Various traditional folk medicines have been used to enhance metabolism to reduce fatigue [1] [2] [3]. The median age of menopause is 51. ) • Estrogen therapy initiated at the time of menopause is likely cardioprotective. Her body gets used to the new balance of hormones during this time. Guidelines from both the North American Menopause Society and IMS recommend that estrogen therapy immediately after surgical menopause could help improve cognitive function [22,90]. This will help improve blood circulation to the whole body including sexual organs and brain. Post-menopause refers to the final stage of the menopause process, and marks the end of the reproductive stage of life. Aged, 80 and over. It can occur spontaneously (natural menopause) or it can be surgically induced by bilateral oophorectomy. The relationship of these symptoms to decreased testosterone levels is still controversial. See the video lower within this article for motivation. Although there are risks associated with taking HT, they are not common, and most go away after you stop treatment. 3 More than 85% of these women will. Menopause is a normal part of a woman's life. Flaxseed and flaxseed oil may help some women with mild menopause symptoms. Andropause refers to the symptoms men experience as they lose testosterone — the hormone that regulates metabolism, muscle function and blood cell production — over a prolonged period of time. [7] Menopause is usually a natural change. Hormone replacement therapy (HRT) HRT is a safe and effective treatment for most going through menopause and. This time actually is. Menopause. Osteoporosis is a disease that weakens bones, increasing the risk of sudden and unexpected fractures. 1,2 Approximately 1. difficulty remembering things. The main male reproductive hormone is testosterone. While the symptoms of menopause can significantly impact a woman’s quality of life, not all women experience the same symptoms. Fluctuating and the deficiency of hormone levels during post-menopause can cause a change in women's sexual function 6. This review summarizes the etiology, consequences. 1038/sj. Menopause is the permanent cessation of menses for 12 months resulting from estrogen deficiency and is not associated with a pathology. Starring: Engin Günaydın, Tamer Karadağlı, Derya Karadaş. a lack of concentration and motivation. Sleep problems are often due to hot flashes or night sweats, but sometimes sleep becomes unpredictable even without them. Vitamin Supplements for Male Menopause. Andropause. Symptoms like night sweats are common right before,. ”. Up to 8% of women may. Systemic. improved relief of vasomotor symptoms of menopause. Experts disagree on what it is, how is should be defined, and whether it even exists at all. 2. It usually occurs in middle-aged or older men, typically. In most women, menopause symptoms like hot flashes aren't severe enough to need treatment. Still, little is known about the health effects of this natural biological occurrence. “So the term ‘male menopause’ or even ‘andropause’ is a bit of a misnomer. Menopause is the time in your life when you naturally stop having menstrual periods. As a man ages, his body naturally makes less testosterone. “Menopause has the worst P. Premature menopause is estimated to affect 1% of women under the age of 40 years and 0. During menopause, the ovaries gradually stop producing estrogen. Changing emotional and physical feelings related to sex. Support the nervous system. Yes. Starting at around age 50, both males and females experience a reduction in the hormones that define their gender. Andropause is the male equivalent of menopause. What Is male menopause? Simply put, male menopause is a collection of symptoms caused by a dip in testosterone. While. Menopause symptoms and relief. We want this website to be your personal guide to a healthy menopause and to serve as a stepping-stone to discussions with your healthcare provider. Menopause terjadi ketika wanita memasuki usia 50–55 tahun. Some people call the time leading up to a woman's last period menopause. andropause definition: 1. on July 11, 2011. New findings from the Women’s Health Initiative and other studies offer important information about the risks and benefits of long-term menopausal hormone therapy. For men, testosterone production gradually decreases across the. Menopause, also known as the climacteric, is the time when menstrual periods permanently cease, marking the end of reproduction. Postmenopause is the stage of life after you have not had a period for 12 months or longer. Menopause is the time when your menstrual periods stop permanently and you can no longer get pregnant. During this stage, menopausal symptoms, such as hot flashes, get milder or go away. Some older men undergo a phenomenon that is similar to menopause in women; it is commonly called andropause. This can increase your risk of bone fractures. – Decreased risk of. 3. However, the rates of many cancers, including breast cancer, do increase with age. About two-thirds of those with Alzheimer's disease (AD) are women, most of whom are post-menopausal. ”. During the years before menopause, production of estrogen and progesterone begins to fluctuate, and menstrual periods and ovulation occur less often. 