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Voiceover: When the menopause affects women the average age for this is 52. The embarrassing symptoms are well recognised. As well as memory loss, mood swings and hot flushes are common. But what if a man such as 66 year old Derek should have similar symptoms? He’s come to the clinic for help.

Derek: The biggest hell for me has been upsetting my family. I know my wife has suffered. If I can find some treatment that will cure the problem then I shall be very happy and so will my family.

Dr Pixie: Nice to meet you Derek. So what brings you to the clinic?

Derek: For probably 5 or 6 years I’ve had a whole series of symptoms and one that worries me most of all is that I’m prone to outbursts of verbal aggression. This has not been part of my character in the past. I feel a lack of mental agility. I suffer from a lot of night sweats and I have hot flushes and sweats during the day time which can be fairly embarrassing at times. I have difficulty falling off to sleep and when I do get to sleep and I get up early in the morning I’m as tired as I was when I went to bed.

Dr Pixie: I think a lot of your symptoms could be attributed to low levels of testosterone. Testosterone is essential, it makes you feisty, it affects your erectile function, it affects your sleep, it affects your appetite, it affects your zest for life, it affects your concentration, it affects everything. And, as when females go through the menopause, there is a condition in males called Andropause where your testosterone levels start to dip. It is a thing that can be treated so easily.

Derek: Really?

Dr Pixie: Yeah, and then we can take it from there.

Derek: I’d be very keen to go through that process.

Dr Pixie: Brilliant.

Voiceover: Andropause has only been recognised by the medical community since the 1940’s but it’s thought that 45% of men in their 60’s suffer from it. It’s caused by falling levels of testosterone and can lead to irritability, lack of energy and a low sex drive. The best treatment is with hormone replacement therapy. Derek’s treatment begins with a questionnaire and blood tests which he then discusses with Dr Malcolm Carruthers, an Andropause expert.

Dr Malcolm: You have every symptom of testosterone deficiency in the book to quite a high degree. The actual blood tests that we went over were, as I believe you had hoped, absolutely diagnostic of testosterone deficiency.

Derek: Right.

Voiceover: Derek’s symptoms have been recognised and he can start treatment with a daily dose of testosterone gel applied to his shoulder.

Derek: Since I started the treatment, my outlooks improved, my positivity’s improved.

Voiceover: But, has he been able to cure the hurt he caused?

Janet: You were horrid, vile, bad tempered. It’s not really the person you know.

Derek: It certainly was a difficult time and I think a lesser person than what Janet is would not be here now. So it was certainly quite a relief when the condition was diagnosed and I realised that all the symptoms I had been feeling and suffering over the years were attributable to low testosterone levels.

Janet: I think you’re brighter.

Derek: I feel brighter.

Janet: And I think you’re more susceptible to doing things.

Derek: I know when the levels get up to the figures that Dr Carruthers wants then I am sure I’m going to be on top of the world.

Read the video transcript

An estimated 45% of men in their sixties are thought to suffer from andropause, which is caused by a deficiency in testosterone levels. Symptoms are similar to that of the menopause and include memory loss, hot flushes and insomnia. Here Dr Pixie meets a patient whose sudden mood swings have been affecting life at home. Will HRT gel improve his demeanor?

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Thanks for sharing! There really is a midlife crisis for most men and it has a medical name; Aging Male Syndrome or Andropause.Unlike Menopause, Aging Male Syndrome does not result in the inability to reproduce. Let me share this article I read recently http://anti-aging-today.us/aging-male-syndrome-are-you-a-suffer/





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It's a real problem for men, one that they might be ashamed of. But there is no need, I suffered for some time before I got the help I needed. http://fightandropause.info is one site that helped me out a lot. Good Luck guys there is hope.





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I have seen 3 different endocrinologists and they have all given different opinions about my testosterone levels. Bloods have shown the levels to be very low and at age 35 this is clearly not right. Two have said the testicles look normal, so you must be ok and said do not take the trt. The other one has said take testogel or nibido injections but he has never given me a physical. What do i do? I already had one year of trt testogel and this caused my testes to shrink, not great when trying to conceive! Another consultant I am seeing has suggested the cause of the problem is chronic strep infection as I continue to get raised ASOT counts. Any comments/ideas appreciated.





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I have been diagnosed with low Testosterone,69 yrs age. There is a risk of prostate cancer if it is increased. My GP does not know what to do.





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See another GP, don't settle for their lack of knowledge and insist on treatment and or a second opinion from a specialist, do the research and tell them what 'you' think just because they are "Doctors" doesn't mean they have the specialist knowledge. Some doctors are arrogant know-alls and lack empathy for their patients. Insist on a blood test. Doctors are our tax paid servants and we are not their guinea pigs, demand them to take you seriously. My Dr is clueless i have to instruct 'him' most of the time.

