ORIGINAL PAPER
Symptoms of hormonal changes in Polish men and women in the second half of life. Andropause and menopause – similarities and differences
 
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Institute of Psychology, University of Lodz, Lodz, Poland
Submission date: 2020-10-11
Final revision date: 2020-12-06
Acceptance date: 2020-12-07
Online publication date: 2021-01-20
Publication date: 2021-01-20
 
Health Psychology Report 2021;9(3):252–263
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Hormonal changes occur in aging men and women. Considering andropausal changes as similar to menopause, however, is still an open topic. The aim of the research was to assess the occurrence and severity of symptoms associated with hormonal changes in men and women and to find similarities between the male and female climacterium.

Material and methods:
397 individuals (197 men and 200 women) aged 45 to 68 years were examined. The subjects were divided into three groups, with regards to: risk of symptoms, transition period, and andropause/menopause. A sociodemographic survey, the Self-assessment Test, recommended by the pharmaceutical company Organon for the assessment of androgen deficiency in men, and the Women’s Health Questionnaire to measure symptoms considered menopausal were used in the research.

Results:
The research results showed that menopause-specific symptoms – psychological, vasomotor and sexual – are considered criterial for andropause. However, women experience a greater spectrum of symptoms associated with hormonal changes than men. An analysis of all the symptoms showed that most of them are clearly visible in the oldest group of men and much earlier in women – during the menopausal period.

Conclusions:
The symptoms observed in men and women in middle and late adulthood are considered to be characteristic of hormonal changes associated with andropause and menopause. However, due to their different scope, dynamics and consequences, the processes in question remain ambiguous.

 
REFERENCES (33)
1.
Ansari, N., Vakilian, K., & Rezveh, F.M. (2019). Sexual health during menopause – counselling with an approach to emotional regulation on sexual satisfaction. Family Medicine & Primary Care Review, 21, 318–323. https://doi.org/10.5114/fmpcr.....
 
2.
Augoulea, A., Moros, M., Lykeridou, A., Kaparos, G., Lyberi, R., & Panoulis, K. (2019). Psychosomatic and vasomotor symptom changes during transition to menopause. Menopause Review, 18, 110–115. https://doi.org/10.5114/pm.201....
 
3.
Bablok, L., & Mędraś, M. (2002). Diagnostyka andropauzy jako częściowej niedomogi androgennej [Diagnosis of andropause as a partial androgenic deficiency]. In M. Mędraś & L. Bablok (Eds.), Andropause (pp. 42–49). PZWL.
 
4.
Bahri, N., Sajjadi, M., & Sadeghmoghadam, L. (2019). The relationship between management strategies for menopausal symptoms and women’s decision making styles during menopausal transition. Menopause Review, 18, 174–179. https://doi.org/10.5114/pm.201.... 90378.
 
5.
Bielawska-Batorowicz, E. (2016). Psychologiczne aspekty menopauzy [Psychological aspects of menopause]. PWN.
 
6.
Boul, L. A. (2003). Men’s health and middle age. Sexualities, Evolution & Gender, 5, 5–22.
 
7.
Central Statistical Office (2019). Life expectancy in 2018. Statistical Publishing House.
 
8.
Charlton, R. (2004). Ageing male syndrome, andropause, androgen decline or mid-life crisis? The Journal of Men’s Health and Gender, 1, 55–59. https://doi.org/10.1016/j.jmhg....
 
9.
Fatusi, A. O., Ijadunola, K. T., Ojofeitimi, E. O., Adeyemi M. O., Omideyi, A. K., Akinyemi, A., & Adewuyi, A. A. (2003). Assessment of andropause awareness and erectile dysfunction among married men in Ile-Ife, Nigeria. The Aging Male, 6, 79–85.
 
10.
Handelsman, D. J. (2013). Global trends in testosterone prescribing, 2000-2011: Expanding the spectrum of prescription drug misuse. The Medical Journal of Australia, 199, 548–551. https://.
 
12.
Heidari, R., Sajadi, H., Pourmand, A., & Pourmand, G. (2015). Can testosterone level be a good predictor of late-onset hypogonadism? Andrologia, 47, 433–437. https://doi.org/10.1111/and.12....
 
13.
Hisasue, S., & Horie, S. (2013). Role of androgen in the elderly. What is LOH syndrome? Clinical Calcium, 23, 1101–1117. https://doi.org/130811011107.
 
14.
Ho, C. H., Wu, C. C., Chen, K. C., Jaw, F. S., Yu, H. J., & Liu, S. P. (2016). Erectile dysfunction, loss of libido and low sexual frequency increase the risk of cardiovascular disease in men with low testosterone. The Aging Male, 19, 96–101. https://doi.org/10.3109/136855....
 
