Panopause. During menopause, estrogen levels drop, the ovaries stop producing eggs, and the menstrual period ends. Panopause

 
 During menopause, estrogen levels drop, the ovaries stop producing eggs, and the menstrual period endsPanopause  Andropause, the so-called male menopause, signifies the retreat of the key male hormone testosterone

1:59. Because of the associated risks, long-term therapy is no longer recommended. increased energy levels. Andropause is a condition surrounded by controversies, whether it be through its diagnosis or management. Premature Menopause < 40 years. Another option for early menopause treatments is natural alternative medicine. During the transition into menopause, the body gradually makes less of the hormones estrogen and. Symptoms during menopause include changes to the menstrual cycle, hot flushes, night sweats, muscle and joint aches, tender breasts and emotional changes. “Andropause are the symptoms surrounding low testosterone,” Komer says. Herbs may be used to manage symptoms of menopause including hot flushes, night sweats, mood changes, insomnia (sleeplessness), fatigue, sexual dysfunction and vaginal dryness. It usually starts in your mid-40s, but it can start earlier. Hormone therapy has also been proved to prevent bone loss and reduce fracture in postmenopausal women. Treatment of andropause with testosterone has been recently considered. Most women experience vasomotor symptoms, but menopause affects many other areas of the body, such as urogenital, psychogenic, and cardiovascular. Menopause is when your periods stop due to lower hormone levels. About 13% of women experience this symptom during menopause. People in postmenopause are at increased risk for osteoporosis and heart disease. – Decreased risk of. Low hormone levels after menopause cause vaginal tissues to be thinner or drier. Most women reach menopause between the ages of 45 and 55. Menopause is a natural part of aging, caused by a decline in estrogen production by the ovaries. breast discomfort or swelling. In men, there's a gradual decline in hormone levels. Other symptoms like mood changes and vaginal dryness can take a few months to improve. It is sometimes called "the change of life. Some older men undergo a phenomenon that is similar to menopause in women; it is commonly called andropause. These include hot flashes, changes in mood, and decreased libido. Some people call the time leading up to a woman's last period menopause. Andropause is a common part of aging in older men that affects a multitude of health parameters. Endometriosis can reactivate after menopause, particularly if estrogen levels rise again, such as after starting hormone replacement therapy. infertility. Continue Reading. Andropause results from the natural decrease in testosterone levels that occurs with age. Answer From Tatnai Burnett, M. fatigue. The physiological causes for this phenomenon seem to be multifactorial. However, there hasn’t been enough research to prove the effectiveness of cannabis in treating menopause. The main male reproductive hormone is testosterone. in women aged under 40 years in whom menopause is suspected (see also recommendations on diagnosing and managing premature ovarian insufficiency ). Symptoms associated with andropause include: insulin resistance. Women who have gone through menopause are at even greater risk if they also have any of these health and lifestyle conditions: Diabetes. andropause: [noun] a gradual and highly variable decline in the production of androgenic hormones and especially testosterone in the human male together with its associated effects that is held to occur during and after middle age &mdash; called also#R##N# climacteric, male menopause. Natural remedies for hot flashes may help reduce symptoms and it's important to use them safely. A blood test is the only method to confirm low testosterone. It usually occurs in middle-aged or older men, typically. Andropause, also referred to as male menopause, is a condition characterized by a drop in testosterone levels that some males may experience as a result of aging. The term “male menopause” is inappropriate because there is no interruption or cessation of menses, and “viropause” is inaccurate because there is no loss of virilization. Weight is also a factor in the development of diabetes during the menopausal years. You have a lower risk of breast and ovarian cancer. Some work by speeding up the bone-building process. Usually it is defined as having occurred when a woman has not had a period for 12 consecutive months (for women reaching menopause naturally). Testosterone / therapeutic use. Medications are often used to treat perimenopausal symptoms. Vaginal lubricants (Astroglide, Jo, Sliquid, others), applied. 