could be beneficial.

  • Psychologist
  • Depending on the presentation of the patient, prominent mood symptoms and stress can benefit from the patient having a few sessions with a qualified clinical psychologist. After psychological evaluation the psychologist could recommend further medical treatment if needed.

  • Optimal control of co-morbid diseases
  • If the patient suffers from any additional diseases, such as hypertension or diabetes; these should be adequately treated and controlled with medication and lifestyle modification.

Many men are affected by the symptoms of male menopause. Some men feel it is a sign of weakness to complain about the symptoms they experience. If these symptoms are not investigated and managed, it could lead to prolonged suffering and a gradual worsening of the patient’s condition. A healthy lifestyle and early detection of symptoms can help the patient to live a more enjoyable life.