Hi. I am 54 now. At the age of 25 I was told I was unable to have children due to a nil sperm count and under sized testes. I also had no hair on my body except my head and Muscle Tone non-existent. I was informed It was probably due to mumps or whooping cough.. When I was 42 I had a severe case of fatigue, I couldn't stand up, was continually falling over, always asleep and the black moods were dreadful. Countless Hospital tests came back negative. Eventually I was told it was stress related and I had depression. I was given medication and discharged. I had found it hard to have erections. My desire for sex plummeted and I was told that, was due to the depression and medication. Other symptoms began to emerge as well, Dry mouth, dry eyes I was diagnosed with probable Jorgran's Syndrome. In 2007 I moved to a new area and a new GP. I had to have a full medical and in depth discussion with my new Doctor before he would accept me as a patient. He found my Testosterone count was at 1.5 also my cholesterol was at 7.5 Sustanon 250 injections every 2 weeks and 5mg Rosuvastatin worked a treat. Mood swings began to decrease, aches and pains subsided, constant tiredness began to reduce. I managed 10 holes of golf, it was wonderful. It was euphoric and short lived. My level of Testosterone never went higher than 14. But it was better until August 2011 when Sustanon 250 went off production. I was given the Generic Version of Sustanon. Overnight I felt absolutely superb better than ever I could remember. A blood test revealed my Testosterone was at 35. My penis was full size again (Flacid)back to when I was in my twenties. Erections were solid and intercourse with wife marvellous. By now my Male doctor had moved on to pastures new and I had a lady doctor. As soon as she saw my Testosterone Count of 35 she stopped my Injections for fear of inducing Prostate Cancer because of such a high count. I was put onto 4 weekly injections. My count plummeted to 15 in four weeks. Back to feeling awful and just barely existing. I requested a referral to Hospital and she agreed. On 2nd of December I saw the Consultant at my Regional Hospital. The upshot was: my testosterone count needs to be maintained within the range of 32 to 38, my tests have proved my count is best at that level. I need not have had any fears about Prostate Cancer, the Consultant assured me there is no link to high Testosterone or Anabolic Steroids. He also informed me my problems may have been due to Pituitary Gland secretions being incorrect when I was younger. He was surprised my original male Doctor had not tested me for that prior to putting me onto Sustanon 250. The Consultant has suggested I be on this Generic Testosterone Injection every 3 weeks with a blood test taken before each injection until my levels are correct.. I shall keep you informed..........





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I was 32 when I was diagnosed with hypogonadism,same disease just in younger men.I too suffered from every symptom in the book.I currently receive an injection that lasts three months called Nebido.It took along time to have any effects and my levels are still not what they should be.I also suffer from other long term health problems which doesn't help.My hypogonadism was discovered when I had a batch of blood tests done to try and pin point the problem.My testosterone levels were nearly at zero,which probably explains why it took so long for things to improve.After the initial diagnosis at the GP I had an appointment with a urologist where I had further blood tests and an MRI scan to check for any pituitary lesions which can cause the same problem.Luckily the scan came back clear.if you suspect you suffer from this disease it's worth speaking to your GP and asking if they will do a blood test.It's easy to find out if there is a problem and treatment can be by gels or injections.Gels are applied every day and injections can be weekly or tri-monthly depending on the product. In retrospect I may well have suffered with the problem well before I was diagnosed.Things weren't right since I was 23,it took ten years to find it.In those ten years I was treated for depression,which is one of the major symptoms.Hypogonadism produces all the deppression symptoms,I suppose one reason I wasnt tested was because I was so young.





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I am nearly 32 too and have just been diagnosed with the hypogonadism. I am just about to have blood tests to check my PSA levels before I start treatment with Testosterone Gel. I have been offered the 3 month injection but I want to start on Gel so I can gradually increase the dose myself over the next 2 months as the specialist suggested. I was told that the rage of testosterone should fall between 10-50 and mine was at 9.8 I have suffered with most of the system over the years including depression, tiredness and have for the last 10 years been taking beta blockers for hypertension. I was also was born with undescended testees. The low T was discovered when I discovered a lump in my chest that turned out to be gynacomastia. I then discovered that I have abnormal levels of both Prolactin and thyroid that all stemmed from the low T. Thankfully my MRI scan of the Pituitary glad came back ok so I'm just waiting to start the Gel

I am 70yrs old and have been sufering from extreme fatigue,loss of musculature,in fact all the symtoms which point to low testosterone.I have been to my doctor had blood tests which reported mormal Serum testerone although the value was at the lower end of the range(8.4-28.7)and my free androgen index was reorted as low. My GP admits to have no experience with these results and cannot advise next step. Can anyone provide guidance please





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I have just been advised by my Consultant that my Testosterone count needs to be maintained at between 32 and 38 because all men are different. Ask your GP to give you a hospital Referral. According to my consultant, the range of 8.4 to 28.7 is not satisfactory and has been around since 1924. Evidently it was formulated by ten medical students having their blood tested and that is how the Range we use today, was arrived at.

Hi robert i hope you are still reading this link, im a partner to a sufferer of Andropause, and the awareness of this condition is shocking low, my partner has underdeveloped midline of the brain and therefore his pituraity and hypothalamus are not fully grown. He also had lots of tests and had many of the symtoms mentioned here and a few others! my advice to you is to ask your GP to refer you to the endocrinologist department, to moniter your hormone levels and any related disorders that you may have good luck

I have very bad sleepless nights and am alway tired, I don't suffer from being bad tempered but do have times of being depressed to a point that I would sit and cry, does this still mean that I might be suffering from a lack of testosterone.





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I am on Testogel 5mg sachets which I apply each morning but I still have problems ! admittedly I have not been on it very long. although this is my second try at this product, I have also had Sustanon 250 via injections which did not improve many of my symtoms, I have sleep problems, anxiety issues, and a comtinual burning in the groin , lower legs and soles of my feet , I do not think that lack of Testosterone alone is causing my health problems





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Hi, I'm 64 and have suffered with most of the symptoms mentioned for over 10 years. About 3 years ago, I had a big operation for cancer of the oesophagus and since then have been recovering really well, although still suffering from the andropause type symptoms. My concern is that the fact that I had cancer might preclude me from possible TRT treatment.





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