Male Menopause, Andropause: Medical History

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: