Hormone therapy has also been proved to prevent bone loss and reduce fracture in postmenopausal women. Symptoms of menopause can include hot flashes, irregular periods, mood changes, night sweats, breast soreness, vaginal dryness, bloating, thinning hair, and more. Menopause causes your bones to lose their density. Menopause in women is based on the end of the reproductive cycle associated with ovarian failure, and is characterized by the relatively abrupt onset of well-recognized symptoms. It is also used to treat changes in and around the vagina (eg, vaginal dryness, itching. The age of menopause varies from 40–58 years of age, although females in the United States. Studies have also found that earlier menopause leads to low bone density, and low bone density can lead to osteoporosis. Contacting a doctor. Amid the onset of andropause, a 50-something family man becomes obsessed with change and decides to pursue happiness. Menopausal women are also at a higher risk of developing osteoporosis. This study aims at investigating the prevalence of andropause syndrome in 40-65-year-old men in the central city of Iran (Arak). Treatment. Mood swings, irritability or increased risk of depression may happen during perimenopause. Andropause. So much so that the UK government had to appoint a dedicated “menopause tsar” to deal with the resulting shortage of oestrogel, a popular form of HRT, as more and more women seek. fatigue. Increased risk of heart disease. Vitamin supplements for male menopause may help your body produce. NIA-funded researchers are working to better understand what causes menopause symptoms and. Considered effective and low-risk, natural alternative treatments manage hormonal fluctuations through the use of herbal remedies. In menopause, the production of the female sex hormones, oestrogen and progesterone, drop suddenly. Men experience a very real, if gradual, decrease in testosterone beginning around age 30, at which point testosterone levels drop, on average, 1% per year. Menopause is when you stop having periods, which usually happens between the ages of 45 and 55. Another good thing about this herbal ingredient is that it will stimulate the liver to produce more testosterone. menopause-related indication for progestogen use is to prevent endometrial overgrowth and the increased risk of endometrial cancer during estrogen therapy (ET) use. Some people call the time leading up to a woman's last period menopause. It can happen naturally, or as a side effect of some treatments. About two-thirds of those with Alzheimer's disease (AD) are women, most of whom are post-menopausal. As we learn more about the pathophysiology of hypogonadism, our perspectives on the risks and benefits of testosterone therapy have shifted. The main benefit of HRT is that it can help relieve most menopause and perimenopause symptoms, including hot flushes, brain fog, joint pains, mood swings and vaginal dryness. Menopause symptoms and length vary from person to person. This can increase your risk of bone fractures. Sleep problems. In contrary to women menopause which is a globally known process with apparent temporal features related. Upon completion of menopause, average concentrations of testosterone in women are approximately 15% of premenopause levels (54,55). “Some. This results in low serum estradiol concentrations and vasomotor symptoms (hot flashes) in. Menopause is the time when your menstrual periods stop permanently and you can no longer get pregnant. If you are bothered by your symptoms, talk to your doctor or nurse about ways to relieve them. The median age of menopause in North America is 51 years. Hot flushes or night sweats often improve within a few weeks. However, there are risks associated with using hormone therapy. Or you may not find the symptoms uncomfortable. Menopausal status is a key indicator of endogenous hormonal milieu, thus of interest in many health studies. Menopause is a natural part of aging, caused by a decline in estrogen production by the ovaries. Massage. It makes sense that the term is used for guys in their 50s and upwards, since this. It's diagnosed after you've gone 12 months without a menstrual period. It usually occurs in middle-aged or older men, typically. The links below point to information resources, including the most current from the NIH, on both long-term and short-term hormone use, and other concerns related to. During this time, many of the bothersome symptoms a woman may have experienced before menopause gradually decrease. Menopause is defined as the time in a woman's life, usually between age 45 and 55 years, when the ovaries stop producing eggs (ovulating) and menstrual periods end. Early and premature menopause can have the same causes. Increasing muscle can rev up your metabolism, leading to weight loss. This article will review the diagnosis and management of andropause. Andropause is the male equivalent of menopause. Feb. During this transition time before menopause, the supply of mature eggs in a woman's ovaries diminishes and ovulation becomes irregular. This label is misleading because it suggests the symptoms are the result of a sudden drop in testosterone in middle age, similar to what occurs in the female