1–3. You have reached menopause if you haven’t had a period or spotting for 12 months. – Better concentration and cognitive function. For the majority of women who use HRT under the age of 60, and for many beyond that age, the benefits of HRT outweigh any risks but for. Medication or healthy lifestyle changes may reduce the risk of these conditions. 6. Hot flashes are a sudden feeling of heat in the body and can last up to 10 minutes. Estrogen products are commonly taken orally as a pill, applied to the skin with a cream or a patch,. That can affect vaginal lubrication, causing the vagina to be too dry for comfortable sex -- but there's help for that. Other potential symptoms of andropause include: breast enlargement. Tonify the kidney and uterus. LOH, or functional. According to the Food and Drug Administration (FDA) and several medical specialty groups, the hormones marketed as "bioidentical" and "natural" aren't safer than hormones used in traditional hormone therapy. 5. In addition to hot flashes and night sweats,. An anti-inflammatory diet – including a daily green smoothie – can help mitigate andropause symptoms in mature men. But aging-related hormone changes in women and men are different. low testosterone. Andropause, also known as late-onset hypogonadism, is characterized by a series of physical, psychological, and sexual changes in men. Its symptoms are sexual dysfunction, weakness, fatigue, insomnia, loss of motivation, mood disorders and reduction of bone density. There are three benchmark stages of natural menopause: Perimenopause (or the menopause transition) is the span of time between the start of symptoms (such as erratic periods) and 1 year after the final menstrual period. “Andropause are the symptoms surrounding low testosterone,” Komer says. Try a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) to restore some moisture to your vaginal area. 36,37 Although cultiva-tion-based studies show a significantly lower quantity of vaginal Lactobacillus in postmenopausal women,37 severalMenopause is diagnosed after 12 months of amenorrhea. Completing menopause before age 40 is called premature menopause. Menopause accelerates the risk for dementia by increasing. Answer From Tatnai Burnett, M. Up to 80% of women experience hot flashes during menopause. Dalam webinar “Meningkatkan Kualitas Hidup melalui Kesehatan Seksual Pria dan Pasangan” yang digelar ICTEC RSCM FKUI pada Selasa (27/10/2020), dijelaskan lebih jauh apa itu. Menopause is associated with a marked decrease in ovarian estrogen production. Mood changes. Descriptions. It is otherwise called climateric (male) and it passes as a natural. Fatigue. Menopause is the time in a woman's life when menstrual periods permanently stop, also called the "change of life. As people age, hormone. In many ways the resulting symptoms are different from those experienced in the young hypogonadal male, because of the slow nature of testosterone decline in the elderly. However, many experts consider. Hormone replacement therapy (HRT) is a medical treatment that boosts declining levels of estrogen and progesterone in a person approaching menopause. Difficulty concentrating. menses stop in menopause) and a decline in testosterone hormone (oestrogen in female) What is testosterone hormone? Testosterone is produced in the testis by special cells. Estrogen declines even further during this phase,. an increase in urinary tract infections due to. The term "male menopause" has been used to describe decreasing testosterone levels related to aging. The links below point to information resources, including the most current from the NIH, on both long-term and short-term hormone use, and other concerns related to. Diagnosis of late-onset of hypogonadism is based on presence of symptoms suggestive of testosterone deficiency - prominent among them are sexual symptoms like loss of libido, morning penile erection and erectile dysfunction; and. There may be problems getting an erection. " Menopause symptoms and signs include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Feb. loss of strength or muscle mass. During the perimenopause, oestrogen levels fluctuate wildly and decline significantly (causing many of the symptoms associated with the menopause). Univariate Cox models were fitted to the age at menopause for all individual covariates before the multivariate analysis. There was a significant relationship between occupational status and knowledge about andropause (P<0. 1. People in postmenopause are at increased risk for osteoporosis and heart disease. During this period in a man’s life, his hormone levels—especially testosterone—dramatically decline, resulting in increased risk of diseases like heart disease and a host of unpleasant symptoms. After menopause, a woman cannot become pregnant, except in rare cases when specialized fertility treatments are used. Menopause symptoms and relief. During the transition to menopause, changing hormone levels can affect your menstrual cycle and cause symptoms like hot flashes and problems sleeping. , abdomen, inner thighs). HRT (also known as , menopausal hormone therapy, and. Andropause refers to the natural decline of testosterone, typically affecting men as early as 40 or as late as 65. 