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Dublin, CA 94568

Male Menopause

Male menopause, also known as andropause, somatopause and men'pause, is most often ignored by conventional medicine yet it affects the majority of men.

Declining testosterone levels are commonly seen in men beginning in the fourth decade of life. This is analogous to menopause in women when ovarian production of estrogens and progesterone begins to decline.

Undetected yet equally as powerful, a male's hormonal status changes dramatically during this time.

The production of testosterone by testicles declines at exactly the same time as the amount of protein that binds testosterone (sex hormone binding globulin) increases. This may seriously lower the amount of free testosterone available to the target organs.

Unless the level of free testosterone is sought and assessed, a man's symptoms are often ignored and he is blown off as having a "mid-life crisis", or his physician diagnoses depression and an antidepressant is prescribed.

Testosterone is an important anabolic hormone in men. It plays many roles in maintaining both physical and mental health by increasing energy, preventing fatigue, maintaining normal sex drive, and increasing strength of structural tissues.



Testosterone deficiency is often associated with symptoms such as:
  • Night Sweats
  • Hot Flashes
  • Erectile Dysfunction
  • Loss of Energy
  • Aches and Pains
  • Reduced Flexibility
  • Low Sex Drive (libido)
  • Decreased Mental Acuity
  • Loss of Muscle Mass


Furthermore, insulin resistance and diabetes are quite often additional serious consequences associated with testosterone deficiency.

Stress management, exercise, proper nutrition, dietary supplements (particularly adequate zinc and selenium), and androgen replacement therapy have all been shown to raise androgen levels in men and help counter andropause symptoms.

Androgen replacement therapy should be discussed with a qualified
health care provider.

Insufficient testosterone is not the only hormone imbalance that a man experiences. An excess amount of estradiol relative to progesterone is routinely discovered in the saliva during andropause, which is known to be associated with prostate gland diseases such as benign prostatic hypertrophy (BPH) and prostate gland cancer. 

Dr. Widenbaum prefers to use saliva to test for male hormone levels.