5 or 3. January 24, 2022. Osteoporosis is a disease that weakens bones, increasing the risk of sudden and unexpected fractures. Symptoms of andropause are depression, irritability. A female executive has said the MeToo movement inspired her to sue her company over a “menopause” jibe. Another disparity is that not every man experiences the ‘male menopause’, nor does it lead to the complete shut down of the male reproductive system. As men get older, the levels of testosterone in their blood often drop. Menopause is a point in time 12 months after a woman's last period. In the months or years leading up to natural menopause, menstrual. Avoid hot flash triggers, such as hot beverages, caffeine, spicy foods, alcohol, stress, hot weather or a warm room. Menopause is the point in a person’s life when their menstrual periods end. Hormone Changes with Age. Menopause officially begins 12 months after a woman’s last period. Menopause that occurs before this age, whether natural or induced, is known as "premature" menopause or premature ovarian insufficiency. irritability. Email to a Friend. “So the term ‘male menopause’ or even ‘andropause’ is a bit of a misnomer. The following topics concerning menopause risks and benefits may be found in the AMS Information Sheets. Menopause symptoms and relief. Unlike with women, however, the male transition into andropause is very gradual. 1, 2023. Early menopause happens when a woman's periods stop before the age of 45. R. Western herbal tradition uses black cohosh in similar ways, specifically. Treatment options for the symptoms of the menopause include lifestyle changes, hormone replacement therapy (HRT) and alternative therapies. We want this website to be your personal guide to a healthy menopause and to serve as a stepping-stone to discussions with your healthcare provider. Most women become menopausal between 45 and 60 years of age — this marks the end of the reproductive stage of their life. In addition to the latest research, we’ve included a “Menopause Self Assessment” that can help you determine if hormone therapy (HT) is a. Zinc (7. Some people call the time leading up to a woman's last period menopause. Menopause is the time in a woman’s life when the ovaries stop working and she stops having menstrual periods for good. It sets the stage for aging and accelerates the process of noncommunicable disorders. improved sexual desire. “I'm really in the thick of perimenopause, so it's quite a roller coaster and my best advice is that. This can increase your risk of bone fractures. Aged, 80 and over. As you get closer to menopause, you may notice other symptoms, such as pain during sex, urinary problems, and irregular periods. But for some, symptoms are severe enough that they need hormonal intervention. Its symptoms are sexual dysfunction, weakness, fatigue, insomnia, loss of motivation, mood disorders and reduction of bone density. ♦ Decreased testicle size. In the years before and during menopause, the levels of female hormones can go up and down. Hormone patches for menopause. You may have to apply the moisturizer every few days. It helps ease some menopausal symptoms, such as hot flashes, night sweats, and vaginal dryness. Durasi dan tingkat keparahan gejala yang timbul bisa berbeda-beda pada tiap wanita. It describes an age-related reduction of testosterone in cisgender males. Menopause, also known as the climacteric, is the time when menstrual periods permanently cease, marking the end of reproduction. Some supplements can interfere with prescription medications or cause problems if you have other health conditions, so talk with a healthcare provider before starting any. Hot flashes. 0. Mood changes. In women, menopause usually occurs over a period of a few months or years, but andropause typically occurs over decades, usually between the ages of 48 and 70. Relax, exhale and measure your waist. “Male menopause” is the more common term for andropause. Andropause is also known as ADAM (Androgen decline in the aging male) . These symptoms may continue after menopause. Menopause causes a sharp decrease in estrogen levels in the body, leading to various changes that can affect body weight, fat distribution, and insulin sensitivity. Either mechanism strengthens. palpitations, when your heartbeats suddenly become more. low testosterone. Some types contain a progestogen hormone as well. Depression or mood swings. For some, it will occur earlier due to a medical condition or. Men at mid-life are just as susceptible to an age-related drop in hormone production as their female counterparts. After menopause, a woman cannot become pregnant, except in rare cases when specialized fertility treatments are used. So much so that the UK government had to appoint a dedicated “menopause tsar” to deal with the resulting shortage of oestrogel, a popular form of HRT, as more and more women seek. Hormone replacement therapy (HRT) is a treatment that can help ease some of the symptoms associated with menopause—the point in time when a person’s menstrual cycle has stopped for 12 straight months and permanently ends. Male menopause less common than thought In describing a set of concrete symptoms for male menopause for the first time, British researchers have also determined that only about 2 percent of men aged 40 to 80 years suffer from. Testosterone is the main male hormone associated with andropause. This is because the root and bark of Eurycoma longifolia are often used orally for dealing with. Management of menopause. ”. Menopause is the time when your menstrual periods stop permanently and you can no longer get pregnant. And yet for many women, menopause