title: Male Andropause : A Myth or Reality.
abstract: Male andropause, male climacteric or viropause is a condition in which men suffer from complex symptomatology due to low androgen level with aging. After the age of 40 years testosterone level starts declining and andropause corresponds to the age at which a pathogenic threshold is reached. This review summarizes the etiology, consequences, screening, diagnosis, monitoring of androgen deficiency in aging male (ADAM). The pros and cons of testosterone replacement therapy (TRT) in elderly male have been discussed. Currently oral, transdermal, transbuccal, intramuscular, and subcutaneous implants are available for clinical use. The choice is made by physicians based on therapeutic indication and patient preferences.
authors.affiliation: Classified Specialist (Surgery & Urology), Command Hospital (Southern Command), Pune.
authors.forename: P R
authors.initials: PR
authors.lastname: Nandy
authors.affiliation: Senior Advisor (Surgery & Urology), Base Hospital, Delhi Cantt.
authors.forename: D V
authors.initials: DV
authors.lastname: Singh
authors.affiliation: DGMS (Air), Med Dte, Air HQs, RKP, New Delhi.
authors.forename: P
authors.initials: P
authors.lastname: Madhusoodanan
authors.affiliation: Senior Advisor (Surgery & Urology), Command Hospital (Southern Command), Pune.
authors.forename: A S
authors.initials: AS
authors.lastname: Sandhu
keywords: Aging male; Andropause; Testosterone replacement therapy