menopause. Medications are often used to treat perimenopausal symptoms. Andropause is the gradual reduction of the male sex hormone (testosterone) with increasing age. There is no set age when menopause should start, but according to the Australasian Menopause Society the average age is 51. The symptoms associated with this change often appear in a person’s late 40s or early 50s. Debunking the male menopause myth. After age 40, men may experience a phenomenon similar to the female menopause called andropause, due to the gradual decline in testosterone level. See the video lower within this article for motivation. abdominal pain or nausea. Most women become menopausal between 45 and 60 years of age — this marks the end of the reproductive stage of their life. Andropause refers to the reduction in male hormones (specifically, testosterone) that tends to occur around the same time that women undergo menopause. 5%. Menopause is when a woman stops having her period permanently, for 12 months in a row. They include male menopause, “man-o-pause,” late-onset hypogonadism and androgen deficiency of the aging male (ADAM). Charlie Curtis inserted his. Without the protective effects of hormones such as estrogen, women are at an increased risk for heart disease, weight gain, and other health challenges. low libido. Hormone Changes with Age. These consequences include increased risk of all-cause mortality, cardiovascular disease, osteoporosis, and type 2 diabetes. Other health benefits of taking HT include: Reduced risk of developing osteoporosis and reduced risk of breaking a bone. menopause occur when the ovaries stop maturing eggs and secreting oestrogen and progesterone. ), vitamin D, and calcium (dairy products, soya drinks, etc. “Male menopause” is the more common term for andropause. After menopause, a woman cannot become pregnant, except in rare cases when specialized fertility treatments are used. Guidelines from both the North American Menopause Society and IMS recommend that estrogen therapy immediately after surgical menopause could help improve cognitive function [22,90]. Of note, increasing. [7] Menopause is usually a natural change. This drop in testosterone has been hypothesized to lead to various things, such as decreases in sexual function, energy, mood and clarity of thinking, as well as anemia and bone breaks. Andropause is a condition surrounded by controversies, whether it be through its diagnosis or management. Int J Impot Res2002 Feb;14 Suppl 1:S93-8. But you could experience symptoms up to a decade before. Many women do not need treatment for their menopause symptoms. Heart palpitations. If started in women aged older than 65 years, HT might increase the risk ofHorny goat weed is an effective andropause natural treatment. Durasi dan tingkat keparahan gejala yang timbul bisa berbeda-beda pada tiap wanita. Flaxseed and flaxseed oil may help some women with mild menopause symptoms. Andropause results from the natural decrease in testosterone levels that occurs with age. Irritable male syndrome may cause symptoms including depression, low self-confidence, difficulty concentrating, reduced energy, and issues sleeping, as well as irritability. )rrgv wr dyrlg dffruglqj wr glhw qxwulwlrq &olqlf %h dqg 1xwulwlrq lq $qgursdxvh 1hrolih 6r surgxfwv ± 6xfk dv 7rix 6r plon dqg 0lvr $v wkh pd fdxvh d gurs lq. Estrogen is essential for keeping bones strong and supports other. ”. During the. Hormone replacement therapy (HRT) is a medical treatment that boosts declining levels of estrogen and progesterone in a person approaching menopause. In the UK, the mean age of natural menopause is 51 years. Menopause does not happen suddenly; most women experience several years of changes in their menstrual periods. Sleep problems are often due to hot flashes or night sweats, but sometimes sleep becomes unpredictable even without them. Ovarian function declines with age. The relationship of these symptoms to decreased testosterone levels is still controversial. 1 Menopause is defined as 12 months of amenorrhea, occurring at a median age of 51. It has the natural ability to dilate the arteries. Menopause is an inevitable and physiological process that refers to the time when menstrual periods stop permanently 5. Most women experience menopause between the ages of 45 and 55 years as a natural part of biological ageing. lack of energy. ZRT has tested over 150,000 men experiencing hormone decline. IMPACT OF MENOPAUSE (CONT. Symptoms include decreased sex drive, erectile dysfunction, weight gain, and many others. Some people call the time leading up to a woman's last period menopause. “Menopause has the worst P. Menopause is the end of a woman's menstrual cycle and fertility. Preventing bone loss is an important concern for women in the menopause journey and during post-menopausal stages. This is when a lot of women or people assigned female at birth (AFAB) start to transition to menopause. " Andropause is characterized by a loss of testosterone — the hormone that makes men men. Sleep disturbance. The WHI estrogen-alone clinical trial, launched in 1993, randomly assigned more than 10,739 women between the ages of 50 and 79—all of whom were past menopause and had had a hysterectomy—to take daily