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Midlife and Beyond: Male Hormonal Status/Andropause and Its Effects on Sexual Health 

Midlife and Beyond: Male Hormonal Status/Andropause and Its Effects on Sexual Health
Chapter:
Midlife and Beyond: Male Hormonal Status/Andropause and Its Effects on Sexual Health
Author(s):

Geovanni Espinosa

, and Ralph Esposito

DOI:
10.1093/med/9780190225889.003.0005
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date: 06 May 2021

Androgen deficiency, low testosterone, or, its newest name, andropause, is becoming a common issue among men, with estimates suggesting 6% to 12% of men experiencing this syndrome. Aside from low androgen levels, men may present with significant symptoms including sexual dysfunction, low libido, infertility, muscle loss, and overall malaise. The causes of andropause are multifactorial, ranging from physiological dysfunction to lifestyle, nutritional, environmental, and emotional influences. Given that the conventional treatment for andropause is exogenous testosterone replacement, the underlying causes may not fully be addressed. This chapter exposes the underlying causes of andropause, identifying not only the biochemical and biophysiological aspects but also the various insufficiencies and functional imbalances that may contribute. Further, precise therapeutic botanicals, nutrients, exercise, and dietary modifications are discussed specific to improving male hormone status and its effect on sexual health.

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