Medical history (medical history) represents an important component in the diagnosis of andropause (male menopause).
Family history
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- Do you notice a decreased ability to perform?
- Have you noticed a decrease in sexual performance?
- Have you noticed symptoms such as hot flashes and/or circulatory problems?
- Have you noticed decreasing muscle strength and/or muscle/joint pain?
- Have you noticed decreased beard growth or enlargement of the mammary gland?
- Do you suffer from sleep disturbances?
- Do you feel constantly irritated?
- Do you suffer from drive disorders?
- Do you suffer from poor concentration or memory problems?
- Is your self-esteem diminished?
- What other complaints are present?
- Erectile dysfunction
- Dry and brittle skin
Vegetative anamnesis including nutritional anamnesis.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Do you eat a balanced diet?
- Are you constantly dieting?
- Do you get enough exercise every day?
- Do you smoke? If so, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs (amphetamines, heroin, cocaine, marijuana, opiates) and how often per day or per week?
Self history incl. drug history.
- Pre-existing conditions (diabetes mellitus, chronic diseases, e.g. liver disease, chronic infectious diseases, urological diseases).
- Operations (orchidopexy for undescended testis; testicular biopsy/tissue removal from the testis).
- Allergies
- Medication history
Medications – the following medications inhibit the production or action of testosterone:
- Antihypertensives – drugs against high blood pressure.
- Chemotherapeutic agents such as vincristine, methotrexate, and alkylating agents.
- Hormones such as:
- Anabolic steroids
- Antiandrogens (cyproterone/cyproterone acetate, flutamide).
- Estrogens
- Glucocorticoids
- Opioids (opioid-induced hypogonadism, characterized by low testosterone levels after opioid use).
- Psychotropic drugs
- Digitalis, spironolactone, ketoconazole, cimetidine.