1% of women under the age of 30 years. A female executive has said the MeToo movement inspired her to sue her company over a “menopause” jibe. Andropause or “male menopause” happens when there is a decrease in the production of male testosterone and is common in men between 40-60. Your risk for most types of cancer increases as you age. 5 Consider using a FSH test to diagnose menopause only: in women aged 40 to 45 years with menopausal symptoms, including a change in their menstrual cycle. But for some, symptoms are severe enough that they need hormonal intervention. decreased self-confidence. So much so that the UK government had to appoint a dedicated “menopause tsar” to deal with the resulting shortage of oestrogel, a popular form of HRT, as more and more women seek. Loss of muscle mass and weakness. During menopause, some women have problems like hot flashes, vaginal dryness and irritation, and thin. infertility. These symptoms can include irregular periods, vaginal dryness, hot flashes, night sweats, irritability, depression, and more. Natural remedies for hot flashes may help reduce symptoms and it's important to use them safely. Symptoms of menopause can include hot flashes, irregular periods, mood changes, night sweats, breast soreness, vaginal dryness, bloating, thinning hair, and more. It can occur earlier in those who smoke tobacco. I like to say that before I became a mom I was the picture of perfect health. However, the concept of andropause has been more controversial. Hormone therapy can help ease symptoms of menopause. In women, menopause usually occurs over a period of a few months or years, but andropause typically occurs over decades, usually between the ages of 48 and 70. The cause of these symptoms may be sleep disruption associated with. " Andropause is characterized by a loss of testosterone — the hormone that makes men men. Select the statement that describes the filtration stage of urine formation. These include hot flashes, changes in mood, and decreased libido. Testosterone levels would have lessened by 50 percent by the time most men reach 70. Feb. The goal is simply to restore the body’s testosterone to a more youthful level. Then he started experiencing her menopause symptoms. Menopause is the end of a woman's menstrual cycle and fertility. Menopausal symptoms are widespread and significantly impact quality of life. Amid the onset of andropause, a 50-something family man becomes obsessed with change and decides to pursue happiness. The recent media spotlight on female menopause has highlighted just how badly women can be affected by midlife reduction in hormone levels. However, if you start HT further from menopause or after age 60, HT might slightly increase your risk of heart disease. After the age of 40 years testosterone level starts declining and andropause corresponds to the age at which a pathogenic threshold is reached. After age 40, men may experience a phenomenon similar to the female menopause called andropause, due to the gradual decline in testosterone level. There are other treatments if you cannot, or choose not to, have HRT. Male menopause is a normal process. Symptoms like night sweats are common right before, during, and after menopause. The age-related decline in testosterone (T) along with the associated symptoms has been referred to as male menopause, andropause, partial androgen deficiency of the aging male, and the currently preferred term, late-onset hypogonadism (LOH). INTRODUCTION — Women have menopause at a mean age of 51 years, with 95 percent having their final menstrual period between the ages of 45 to 55 years. Men do not go through a menopause in the same way as women do, but they can suffer from Testosterone Deficiency Syndrome, which is often commonly called the ‘male menopause’. If these levels become low enough, andropause will begin to become a problem. Although the end of menstruation is accompanied by several uncomfortable symptoms like hot flashes, night sweats, depression, and weakening. Introduction. Overview What is menopause? Menopause is a point in time when you’ve gone 12 consecutive months without a menstrual cycle. Of note, increasing. Improved mood and overall sense of mental well-being in some women. Loss of. Hot flushes or night sweats often improve within a few weeks. Another common reason to remove normal ovaries at the time of hysterectomy is to reduce the risk of ovarian cancer. Facts and figures* • Average age at onset in the UK is 51 years • Premature menopause affects 1 per cent of women under. Women can experience everything from sleep disturbances and mood changes to low libido and hair loss. A progressive decrease in androgen production is common in aging men. We attempt to discuss the most modern and relevant po. Most women experience vasomotor symptoms, but menopause affects