Male Menopaus –Psycho Social Aspects Stefan Arver Center for Andrology and Sexual Medicine Karolinska University Hospital Male Menopause? • An Endocrine event ? Diminishing androgen levels – Hypogonadism • Appearance of a specific set of symptoms? Change in body composition, Sweating flucshes, adiposity • A series of psycho social signs? Life crisis, divorce, sports cars, younger partner, change of career Problems of Middle Age Identity Crisis Of Middle-Age Purvis -96 Hypogonadism? Male 56 y Late onset hypogonadism Male 56 y T 3.2 nmol/L Catabolic PPrreevvaalleennss tteessttoosstteerroonnbbrriisstt Araujo et al. JCEM 2007; 92:4241–4247 Araujo et al. JCEM 2007; 92:4241–4247 Low testosterone and different Symptoms Zitzmann M et al JCEM 2006;91:4335-37