becomes. In addition to hot flashes and night sweats,. Menopause is when menstruation stops permanently due to the loss of ovarian follicular activity. The main symptom of male menopause is reduced levels of testosterone, and this can cause many noticeable issues in the body. , abdomen, inner thighs). Although the treatment lowers the risk of bone fractures, it increases the risk of cardiovascular disease (heart and blood vessel problems) and breast cancer. Menopause is a normal part of a woman's life. . Menopause is the time when your menstrual periods stop permanently and you can no longer get pregnant. Hot flushes or night sweats often improve within a few weeks. Menopause happens when the ovaries stop making estrogen. Some medical conditions or. It makes sense that the term is used for guys in their 50s and upwards, since this. Menopause that occurs before the age of 45 and is not medically induced (referred to here as ‘early natural menopause’) affects around one in 10 women and has serious health consequences. During post-menopause, your body learns to function with low hormone levels, and symptoms caused by fluctuating hormones may become less troubling — or disappear altogether. Menopause affects every woman differently; in fact, 50% of women never suffer symptoms such as hot flashes. Chills 5. increased nervousness. 3900798. Andropause, the male menopause, low T regardless of name, the condition is characterized by a number of uncomfortable symptoms, including hot flashes in men, erectile dysfunction, low libido, irritability, muscle loss, and fatigue that are the result of low levels of testosterone. The symptoms associated with this change often appear in a person’s late 40s or early 50s. Menopause is a natural transition in a person’s life. Difficulty concentrating. Female >55 years. Menopause typically begins between ages 40-65 and can be affected by genetics, health, and lifestyle. Andropause (Male Menopause) vs Menopause. For the majority of women who use HRT under the age of 60, and for many beyond that age, the benefits of HRT outweigh any risks but for. After 1 year of having no periods, you've reached menopause. Family history of MI or sudden death in male relative before the age of 55 years or female relative before the age of 65 years. Support liver function. andropause: ( an'drō-pawz ), Decreased function of male gonads with increasing age, analogous to female menopause. Common signs of menopause include the following: Mood swings: Some people will find that hormone fluctuations can create feelings of irritability, anxiety, fatigue, and depressed mood. 1 – 3 It is also associated with dysthymia 4. Women who have gone through menopause have very low estrogen levels. In this study, we aimed to assess the effect of andropause health education on the level of knowledge and attitude of retired men. Weight gain. Menopause is the time when your menstrual periods stop permanently and you can no longer get pregnant. This results in low serum estradiol concentrations and vasomotor symptoms (hot flashes) in. It has the natural ability to dilate the arteries. Premature menopause is different to menopause which occurs at around the. It usually affects women between the ages of 45 and 55, but it can happen earlier. If these levels become low enough, andropause will begin to become a problem. Male menopause refers to changes that males may experience when they reach a certain age. Introduction and objective: With the world's older population continuing to grow, andropause (male menopause or late-onset hypogonadism) is considered as one of the most important issues of this era. For a small number of women menopause occurs earlier. According to Harvard Special Health Report Women's Health: Fifty and Forward, two nonhormonal approaches—lubricants and moistures—have proven to be effective in relieving vaginal symptoms. These changes can raise your risk of type 2 diabetes. While most women reach menopause by 51 or 52, this is an average and varies. late-onse t androgen deficiency. Meno­ refers to your menstrual cycle and pause refers to the cycle stopping. If it happens before you are 40 it's called premature menopause (or premature ovarian insufficiency). Exercise regularly. Signs include fatigue, insomnia, mood changes, and more. 3. Menopause can be a blessing for those with a history of heavy periods and pelvic pain, but it also can be a curse for others with new-onset frequent hot flashes, drenching sweats, sleepless nights, mood swings, vaginal dryness and urinary disturbances. New findings from the Women’s Health Initiative and other studies offer important information about the risks and benefits of long-term menopausal hormone therapy. There was a significant relationship between occupational status and knowledge about andropause (P<0. : If a woman is having symptoms of menopause after a (surgery to remove the uterus) or a hysterectomy with bilateral salpingoophorectomy. This time actually is. However, the rates of many cancers, including breast cancer, do increase with age. The years in a woman's life leading to menopause are a critical time for preventing heart disease, according to a new report that summarizes the latest science on this midlife transition and its connection to cardiovascular risks. Hormone therapy. The term "male menopause" has been used to describe decreasing testosterone levels related to aging. These changes can raise your risk of type 2 diabetes. The average age that women go through menopause is 51 years. Although robust research has yet to strongly. But for some women. Hormone therapy is most often used to treat common menopausal symptoms, including hot flashes and vaginal discomfort. In addition, midlife — when menopause occurs — is a time when women sometimes face multiple sources of stress, including caring for children, dealing with aging parents, and navigating life changes, all of which may contribute to the incidence of depression and anxiety at this age. This. Night sweats 6. Most women experience vasomotor symptoms, but menopause affects many other areas of the body, such as urogenital, psychogenic, and cardiovascular. The time leading up to menopause is. Menopause can also occur if a woman's ovaries are damaged by certain diseases or cancer treatments, or if they are surgically removed. However, many experts consider. For a small number of women menopause occurs earlier. Boosting Testosterone. Signs and Symptoms As you continue to age, it is normal for men to experience physical, sexual, and emotional changes as a result of a decline in testosterone production. In general, HT is associated with fewer than 2 additional harmful events per 1,000 women per year. Or you may not find the symptoms uncomfortable. The Bottom Line: Hormone therapy is an acceptable option for the relatively young (up to age 59 or within 10 years of menopause) and healthy women who are bothered by moderate to severe menopausal symptoms. Research indicates that up to 20% of bone loss can happen during these stages and. On average, there is a one percent annual decline in testosterone levels from the age of 30, and by 70 years the levels have declined by as much. As the body produces less estrogen, the risk of osteoporosis, cognitive impairment, heart disease. The relationship of these symptoms to decreased testosterone levels is still controversial. Testosteron membantu memperlambat penumpukan lemak. a recent study into the effectiveness of. 1. 23. Modifiable Risks. 1, 2023. An interesting study, but not conclusiveMenopause tends to occur naturally around midlife, but it can also happen earlier if a person undergoes some types of surgery or treatment. Note that when research or. Menopause is defined as the permanent cessation of menstrual periods. Male menopause is a surprisingly controversial topic. Late menopause can occur in a woman’s upper 50s or early 60s. fatigue. Sexual problems. 2 /12. Anxiety and menopauseAfter menopause, women are less likely to have a Lacto-bacillus-dominant vaginal bacterial community and less likely to have a low vaginal pH. Menopause A biological stage in a woman’s life that occurs when she stops menstruating and reaches the end of her natural reproductive life. LOH, or functional. But it does develop more slowly, with symptoms and signs often subtle. Andropause is the male equivalent of menopause. Menopause does not happen suddenly; most women experience several years of changes in their menstrual periods. Feb. Man on Pause: With Engin Günaydin, Tamer Karadagli, Derya Karadas, Turgut Tuncalp. After menopause, your ovaries make very little estrogen. Abstract. The average age of menopause for women is 51. Menopause is the clinical term for when a person’s estrogen levels drop and they stop menstruating. Women who have gone through early or premature menopause cannot. Finding menopause experts. Menopause can cause symptoms that can last for months or years. Menopause symptoms and length vary from person to person. HRT (also known as , menopausal hormone therapy, and. 25 years. But there are many other symptoms you might experience, including: Anxiety and depression. More than 1 million women in the United States experience menopause each year. In contrary to women menopause which is a globally known process with apparent temporal features related. Preventing bone loss is an important concern for women in the menopause journey and during post-menopausal stages. In menopause, the production of the female sex hormones, oestrogen and progesterone, drop suddenly. Post-menopause refers to the final stage of the menopause process, and marks the end of the reproductive stage of life. It’s triggered by a natural decline in female hormones released by the ovaries, surgical removal of the ovaries, lack of sufficient reproductive hormones, or sometimes by chemotherapy and radiation therapy. Menopause is defined as the cessation of the. Andropause. The average age for menopause is 51, and the women in this study were close to that number, with an average age at menopause of 50. HRT (also known as , menopausal hormone therapy, and. Restless sleep. Overall decreased sense of wellbeing. Myth: Menopause is just hot flashes. I like to say that before I became a mom I was the picture of perfect health. Not all. You have reached menopause if you haven’t had a period or spotting for 12 months. Don't suck in your stomach as you measure. Low levels of estrogen and progesterone raise your risk for certain health problems after menopause. 