Andropause Delhi Treatment Male Hormone Replacement Side Effects Menopause Andrologist India Qualified Indian Senior Expert Noida Gurgaon Gurugram Faridabad Ghaziabad East West North South Central

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|| Small testis || Absent genital development || Small Genital & Genital enlargement ||
  || Less facial hair || Hypogonadism || Testosterone deficiency || Andropause || Male Infertility ||
|| Breast enlargement in male ||  Male hormone Disorders || Less Body muscles and under weight ||



ANDROPAUSE
(Androgen Deficiency Of Aging Male (Adam))

What is Andropause? 
Symptoms 
Investigations & Diagnosis
Treatment
Response of treatment 

Andropause :Andropause is a condition in which  male hormone testosterone & other male hormone Decreases with increasing age.  This can occur any time after the age of thirty years though it is more common after  the age of thirty  years. Andropause is also called as androgen deficiency of aging men i.e. (ADAM). This is similar to menopause in  women. In such people total testosterone & free testosterone decreases in concentration than what it used to be in  young age. This decrease in testosterone concentration below the previous value may still may be in  normal range (but in lower side). Thus in Andropause male hormone testosterone becomes lower then its previous value but still it can be in normal range.  In approximately 30% people testosterone concentration falls below normal level.

Causes of decreased testosterone are decreased function of testis as well as decreased function of hypothalamic pituitary glands. Other causes may be intercurrent illness, less physical activity & use of some drugs which is quiet common in old age.

Symptoms: This low testosterone results in diminished libido & decreased erection power (i.e. decrease in penile hardness), increased weight specially on abdomen, reduced muscle mass & strength, bone weakness, increased risk of fracturesí Low mood, depressed mood, and anxiety. Sometimes even decreased sleep may occur so this is one of the important cause of disorder, low libido & easy fatigability & above mentioned problems . Other symptoms of decreased testosterone value are weakness, decreased desire to genital, irritability, depression, anxiety, less body hair, breast enlargement, poor genital performance. After detail investigation for  other cause of male hormone deficiency. Testosterone replacement therapy is provided with gratifying results. 

Investigation & Diagnosis :

  Complete male hormone profile: This profile includes all the male hormone tests which affects testosterone

 production & other genital functions.

-         Serum testosterone is either below normal range or on the lower side of normal.

-         Similarly free testosterone is either low or on lower side of normal.

-          SHBG

         Other tests which may be required depending on likelihood of the any of above causes.  
Tests may show low testosterone. L.H. & F.S.H. may be decreased or may be normal. But for interpretation of all above tests one need to be expert of hormone diseases with good experience. Based on above test result diagnosis of cause of andropause is made, once the cause is found treatment becomes very simple. 

One need to do detailed investigations for other causes of low testosterone so that one does not misses any  serious underlying diseases.

 

Treatment :  Once the diagnosis of andropause is confirmed & other organic cause of low testosterone is excluded, then treatment as male hormone replacement started. Treatment with male hormone testosterone is available as  oral tablets,  skiin patch, skiin gels or injection is  given with very good results.Normally patient with andropause require very small doses of hormone as they have some production of their own. After start of treatment, erection & genital desire becomes normal. Physical weakness disappears & mentally becomes more active & alert. All other symptoms also normalizes. Bone strength recovers. Testosterone treatment is harmless if given by expert in hormone in proper doses. We monitor male hormone status regularly & maintain it normal range for that age.

 
The various preparation of testosterone & route of administration are: 

1)     Oral preparation that is available in capsule form. It need to be given one to three capsule daily. These have no side effects. 

2) Transdermal Testosterone given as testosterone gel preparations.  It need to be applied any part of skiin once a day. It is very effective & has no side effects. 

3).  Transdermal Testosterone scrotal patch are also available which are very effective even if used in small doses. It is very effective & has no side effects.

4)  Sublingual Testosterone cyclodextrin is now available which is very fast acting & very effective is fast & better response in Andropause. It is used as one tablet daily to be kept under the tongue for few minutes. It has no side effect and it is very effective.

