Male Menopause, Andropause: Therapy

General measures

  • Aim for normal weight!
    • Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis.
    • BMI ≥ 25 → participation in a medically supervised weight loss program.
    • Falling below the BMI lower limit (from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
  • Regular physical activities!
  • Nicotine restriction (refrain from tobacco use).
  • Limited alcohol consumption (max. 25 g alcohol per day).
  • Review of permanent medication due topossible effect on the existing disease.
  • Avoidance of psychosocial stress:

Vaccinations

The following vaccinations are advised for men in andropause:

  • Pneumococcal vaccinationNote: In patients with immunosuppression, the STIKO advises sequential vaccination, with PCV13 (conjugate vaccine) given first and PSV23 (23-valent polysaccharide vaccine) given 6-12 months later. This strategy has significantly higher protective efficacy than when vaccinated with PSV23 alone.
  • Influenza Vaccination

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a healthy mixed diet taking into account the age. This means, among other things:
    • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grain products).
  • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Sports Medicine

Psychotherapy