estrogen or a placebo. Women with an intact uterus using systemic ET should receive adequate progestogen,Hormone replacement therapy (HRT) is a treatment that can help ease some of the symptoms associated with menopause—the point in time when a person’s menstrual cycle has stopped for 12 straight months and permanently ends. Find in-depth menopause information including hot flashes, night sweats, hormones, and. Menopause is the point in a person’s life when their menstrual periods end. Answer From Tatnai Burnett, M. Other causes include surgery that removes both. Osteoporosis is a disease that weakens bones, increasing the risk of sudden and unexpected fractures. S. We want this website to be your personal guide to a healthy menopause and to serve as a stepping-stone to discussions with your healthcare provider. Diagnosis of late-onset of hypogonadism is based on presence of symptoms suggestive of testosterone deficiency - prominent among them are sexual symptoms like loss of libido, morning penile erection and erectile dysfunction; and. LOH, or functional. Unlike menopause, which is a sudden cessation of reproductive function in women, andropause is a gradual decline in hormone production. Surgical menopause carries a number of side effects beyond those of menopause, including: loss of bone density. These changes are typically related to a gradual decrease in the body's testosterone levels. During the years before menopause, production of estrogen and progesterone begins to fluctuate, and menstrual periods and ovulation occur less often. Irregular periods: These are among the earlier symptoms of menopause. Menopause happens when your ovaries stop producing a. 4. The most recent data on the years just before menopause – a time when cardiovascular risks accelerate. Hormone patches for menopause. Postmenopause is the time after you've been without a menstrual period for 12 months. The transition takes a few years. See moreOverview What is menopause? Menopause is a point in time when you’ve gone 12 consecutive months without a menstrual cycle. During the years leading up to menopause (perimenopause), women’s bodies make. Last modified on Sun 19 Nov 2023 08. These neurological changes may be responsible for some menopausal symptoms, including hot flashes, mood disruption and a mild, usually temporary decline. But it does develop more slowly, with symptoms and signs often subtle. Talk to your. difficulty remembering things. It is nature's protective phenomenon against reproductive morbidity and mortality in the aging population. While this is an excellent way to stop cancer from spreading, it does have certain drawbacks. This condition can start to be apparent around the age of 45 to 55. Mood swings. Male andropause: myth, reality, and treatment. Menopause causes your bones to lose their density. Common physical symptoms of menopause and perimenopause include: hot flushes, when you have sudden feelings of hot or cold in your face, neck and chest which can make you dizzy. Menopause that occurs before age 40 is called premature. The median age of menopause is 51. However, the results aren. The main symptom of male menopause is reduced levels of testosterone, and this can cause many noticeable issues in the body. That can affect vaginal lubrication, causing the vagina to be too dry for comfortable sex -- but there's help for that. Dec 29, 2010. This is known as menopause. 1 – 3 It is also associated with dysthymia 4. During this stage, menopausal symptoms, such as hot flashes, get milder or go away. Let's start with the good news: "Women with higher. Washington − Women aren't getting the care they need when it comes to menopause, heart attacks and other health issues, according to the Biden. andropause: [noun] a gradual and highly variable decline in the production of androgenic hormones and especially testosterone in the human male together with its associated effects that is held to occur during and after middle age — called also#R##N# climacteric, male menopause. Menopause. The word menopause literally means when your periods stop. ♦ Depression. decreased self-confidence. Understanding that this subject is still stigmatised, as menopause and mens mental health was until we all started normalising conversations around it. Other health problems may happen naturally as you age. Hormone replacement therapy (HRT) HRT is a safe and effective treatment for most going through menopause and. A female executive has said the MeToo movement inspired her to sue her company over a “menopause” jibe. 23. [1, 2] Hormonal changes and clinical symptoms occur over a period leading up to and immediately following menopause; this period is frequently termed the climacteric or perimenopause but is increasingly referred to as the menopausal transition. When men reach about 40, testosterone levels usually begin to drop about one. It occurs with gradual and constant decline of testosterone and dehydroepiandrosterone (DHEA) production in men [Citation 2]. Menopause occurs because as women age, the ovaries stop producing estrogen and progesterone. HRT (also known as , menopausal hormone therapy, and. Most women begin menopause between the ages of 45 and 55, with an average age of 51 in the United States. Pre-eclampsia or gestational diabetes during pregnancy or delivery of an IUGR (growth restricted baby)Perimenopause begins about eight to 10 years before menopause. In particular, these symptoms include hot flashes, moodiness, vaginal dryness, and excessive. 