5)  Local application of D.H.T. gel available as Andractim gel is a new preparation for male hormone replacement. 

6)  Injection Testosterone esters these includes Testosterone enanthate & testosterone cypionate given intramuscular injections every 10 to 14 days. 

7)  Long acting testosterone as testosterone bucilate given once in 4 months. 

8)  Testosterones implants are now available which once injected remain effective for up to six months. 

For consultation & treatment (by appointment / or online) click How to Consult Us         

We get patients from these colonies of Delhi & NCR.

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DELHI CLOTH MILLS DAREEBA CHAWRI BAZAR CHANDNI CHOWK FARASHKHANA IDGAH ROAD I S B T BARA TOOTI TIMARPUR RANA PRATAP BAGH RLY C A O ROOP NAGAR ROSHAN AREA ROAD WAZIR NAGAR SAFDARJANG AIR PORT SEWA SANGH SUBZI MANDI PRAGATI VIHAR KAMLA NAGAR SHAKTI NAGAR PATRACHAR ROAD PARTAP NAGAR MALKA GANJ MARKET MALKA GANJ LANCER ROAD MARKET JAWAHAR NAGAR DELHI UNIVERSITY C C INSTITUTE BIRLA LINES PATRACHAR VIDYALA LOK NAYAK BHAWAN DADA GHOSH BHAWAN PATEL NAGAR WEST PATEL NAGAR SOUTH PATEL NAGAR EAST PATEL NAGAR A F PALAM WORK SHOP KIRBY PLACE DHAULA KHUAN DEPOT DELHI CANTT CENTRAL ORDINANCE ARMY BASE A P S COLONY BAZAR ROAD CENTRAL VEHICLE NIRMAN BHAWAN UDYOG BHAWAN U P S C SOUTH AVENUE SECTT SOUTH GYMKHANA CLUB DEFENCE HEAD QRS SHAHJAHAN ROAD ORGANISATION CENTRAL TRACTOR RESEARCH INSTITUTE INDERPURI N P LABORATORIES DARGAH SHAREEF HAZRAT NIZAMUDDIN HARI NAGAR ASHRAM JANGPURA MOTI NAGAR KARAMPURA ZAKHIRA VISHNU GARDEN SUDERSHAN PARK RAMESH NAGAR H O NORTH INDUSTRIAL AREA KIRTI NAGAR CENTRAL KIRTI NAGAR INDUSTRIAL AREA E S I HOSPITAL D I AREA MANSAROVER GARDEN I I T HAUZ KHAS YUSAF SARAI N I E COMPUS HAUZ KHAS MARKET HAUZ KHAS GREEN PARK GREEN PARK MARKET ASHRAM SHRI AUROBINDO MALVIYA NAGAR PANCHSEEL ENCLAVE PUSHPA VIHAR SECTOR I SOUTH MALVIYA NAGAR TIHAR ASHOK NAGAR VIKASPURI VISHNU GARDEN TILAK NAGAR EAST TILAK NAGAR MAHABIR NAGAR KHYALLA PHASE II KHYALLA PHASE I CHAND NAGAR MAJOR BHUPINDER SINGH NAG FATEH NAGAR GOVINDPURI KALKAJI NEHRU PLACE FLATTED FACTORIES COMPLEX OKHLA INDUSTRIAL ESTATE C R R I ASHOKA HOTEL CHANKYAPURI MALCHA MARG MOTI BAGH NANAKPURA ANAND NIKETAN R K PURAM SECTOR III R K PURAM SECTOR VIII R K PURAM SECTOR IV R K PURAM SECTOR II R K PURAM SECTOR XII R K PURAM SECTOR I R K PURAM V POSTAL SAVING BUREAU R K PURAM SECTOR VII R K PURAM SECTOR IX KIDWAI NAGAR WEST KIDWAI NAGAR LAXMI BAI NAGAR NETAJI NAGAR SAROJINI NAGAR H O AMAR COLONY LAJPAT NAGAR DEFENCE COLONY KRISHNA MARKET JAMIA NAGAR ZAKHIR NAGAR PUNJABI BAGH SECTOR III PUNJABI BAGH RAJOURI GARDEN J 6BLOCK RAJOURI GARDEN J J COLONY NAJAFGARH ROAD RAJOURI MARKET SUBHASH NAGAR SUBHASH NAGAR WEST TATARPUR JANTA MARKET NARAINA VIHAR NARAINA