46. 1. [1] [6] It typically occurs between the ages of 45 and 55, although the exact timing can vary. Other health benefits of taking HT include: Reduced risk of developing osteoporosis and reduced risk of breaking a bone. andropause: [noun] a gradual and highly variable decline in the production of androgenic hormones and especially testosterone in the human male together with its associated effects that is held to occur during and after middle age &mdash; called also#R##N# climacteric, male menopause. During the years before menopause, production of estrogen and progesterone begins to fluctuate, and menstrual periods and ovulation occur less often. While. Sleep problems. This results in low serum estradiol concentrations and vasomotor symptoms (hot flashes) in. Menopause is when a woman stops having her period permanently, for 12 months in a row. The findings showed a poor level of knowledge and positive attitude toward andropause among general physicians. depression. No, they aren't. sleeplessness. Systemic. Common symptoms of low estrogen include: painful sex due to a reduction in vaginal lubrication. The North American Menopause Society and the International Society for the Study of Women's Sexual Health refer to this combination of menopausal symptoms, which are brought on by a drop in the body's estrogen production, as genitourinary syndrome of menopause (GSM). It may begin in a man’s forties or later. Menopause is the time in a woman's life when menstrual periods permanently stop, also called the "change of life. Considered effective and low-risk, natural alternative treatments manage hormonal fluctuations through the use of herbal remedies. physical and emotional changes experienced by some men in middle or late life, caused by their…. One 2014 review of studies. lack of focus. What Is male menopause? Simply put, male menopause is a collection of symptoms caused by a dip in testosterone. Learn about menopause and the menopausal transition or perimenopause. The symptoms of premature menopause are similar to those of typical menopause, especially when menopause is natural. It typically occurs around the age of 45–55 years. The deficiency of. This. Most women experience some of these common symptoms of menopause, but the severity and experience of these symptoms is also influenced by cultural expectations. Menopause can happen naturally, or for reasons such as surgery to remove the ovaries (oophorectomy) or the uterus (hysterectomy), cancer treatments like. Unlike menopause, which is a sudden cessation of reproductive function in women, andropause is a gradual decline in hormone production. Summary Menopause officially begins when you’ve gone 12 consecutive months without menstruating. “Menopause has the worst P. But other hormones and chronic conditions like diabetes may also be involved. Menopause that occurs before age 40 is called premature. The main benefit of HRT is that it can help relieve most menopause and perimenopause symptoms, including hot flushes, brain fog, joint pains, mood swings and vaginal dryness. Univariate Cox models were fitted to the age at menopause for all individual covariates before the multivariate analysis. It is imperative that male hypogonadism be evaluated and treated with hormonal replacement to avoid the development of frailty and effects on sexual health. Debunking the male menopause myth. Andropause in Brief: Andropause occurs in all men generally between the ages of 40 and 55, though it can occur as early as 35 or as late as 65. 5 million women each year and often involves troublesome symptoms, including vasomotor symptoms, vaginal dryness, decreased libido, insomnia, fatigue, and joint pain. Beyond hormone changes, a number of other factors can increase the visible signs of aging skin. Common symptoms of menopause are vasomotor (i. Menopausal status is a key indicator of endogenous hormonal milieu, thus of interest in many health studies. Menopausal hormone therapy (MHT)—also called postmenopausal hormone therapy and hormone replacement therapy—is sometimes used to replace the natural hormones estrogen and progesterone in a woman’s body during and after menopause, when levels of these hormones drop. Key facts Menopause is one point in a continuum of life stages for women and marks the end of their reproductive years. The ovaries stop releasing eggs and making the female hormones, estrogen and progesterone. In the U. Additionally, some women experience further (∼60%) reductions within 2–5 years following menopause . While the symptoms of menopause can significantly impact a woman’s quality of life, not all women experience the same symptoms. Individualization is key in the decision to use hormone therapy. Andropause. It typically occurs between the ages of 45 and 55, although the exact timing can vary. If you're under 45 and have noticed your periods becoming infrequent or stopping altogether, you should speak to a GP. In particular, for women diminished levels of estrogen at menopause contribute to a decline in skin collagen and thickness. 