many other areas of the body, such as urogenital, psychogenic, and cardiovascular. Urinary incontinence. These changes can raise your risk of type 2 diabetes. Avoid hot flash triggers, such as hot beverages, caffeine, spicy foods, alcohol, stress, hot weather or a warm room. Summary Menopause officially begins when you’ve gone 12 consecutive months without menstruating. And yet for many women, menopause becomes. In general, HT is associated with fewer than 2 additional harmful events per 1,000 women per year. Menopause is a natural biological process. More than 1 million women in the United States experience menopause each year. As we learn more about the pathophysiology of hypogonadism, our perspectives on the risks and. Treatment of andropause with testosterone has been recently considered. Individualization is key in the decision to use hormone therapy. Menopause affects every woman differently; in fact, 50% of women never suffer symptoms such as hot flashes. This time actually is the transition to menopause, or perimenopause. Early menopause. 1, 2023. If these levels become low enough, andropause will begin to become a problem. During this transition time before menopause, the supply of mature eggs in a woman's ovaries diminishes and ovulation becomes irregular. It can happen naturally, or as a side effect of some treatments. 2. , hot flashes and night sweats) and genitourinary (e. Menopause affects every woman differently; in fact, 50% of women never suffer symptoms such as hot flashes. Treatment. A. Menopause. As your body transitions to menopause over several years, you may have menopause symptoms and irregular periods. inflammation. Symptoms of menopause can include hot flashes, irregular periods, mood changes, night sweats, breast soreness, vaginal dryness, bloating, thinning hair, and more. : If a woman is having symptoms of menopause after a (surgery to remove the uterus) or a hysterectomy with bilateral salpingoophorectomy. You may experience menopause any time in your 40s or 50s. Steven Lamm, medical director of. , hot flashes and night. There is a widespread notion that because sex hormone deficiency is a natural part of aging, no correction is required. ♦ Lowered self-confidence. The age when menopause occurs can vary widely. Our. Surgical menopause carries a number of side effects beyond those of menopause, including: loss of bone density. Menopause hormone therapy (MHT) is the most efficient treatment for symptoms of acute climacteric syndrome and for efficient prevention of long-term estrogen deficiency. As males grow older, their testosterone levels naturally begin to wane, especially once they've reached the age of 40. The term "male menopause" has been used to describe decreasing testosterone levels related to aging. During menopause, estrogen levels drop, the ovaries stop producing eggs, and the menstrual period ends. Gejala menopause dimulai ketika wanita memasuki masa perimenopause, yaitu beberapa bulan atau beberapa tahun sebelum menstruasi berhenti. An interesting study, but not conclusiveMenopause tends to occur naturally around midlife, but it can also happen earlier if a person undergoes some types of surgery or treatment. In addition, some of the drugs used. Still, women of all ages can develop low estrogen. These risks depend on the type of hormone therapy, the dose. hot flashes or sweating. Menopause is the time when your menstrual periods stop permanently and you can no longer get pregnant. Learn about menopause and the menopausal transition or perimenopause. Written by WebMD Editorial Contributors What Is Menopause? Menopause Causes Menopause Symptoms What Happens During Menopause? 7 min read What Is Menopause? Menopause is the end of. If you're under 45 and have noticed your periods becoming infrequent or stopping altogether, you should speak to a GP. [is overweight ] and she can either lose 50 pounds or take estrogen, I say losing 50 pounds is better for overall health," Minkin said, adding that the estrogen seems to help glucose metabolism. In addition, women who experience natural. Learn more about surgical menopause here. Talk to your. If menopause happens before the age of 40 years, it is called premature menopause or premature ovarian insufficiency. Surgical menopause carries a number of side effects beyond those of menopause, including: loss of bone density. IMPACT OF MENOPAUSE (CONT. As men get older, the levels of testosterone in their blood often drop. Other terms used to describe age-related male hypogonadism include male menopause, male climacteric, and androgen decline in the aging male (ADAM) . Transdermal skin patches are used as a hormone delivery system to treat particular symptoms of menopause such as hot flashes and vaginal dryness, burning, and. Premature menopause happens when the ovaries stop functioning normally before age 40, Shawn Tassone, MD, an OB-GYN specializing in integrative medicine in Austin, Texas, told Health. Learn more. During the. fluid retention. However, it's not an official medical term: Dr. Menopause in women is based on the end of the reproductive cycle associated with