NARAINA INDUSTRIAL ESTATE SAFDARJANG ENCLAVE HIMAYUNPUR EXTN NAUROJI NAGAR MEHRAULI T B HOSPITAL KAILASH NAGAR SAHSTRI NAGAR RAGHUBARPURA GEETA COLONY GANDHI NAGAR GANDHI NAGAR BAZAR ROHTASH NAGAR SEEMAPURI OLD VIVEK VIHAR VISHWAN NAGAR VISHWA KARMA NAGAR TELIWARA SHAHDARA BHOLA NATH NAGAR BALBIR NAGAR MANSAROVER PARK LONI ROAD KABOOL NAGAR DILSHAD GARDEN NEW SEEMAPURI SHAHDARA MANDI MODEL TOWN A BLOCK MODEL TOWN II MUKERJEE NAGAR NEW SABZI MANDI NIRANKARI COLONY SURAJ NAGAR JAHANGIRPURI BLOCK A VIJAY NAGAR SHALIMAR BAGH JARODA MAJRA JAHANGIRPURI BLOCK H HARIJAN SEWAK SANGH GUJRANWALA NAGAR PART II G T S NAGAR BHAIPARMA NAND NAGAR ADARSH NAGAR A T MILLS JAHANGIRPURI BLOCK D SHAKURPUR BLOCK I ANANDVAS SHAKURPUR PITAMPURA SRINAGAR COLONY SARASWATI VIHAR MULTANI MOHALLA SHAKURBASTI R S RANI BAGH GANESHPURI INDERLOK ONKAR NAGAR LAWRENCE ROAD LEKHU NAGAR POWER HOUSE SARAI ROHILA ALIPUR NANGLI POONA Gurgaon Gurugram ROAD A F RAJOKARI BAWANA NARELA NARELA TOWN SANOTH BUDH NAGAR JAWALPURI NAGLOI NANGLOI PHASE III SULTANPURI BLOCK F SULTANPURI BLOCK C SUTTANPURI BLOCK B SAMEYPUR BADLI BADLI HAIDERPUR NAJAFGARH BADARPUR BADARPUR T P STATION TUGHLAKABAD TUGHLAKABAD A F STATION AMBROHI BAKROLA PALAM PALAM ENCLAVE NANGAL RAVA ARJAN GARH GREATER KAILASH KAILASH KAILASH COLONY MASJIDMOTH PHASE II N BLOCK GREATER GREATER KAILASH II SADIQ NAGAR SOUTH EXTN PART I ANDREWS GANJ SOUTH EXTN PART II GULMOHAR PARK ASIAN GAMES VILLAGE GUATAM NAGAR MASJID MOTH EXTN ANARKALI AZAD NAGAR GOBINDPURA KRISHAN NAGAR H O KRISHAN NAGAR BAZAR LAJPAT RAI CHOWK RADHEYPURI RAM NAGAR BHARAT NAGAR WAZIRPUR PHASE III SHASTRI NAGAR NIMRI ASHOK VIHAR H O SATYAWATI NAGAR BHAJANPURI BRAHAMPURI JAGJIT NAGAR MAUJPUR SEELAMPUR YAMUNA VIHAR ZAFRABAD CIVIL LINES C R P F CAMP DISTT COURTS MAIDENS HOTEL AMRIT KAUR MARKET MULTANI DHANDA P S B PAHARGANJ PAHARGANJ SWAMI RAM TIRATH NAGAR SHAKURBASTI MUNIRKA VASANT VIHAR I VASANT VIHAR II JANAKPURI BLOCK C 4 POSSANGIPUR JANAKPURI JANAKPURI BLOCK D 1 JANAKPURI BLOCKC 2 JEEWAN PARK UTTAM NAGAR NEW RAJINDER NAGAR RAJINDER NAGAR RAVINDER RANGSALA BIJWASAN AMBEDKAR NAGAR PUSHPA BHAWAN KHANPUR MADANGIR DAKSHINPURI PHASE III B S F CAMP TIGRI HAMDARD NAGAR DAKSHIMPURI PHASE I QR MADIPUR MADIPUR PASCHIM VIHAR PASCHIM VIHAR BLOCK B HARI NAGAR BE BLOCK HARI NAGAR DA & DB LOCK MAYAPURI MAYAPURI SHOPPING CENTRE EAST OF KAILASH NEHRU NAGAR SRINIWASPURI R K PURAM R K PURAM WEST D D A MUNIRKA JAWAHAR LAL NEHRU UNIVERS CHHAWLA D D A SALAM JHARODA KALAN P T S JHARODA KALAN UJWA KANJHAWALA KHERA KALAN MANGOLPURI BLOCK A MANGOLPURI BLOCK S MANGOLPURI MANGOLPURI BLOCK 1 KUTUBGARH HIMMATPURI KALYANPURI KHICHRIPUR TRILOKPURI KALYAN VAS SHAKARPUR LAXMI NAGAR MARKET PATPER GANJ NAND NAGRI NAND NAGRI A BLOCK NATHU COLONY CHILLA VILLEGE GOKULPURI KARAWAL NAGAR BHAJAN PURA

