Partial Androgen Decline in the AgingMale and Possibilities of Treatment

Overview

There is evidence that advancing age is associated with a decline in the production of severalhormones. The most prominent alterations are related to the sex steroids but also otherhormones such as GH and melatonin are affected. The clinical syndrome of (P)ADAM has beendescribed but a direct causality between its manifestations and the alterations in a specifichormone are not yet fully established. The patient population in a urology or GP’s practicefrequently involves individuals beyond the middle age, when hypoandrogenism becomes mostprevalent. It behooves the urologist a GP’s to be familiar with the consequence of this condition,its investigation, treatment and monitoring.

Key words:
ADAM - PADAM - testosteron - therapy.