1–3. . In one population-based assessment of 386 Australian women, 86% consulted a clinician at least once to discuss. The transition phase before menopause is often referred to as perimenopause. g. Premature menopause is estimated to affect 1% of women under the age of 40 years and 0. Zinc is an essential mineral that serves the function of maintaining reproductive health and creating a balance of hormones including testosterone. There are three benchmark stages of natural menopause: Perimenopause (or the menopause transition) is the span of time between the start of symptoms (such as erratic periods) and 1 year after the final menstrual period. Side effects. Menopause Figure 2. 36,37 Although cultiva-tion-based studies show a significantly lower quantity of vaginal Lactobacillus in postmenopausal women,37 severalMenopause is diagnosed after 12 months of amenorrhea. In general, though, the greater the waist measurement, the higher the health risks. campaign in the history of the universe, because it’s not just hot flashes and night sweats,” says Rachel Rubin, a sexual. Megan Mey, Gemma Casadesus, in Factors Affecting Neurological Aging, 2021. ♦ Depression. Heart palpitations. Menopause is often stigmatized and framed as if it were a disease, as opposed to a natural part of a woman's life cycle. Overview What is menopause? Menopause is a point in time when you’ve gone 12 consecutive months without a menstrual cycle. Unlike the menopause in women, where levels of the female hormone oestrogen plummet and production stops almost completely, in general, testosterone levels fall by only around 1 to 2% a year from. andropause definition: 1. Abstract. It is otherwise called climateric (male) and it passes as a natural. decreased motivation. The male menopause, also known as the andropause, is a term often used to refer to a cluster of features seen in some men in their late 40s to early 50s, such as depression, loss of sex drive. Some people call the time leading up to a woman's last period menopause. Examples of common health problems in the years after menopause. It can occur earlier in those who smoke tobacco. That can affect vaginal lubrication, causing the vagina to be too dry for comfortable sex -- but there's help for that. 3. During the. Menopause Guidebook, 9th Edition; MenoNotes; For Women. These risks depend on the type of hormone therapy, the dose. low libido. Other health problems may happen naturally as you age. dry skin, eyes, or mouth. Testosterone levels would have lessened by 50 percent by the time most men reach 70. Factsheet. Perimenopause begins about eight to 10 years before menopause. This condition can start to be apparent around the age of 45 to 55. Menopause is associated with a marked decrease in ovarian estrogen production. Other women find that they think about sex less often or don't enjoy it as much. 2. However, it's not an official medical term: Dr. " Menopause symptoms and signs include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. flashes aged younger than 60 years or within 10 years of menopause, the benefits of HT generally outweigh the risks. The Bottom Line: Hormone therapy is an acceptable option for the relatively young (up to age 59 or within 10 years of menopause) and healthy women who are bothered by moderate to severe menopausal symptoms. What Causes Late Menopause? Hormones are vital because they help keep the body running smoothly and regulate different bodily functions. Treating the Menopause – the Concept of Risk and Benefit Women making decisions about treatment during menopause - or any other medical decisions - are going to be presented with information about risk, for instance the risk of taking hormone. Let's start with the good news: "Women with higher. 4 Menopause is associated with an abrupt loss of estrogen and progesterone production in women at mid-age following the. Vaginal dryness 3. During the years leading up to menopause (perimenopause), women’s bodies make. Menopause can cause many changes in your. Symptoms may include missed periods, hot flashes, and weight gain. In 2021, a global survey revealed 16% to 40% of women experience moderate to severe symptoms during menopause, such as feeling tired, hot flushes, sleep difficulties and aching muscles or joints. mood swings. The cause of these symptoms may be sleep disruption associated with. But more and more medical professionals appear to agree that the condition is indeed real. [3] It can occur earlier in those who smoke tobacco. Additionally, there are mental health impacts of early menopause. Founded in 1998 specializing in natural fertility, we offer quality natural products for fertility, endocrine, and total body health; adolescents through menopause, andropause & senior health. Symptoms of menopause can include hot flashes, irregular periods, mood changes, night sweats, breast soreness, vaginal dryness, bloating, thinning hair, and more. Up to 8% of women may. ). Late-onset hypogonadism ( LOH) or testosterone deficiency syndrome ( TDS) [1] [2] is a condition in older men characterized by measurably low testosterone levels and clinical symptoms mostly of a sexual nature, including decreased desire for sex, fewer spontaneous erections, and erectile dysfunction.