For some guys, Viagra alone is not enough. When they hit their 40s, they start feeling run-down in the afternoon and by the time they reach home, they don’t feel like moving at all. It takes tremendous effort and motivation just to get out for a walk. Their muscles start to get flabby, they lose interest in sex and their hobbies, showing signs of depression. For many men, these are symptoms of decreasing testosterone levels. Some playfully call it Manopause. While objective blood tests may reveal an almost normal level of testosterone just marginally on the low side, supplementation with male hormone has been shown to relieve some of the above mentioned symptoms.
However, the FDA only approves testosterone therapy in patients with a medical condition like hypogonadism that arises from its deficiency. Any other form of supplementation is off-label and not approved by the FDA. Nevertheless, thousands of doctors in the US and Australia have already been injecting testosterone in their patients without any clear signs of hypogonadism. Meanwhile, the drug companies have increased their marketing budget by nearly 3000 times. Risks have been downplayed, but cases of blood clots, heart attacks and stroke have been reported following these injections. Folks with vested interests argue that no adequate clinical studies have been conducted to rule out other causes like smoking, heavy drinking and pre-existing cardiovascular diseases in these victims. Testosterone injections may not have been the cause for these fatalities after all.
The heated debate goes on and on. Some men swear by it, claiming that it makes them get off the couch and shed a few pounds. Others see it as a placebo. I’m personally not in favour of “supplementation” unless there is a conclusive evidence of low testosterone revealed by a blood test. Some symptoms of Manopause could be due to mental issues. What do you think?