Menopause Not Just For Women
Still, Skeptics Abound
Skeptics of andropause still abound. In an article in
American Journal of Psychiatry, UCLA psychiatrist H. Sternbach concluded
that "testosterone decline/deficiency is not a state strictly analogous to
female menopause and may exhibit considerable overlap with primary and other
secondary psychiatric disorders."
British urologists N. Burns-Cox and C. Gingell concluded in
another medical journal that "the symptoms of the andropause fatigue can
readily be explained by stress, and there is no scientifically valid ... study
that shows any benefit for testosterone supplements in this uncommon group of
Carruthers, however, has been following men who have taken
testosterone supplements for up to five years, and he has concluded that the
supplements cause no negative effects on their hearts, livers, or
And Dott and Karpas point out that when it comes to diagnosis,
doctors should not just evaluate testosterone levels. "Good medical care
dictates that a comprehensive medical and psychological assessment along with a
thorough laboratory assessment are necessary," they say.
Possibly this debate will be solved once Bain completes his
analysis of data comparing men with "menopausal" symptoms on hormone
replacement with men receiving placebos. If so, will men rush out to get
hormone replacement therapy? Stay tuned!