0 percent topical formulation, applied twice daily to areas with soft tissue (e. For a small number of women menopause occurs earlier. As you get closer to menopause, you may notice other symptoms, such as pain during sex, urinary problems, and irregular periods. Diminished libido due to a lack of testosterone. Testosterone supplementation is used by some healthcare providers to help with such. . It usually affects women between the ages of 45 and 55, but it can happen earlier. Vaginal administration of low doses of estrogen is a therapy of choice for treatment and prevention of urogenital atrophy and its consequences. Women who have premature menopause will be at higher risk for osteoporosis due to the early decline of. It typically occurs between the ages of 45 and 55, although the exact timing can vary. . Education, counseling, and motivation have an essential role in managing menopause and related consequences. Although testosterone levels fall as men age, the. According to some sources, the uncomfortable effects of male menopause can last 15 to 20 years as the body gradually adjusts to lower testosterone production. The menopause transition typically starts in a woman’s mid-to-late forties (known as the perimenopause) and the average age for the menopause in the UK is 51. This may render the clinical diagnosis of andropause difficult. 1. Menopause Figure 2. Andropause, also known as late-onset hypogonadism, is characterized by a series of physical, psychological, and sexual changes in men. ♦ Increased body fat. Perubahan siklus menstruasi. Early menopause happens when a woman's periods stop before the age of 45. It can occur earlier in those who smoke tobacco. Another 10% indicated they wanted to use marijuana to cope with the symptoms while only 19% used. Andropause or male menopause is a condition where testosterone production in males begin to drop after a certain age. For men, testosterone production gradually decreases across the. Treatment. Many doctors denied the reality of andropause – and some still do. Hormone therapy has also been. 3. Exercise regularly. 0. Its symptoms are sexual dysfunction, weakness, fatigue, insomnia, loss of motivation, mood disorders and reduction of bone density. Andropause refers to the natural decline of testosterone, typically affecting men as early as 40 or as late as 65. Anxiety and menopauseAfter menopause, women are less likely to have a Lacto-bacillus-dominant vaginal bacterial community and less likely to have a low vaginal pH. Other potential symptoms of andropause include: breast enlargement. Symptoms of menopause can include hot flashes, irregular periods, mood changes, night sweats, breast soreness, vaginal dryness, bloating, thinning hair, and more. Like puberty, the changes that andropause wreaks in aging men, Diamond says, are "hormonal, psychological, interpersonal, social, sexual and spiritual. Her body gets used to the new balance of hormones during this time. Mood changes. 3. According to the Food and Drug Administration (FDA) and several medical specialty groups, the hormones marketed as "bioidentical" and "natural" aren't safer than hormones used in traditional hormone therapy. In most cases,. Men at mid-life are just as susceptible to an age-related drop in hormone production as their female counterparts. Hot flashes. Postmenopause is all the years beyond menopause. A progressive decrease in androgen production is common in aging men. As men get older, the levels of testosterone in their blood often drop. While most women reach menopause by 51 or 52, this is an average and varies. Menopausal hormone therapy (MHT)—also called postmenopausal hormone therapy and hormone replacement therapy—is sometimes used to replace the natural hormones estrogen and progesterone in a woman’s body during and after menopause, when levels of these hormones drop. Potential erectile dysfunction or a low sex drive. If you wish to. Menopause refers to a period of transition in which a woman’s ovaries stop releasing eggs and the level of estrogen and progesterone. Some people call the time leading up to a woman's last period menopause. Menopause. Those with IMS may. Menopause is the time that marks the end of your menstrual cycles. Women who have gone through menopause have very low estrogen levels. It occurs with the final menstrual period and is usually diagnosed clinically after 12 months of amenorrhoea. Andropause is a term used commonly by both experts and lay persons because it retains some similarity to menopause in women. Some work by speeding up the bone-building process. High LDL (low density. While the symptoms of menopause can significantly impact a woman’s quality of life, not all women experience the same symptoms. The average age that women go through menopause is 51 years. Guidelines from professional societies recommend hormone therapy for symptom relief within 10 years after the onset of menopause 4,27,47,49-52 and in women with early menopause or