15.
Hollander, E. (2003). Male menopause: an unexplored area of men’s health. Pediatric Annals, 33, 497–500. https://doi.org/10.3928/0048-5....
 
16.
Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T., & Stephenson, D. (2015). Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspectives on Psychological Science, 10, 227–237. https://doi.org/10.1177/174569....
 
17.
Huhtaniemi, I. (2014). Late-onset hypogonadism: Current concepts and controversies of pathogenesis, diagnosis and treatment. Asian Journal of Andrology, 16, 192–202. https://doi.org/10.4103/1008-6....
 
18.
Hunter, M. (1992). The woman’s health questionnaire: a measure of mind-aged woman’s perceptions of their emotional and psychical health. Psychology and Health, 7, 45–54. https://doi.org/10.1080/088704....
 
19.
Kamp Dush, C. M., &Amato, P. R. (2005). Consequences of relationship status and quality for subjective well-being. Journal of Social and Personal Relationships, 22, 607–627. https://doi.org/10.1177/026540....
 
20.
Lejeune, H., Huyghe, É., & Droupy, S. (2013). Hypoactive sexual desire and testosterone deficiency in men. Progres en Urologie, 23, 621–628. https://doi.org/10.1016/j.puro....
 
21.
Mędraś, M., & Jankowska, E. (2002). Testosteron a andropauza i proces starzenia się mężczyzn [Testosterone and andropause and the aging process of men]. In M. Mędraś & L. Bablok (Eds.), Andropause (pp. 16–19). PZWL.
 
22.
Morales, A., Bella, A. J., Chun, S., Lee, J., Assimakopoulos, P., Bebb, R., Gottesman, I., Alarie, P., Dugré, H., & Elliott, S. (2010). A practical guide to diagnosis, management and treatment of testosterone deficiency for Canadian physicians. Canadian Urological Association Journal, 4, 269–275. https://doi.org/10.5489/cuaj.8....
 
23.
Mulligan, T., Frick, M. F., Zuraw, Q. C., Stemhagen, A., & McWhirter, C. (2006). Prevalence of hypogonadism in males aged at 45 years: the HIM study. International Journal of Clinical Practice, 60, 762–769. https://doi.org/10.1111/j.1742....
 
24.
Myers, D. G. (2007). Relationships with people and a good life. Seeking balance between the interests of the individual and the community in social policy. In P. A. Linley & S. Joseph (Eds.), Positive psychology (pp. 389–411). PWN.
 
25.
Pertyński, T., & Stachowiak, G. (2013). Mastalgia: a serious problem in premenopausal women. Menopause Review, 1, 29–33. https://doi.org/10.5114/pm.201....
 
26.
Pines, A. (2011). Male menopause: Is it a real clinical syndrome? Climacteric, 14, 15–17. https://doi.org/10.3109/136971....
 
27.
Rabijewski, A., & Zgliczyński, W. (2009). Etiopatogeneza, rozpoznawanie i leczenie hipogonadyzmu u mężczyzn [Etiopathogenesis, diagnosis and treatment of hypogonadism in men]. Endokrynologia Polska, 60, 222–233.
 
28.
Renneboog, B. (2012). Andropause and testosterone deficiency: How to treat in 2012? Revue Médicale de Bruxelles, 33, 443–449.
 
29.
Serfining, R. J. (1991). Twierdzenia graniczne statystyki matematycznej [Limit theorems of mathematical statistics]. PWN.
 
30.
Stachoń, A. J. (2013). Ocena odczuwania wybranych objawów w zależności od fazy klimakterium i charakteru menopauzy [Feeling of the selected climacteric symptoms depending on the climacteric phase and type of menopause]. Menopause Review, 4, 315–320. https://doi.org/10.5114/pm.201....
 
31.
Szymczak, W. (2008). Podstawy statystyki dla psychologów [Fundamentals of statistics for psychologists]. Difin.
 
32.
Tan, R. S. (2001). Memory loss as a reported symptom of andropause. Archives of Andrology 47, 185–189. https://doi.org/10.1080/014850....
 
33.
Wu, F. C., Tajar, A., Beynon, J. M., Pye, S. R., Silman, A. J., Finn, J. D., O’Neill, T. W., Bartfai, G., Casanueva, F. F., Forti, G., Giwercman, A., Han, T. S., Kula, K., Lean, M. E., Pendleton, N., Punab, M., Boonen, S., Vanderschueren, D., Labrie, F., Huhtaniemi, I. T., … EMAS Group (2010). Identification of late-onset hypogonadism in middle-aged and elderly men. The New England Journal of Medicine, 363, 123–135. https://doi.org/10.1056/NEJMoa....
 
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