Frequently Asked Questions

Get answers to your questions about menopause and andropause.

What is ADAM?

ADAM is an acronym for Androgen Decline in the Aging Male. This is a technical term for androgen. Another technical term for the condition is late onset hypogonadism.

Can testosterone replacement therapy correct Erectile Dysfunction?

Erectile Dysfunction (ED) is the loss of erectile capacity and it occurs in 52% of men over the age of 40. ED is an anatomical disorder where the veins in a man’s penis don’t fill with enough blood to cause an erection. There are many causes of ED like high blood pressure, heart disease, drug use, and stress.

Since testosterone is a hormone that increases sexual desire, it can work both in the brain and in the penis to stimulate an erection. Many men who go through testosterone replacement therapy have reported that they want to have sex more often and find it easier to be sexually stimulated.

Are there any side effects of hormone replacement therapy?

Hormone therapy can have both minor and severe side effects, but severe side effects are extremely rare. Some minor side effects include headaches, nausea, and weight gain. In women, it can cause breast pain and vaginal discharge. Adverse effects of testosterone supplementation in men include oily skin and acne.

Some more significant complications can include exacerbation of sleep apnea, blood clots, and acceleration of pre-existing prostate cancer growth in individuals who have undergone androgen deprivation. It is rare, but estrogen replacement can cause women to experience a stroke, blood clots, breast cancer, or gall stones.

Can I stop my birth control regime now that I’ve experienced menopause?

Doctors recommend that women continue to take their birth control until they have gone one full year without getting a period. Until you have gone one year without a period, you should still use birth control if you do not wish to become pregnant.

What is perimenopause?

Physical signs of menopause begin many years before the final menstrual period. This menopause transition phase is called perimenopause, which literally means “around menopause.” Perimenopause can last 6 years or more, and it usually ends one year after the final menstrual period.

Is menopause possible for women in their 30’s?

It is possible. Women experiencing premature menopause (age 40 or younger) that is not medically induced through a hysterectomy may have the same symptoms as women with natural menopause including hot flashes, loss of libido, mood swings, increased irritability, and anxiety.

It should be noted that women who experience premature menopause, whether natural or medically induced, spend more years with an estrogen deficiency and are at greater risk for some health problems later in life such as osteoporosis and heart disease.

How will menopause change my body?

Each woman’s experience and symptoms are different. As they approach perimenopause, many women will notice irregular menstrual periods. These stop all-together once women reach menopause. Some women gain weight, have hot flashes and night sweats, or vaginal dryness. The severity of these symptoms varies greatly from woman to woman. Just remember these symptoms are completely natural and normal.

Is it normal to lose your sex drive during menopause or andropause?

As with many of the symptoms, loss of sexual desire varies among each individual. In general, sex drive decreases with age. Both men and women will report that they feel a lack of desire. Interestingly, research shows that women are two to three times more likely than men to be affected by low desire.

Can menopause affect my skin?

Hormones directly impact the health of your skin. A loss of estrogen (and testosterone, for that matter) can contribute to a decline in skin thickness and collagen. This can cause your skin to sag and seem thinner.

Is testosterone replacement therapy still safe if my family has a history of prostate cancer?

There is no medical evidence that higher levels of testosterone cause prostate cancer. If this were true, then young males (who have the highest levels), would have a higher rate of prostate cancer. Many doctors believe that just the opposite is true- that too much estrogen causes prostate cancer.

There is evidence, however, that testosterone replacement can aggravate pre-existing prostate cancer in men who are undiagnosed. Before starting hormone replacement therapy, men should receive a thorough screening.