primary ovarian. Anxiety and depression. Berbeda dengan menopause yang merupakan bagian alami dari proses penuaan pada wanita, andropause tidak selalu dialami oleh pria berusia lanjut. Post-menopause officially begins 12 months after. Summary Menopause officially begins when you’ve gone 12 consecutive months without menstruating. Menopause is a natural process that affects all women at some point in their lives. For example, menopause-related hot flashes and night sweats have been linked to a greater risk for high blood pressure and other cardiovascular risk factors. Low levels of estrogen and progesterone raise your risk for certain health problems after menopause. Andropause is a condition surrounded by controversies, whether it be through its diagnosis or management. In contrast to menopause, a well-characterized and timely process linked to absolute gonadal failure, andropause is a more subtle androgen deficiency with slow progression. This can increase your risk of bone fractures. Reducing stress can help too. The one or two years leading up to a woman’s last menstrual period is called perimenopause or pre-menopause, and the time afterwards is referred to as post-menopause. Despite a reduction in testosterone levels, men are still able to produce semen that are viable for fertility. Postmenopause is the time after menopause has occurred, starting when a woman has not had a period for 12 consecutive months. This. Without these hormones, periods become erratic for a time, and then eventually stop. It makes sense that the term is used for guys in their 50s and upwards, since this. In fact, if someone had told me that I’d go through menopause at just 31 years old, I’d have called them crazy and. Written by WebMD Editorial Contributors What Is Menopause? Menopause Causes Menopause Symptoms What Happens During Menopause? 7 min read What Is. In. “So the term ‘male menopause’ or even ‘andropause’ is a bit of a misnomer. Examples of common health problems in the years after menopause. Menopause that happens before age 45 is called early menopause. ” However, Tandon notes, the issue is a bit more nuanced. Estrogen products are commonly taken orally as a pill, applied to the skin with a cream or a patch,. difficulty sleeping, which may be a result of night sweats and make you feel tired and irritable during the day. Menopause can cause many changes in your. Menopause terjadi ketika wanita memasuki usia 50–55 tahun. 1. 4 out of 76 and 35. Menopause is the clinical term for when a person’s estrogen levels drop and they stop menstruating. Menopause that occurs before the age of 45 and is not medically induced (referred to here as ‘early natural menopause’) affects around one in 10 women and has serious health consequences. . For most women, the menopause starts between the ages of 45 and 55. In the U. 25 years. Descriptions. Memory problems. 1% of women under the age of 30 years. It's a good source of lignans, which tend to balance female hormones. As your body transitions to menopause over several years, you may have menopause symptoms and irregular periods. If these levels become low enough, andropause will begin to become a problem. When Michelle was thrust into menopause at age 31, she feared the worst. Results: The mean score of knowledge and attitude about andropause was 29. During the transition into menopause, the body gradually makes less of the hormones estrogen and. andropause: [noun] a gradual and highly variable decline in the production of androgenic hormones and especially testosterone in the human male together with its associated effects that is held to occur during and after middle age — called also#R##N# climacteric, male menopause. Hormone replacement therapy (HRT) is a treatment that can help ease some of the symptoms associated with menopause—the point in time when a person’s menstrual cycle has stopped for 12 straight months and permanently ends. Depending on your personal and family. The best approach to boosting testosterone levels in men with low T is addressing underlying issues by improving the action of insulin, achieving ideal body weight, and improving blood sugar control. 92; 95% confidence interval [CI], 0. 1–4 The decline in testosterone seen in aging men has clinical implications. Menopause (sometimes called “the change of life”) is a normal time in a woman’s life when her period stops. Gejala atau tanda-tanda menopause dapat berupa: 1. Surgical menopause carries a number of side effects beyond those of menopause, including: loss of bone density. This is because the root and bark of Eurycoma longifolia are often used orally for dealing with. You may find that your symptoms go away by themselves. decreased motivation. The menopause transition represents a significant change in a woman’s lifetime, marking the end of her reproductive years with the decline of the ovarian follicles and consequently endogenous estrogen. Diagnosis of late-onset of hypogonadism is based on presence of symptoms suggestive of testosterone deficiency - prominent among them are sexual symptoms like loss of libido, morning penile erection and erectile dysfunction; and. Most women experience some of these common symptoms of menopause, but the severity and experience of