Gurgaon Gurugram H O Gurgaon Gurugram KUTCHERY NEW COLONY Gurgaon Gurugram RAILWAY ROAD Gurgaon Gurugram SOHNA ADDA Gurgaon Gurugram URBAN ESTATE Gurgaon Gurugram AIR FORCE Gurgaon Gurugram Gurgaon Gurugram PALAMPUR ROAD DUNDAHERA MANESAR BADSHAHPUR BHUDSI SOHNA(Gurgaon Gurugram) FEROZEPUR JHIRKA TAURA DHARUHERA NUH NAGINA DAULATABAD (Gurgaon Gurugram) PALMAR

GHAZIABAD H O KAVINAGAR MEERUT ROAD (GHAZIABAD) HINDON AIR FIELD MALAKNAGAR CHIKAMBERPUR MOHAN NAGAR BHARAT NAGAR GHAZIABAD CITY RAMNAGAR MODEL TOWN DASNA GATE BHOOR BHARAT NAGAR MUKUNDNAGAR CHANDRA NAGAR GHAZIABAD AMRIT NAGAR KHAEKRA LONI GOVINDPUR HARMUKHPUR MODINAGAR KARWI R S MOHIUDDINPUR KARWL MURADNAGAR TOWN MURADNAGAR NOIDA COMPLEX HINDON NAGAR JAIN INDSTIRAL ESTATE MAHARISHI NAGAR

 

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We get patients from all major cities in India & Abroad . In the following cities all the facilities for investigation & treatments including medicines are available as Delhi (North, South, East, Central, West, New Delhi). To Different Communities like Hindustani, Hindustan, Hindu, Christian, Muslim, Sikh, Parsee. The other cities are Ghaziabad, Faridabad, Noida, Gurgaon Gurugram, Meerut, Bombay, Chandigarh, Calcutta,  Simla, Jammu, Srinagar, Aligarh, Lucknow, Kanpur, Allahabad, Varanasi, Dehradun, Madras, Kolkatta, Nainital, Agra,  Jaipur, Bikaner, Jodhpur, Porbandar, Dwarka, Ahmedabad, Gandhi Nagar, Vadodara, Surat, Mumbai, Pune, Thane, Panaji, Nasik, Nagpur, Indore, Ujjain, Bhopal, Gwalior, Jabalpur,  Raipur, Hyderabad, Goa, Visakhapatnam, Bangalore, Banglore, Bangalooru, Mysore, Mangalore, Manipal, Chennai, Pondicherry, Madurai, Kanchipuram, Coimbatore, Kanyakumari, Ernakulam, Trivandrum, Darjeeling, Gangtok, Bhubaneswar, Puri, Guwahati, Shillong, Imphal, Kohima, Agartala, Patna, Ranchi. 

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