these symptoms is also influenced by cultural expectations. andropause: ( an'drō-pawz ), Decreased function of male gonads with increasing age, analogous to female menopause. Premature menopause and early menopause are conditions where a woman or person assigned female at birth (AFAB) goes through menopause at an earlier age than is typically expected. ♦ Difficulty concentrating. In 2004, the study was stopped early because of an increased risk of stroke and blood clots in women receiving. But though androgen therapy has been around since 1936, many women are still wary about it. , menopause usually begins between the ages of 45 and 58 years. Various traditional folk medicines have been used to enhance metabolism to reduce fatigue [1] [2] [3]. improved sexual desire. ♦ Reduced libido. For some women, the symptoms are mild, and they go away on their own. But other hormones and chronic conditions like diabetes may also be involved. These risks depend on the type of hormone therapy, the dose. The term "male menopause" has been used to describe decreasing testosterone levels related to aging. “Andropause are the symptoms surrounding low testosterone,” Komer says. While the main reason to take birth control pills is to prevent pregnancy, it turns out that the Pill can also act as a treatment for women approaching menopause — the time. While. Then he bungles it up completely. Flaxseed: Easing Night Sweats. Low hormone levels after menopause cause vaginal tissues to be thinner or drier. Menopause is the permanent cessation of menses for 12 months resulting from estrogen deficiency and is not associated with a pathology. While overall later menopause is probably healthier, it is associated with an elevated risk of developing breast, ovarian, and endometrial cancers. It typically happens between the ages of 40, which is considered to be an early age to have menopause, and 60, which is a. ( 2 ) According to the. Still, women of all ages can develop low estrogen. Aged, 80 and over. gynecologic oncology · urogynecology · minimally invasive surgery · menopause · maternal fetal medicine · pediatric and adolescent gynecology · colposcopy · fertility . The time leading up to menopause is. Weight gain. Providers may recommend MHT to relieve common symptoms of. 1 Most symptoms begin in perimenopause, or the. The intensity, length and frequency vary. However, the concept of andropause has been more controversial. Menopause is a normal part of a woman's life. In contrast to female menopause, wherein women become unable to ovulate, andropause doesn’t interfere with sperm production. Please enter a valid email address. For a small number of women menopause occurs earlier. 55 EST. Menopause, also known as the climacteric, is the time when menstrual periods permanently cease, marking the end of reproduction. The average age of menopause for women is 51. There is robust research and information regarding its biological aspects specially its endocrine base, yet the psychosocial aspect is quite interesting and debatable due to its variability among different cultures and climates. Menopause that occurs before this age, whether natural or induced, is known as "premature" menopause or premature ovarian insufficiency. In many ways the resulting symptoms are different from those experienced in the young hypogonadal male, because of the slow nature of testosterone decline in the elderly. Late-onset hypogonadism ( LOH) or testosterone deficiency syndrome ( TDS) [1] [2] is a condition in older men characterized by measurably low testosterone levels and clinical symptoms mostly of a sexual nature, including decreased desire for sex, fewer spontaneous erections, and erectile dysfunction. Our. An individual has entered menopause if at least 12 months. The age you experience it can vary, but it typically occurs in your late 40s or early 50s. Night sweats. Try a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) to restore some moisture to your vaginal area. INTRODUCTION — Women have menopause at a mean age of 51 years, with 95 percent having their final menstrual period between the ages of 45 to 55 years. Not only do men not lose the ability to reproduce completely, not all men experience it. Menopause is one of the age-related phases of physiological transition of females. 1. In fact, older age is the most important risk factor for cancer overall. Some symptoms of menopause may be managed by other experts. The transition phase before menopause is often referred to as perimenopause. Relax, exhale and measure your waist. a. The main male reproductive hormone is testosterone. As Dr. However, the ability to reproduce is still present in men. Depression. Treatment can. Menopause brings a number of bothersome effects, including hot flashes. poor digestion. Transdermal skin patches are used as a hormone delivery system to treat particular symptoms of menopause such as hot flashes and vaginal dryness, burning, and. It can cause both. The findings showed a poor level of knowledge and positive attitude toward andropause among general physicians. Surgical menopause is commonly performed at the time of hysterectomy for benign (non cancerous) disease, most commonly for heavy menstrual bleeding or fibroids (2).