ovarian failure, and is characterized by the relatively abrupt onset of well-recognized symptoms. increased energy levels. It is important to note that andropause is not the male equivalent to female menopause. Menopause refers to the stage of a person’s life during which their period stops. To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including: Vaginal moisturizers. Menopause is when your periods stop due to lower hormone levels. The physiological causes for this phenomenon seem to be multifactorial. Testosterone declines naturally as men age. Male menopause is a surprisingly controversial topic. Common symptoms of andropause in men include: Hormones play an important role in skin health. Menopause significantly speeds bone loss and increases the risk of osteoporosis. Common symptoms of low estrogen include: painful sex due to a reduction in vaginal lubrication. However, the ability to reproduce is still present in men. That can affect vaginal lubrication, causing the vagina to be too dry for comfortable sex -- but there's help for that. Also, women should use the lowest dose for the shortest amount of time needed to keep the symptoms under control. Menopause is a phase of life that affects a full half of the population—yet in many circles, it remains “taboo,” with women embarrassed to discuss it. During the transition to menopause, changing hormone levels can affect your menstrual cycle and cause symptoms like hot flashes and problems sleeping. It typically occurs between the ages of 45 and 55, although the exact timing can vary. By The New York Times. It has the natural ability to dilate the arteries. The transition phase before menopause is often referred to as perimenopause. Summary. But more and more medical professionals appear to agree that the condition is indeed real. Anxiety and menopauseAfter menopause, women are less likely to have a Lacto-bacillus-dominant vaginal bacterial community and less likely to have a low vaginal pH. 0. In most cases,. In the U. This time actually is the transition to menopause, or perimenopause. Sleep problems. Preventing bone loss is an important concern for women in the menopause journey and during post-menopausal stages. Potential erectile dysfunction or a low sex drive. HRT can be used orally, topically, or vaginally. dry skin, eyes, or mouth. The Bottom Line: Hormone therapy is an acceptable option for the relatively young (up to age 59 or within 10 years of menopause) and healthy women who are bothered by moderate to severe menopausal symptoms. Andropause, the so-called male menopause, signifies the retreat of the key male hormone testosterone. 1 – 3. Male menopause symptoms may sometimes occur due to a deficiency of testosterone that develops during the later stages of life (also referred to as late-onset hypogonadism). “Male menopause” is the more common term for andropause. Anxiety and depression. It is imperative that male hypogonadism be evaluated and treated with hormonal replacement to avoid the development of frailty and effects on sexual health. Work-related factors, such as psychological stress, physical effort, and sleep disorders, showed a significant correlation with andropause manifestations, whereas age at menopause and severity of menopausal symptoms were both influenced by factors such as pesticide exposure, high job strain, and repetitive work. It typically happens between the ages of 40, which is considered to be an early age to have menopause, and 60, which is a. e. Abstract. Fatigue is one of the symptoms of male menopause as androgen levels decline with age. Ovarian function declines with age. The WHI estrogen-alone clinical trial, launched in 1993, randomly assigned more than 10,739 women between the ages of 50 and 79—all of whom were past menopause and had had a hysterectomy—to take daily estrogen or a placebo. The average age of menopause for women is 51. Please enter a valid email address. It is a normal part of aging. Sleep problems. Vaginal dryness 3. Short-term hormone therapy can provide relief in women with severe symptoms. This time. Without these hormones, periods become erratic for a time, and then eventually stop. This treatment should only be used in women without a history of estrogen-dependent. Charlie Curtis inserted his. In fact, if someone had told me that I’d go through menopause at just 31 years old, I’d have called them crazy and. The findings showed a poor level of knowledge and positive attitude toward andropause among general physicians. Menopause is one point in a continuum of life stages for women and marks the end of their reproductive years. During this stage, menopausal symptoms, such as hot flashes, get milder or go away. 1:59. Menopause symptoms and length vary from person to person. vaginal dryness. 3900798. 1 Menopause is defined as 12 months of amenorrhea, occurring at a median age of 51. Achy joints and sore muscles. Premature menopause and early menopause are conditions where a woman or person assigned female at birth (AFAB) goes through menopause at an earlier age than is typically expected. There's also no evidence that they're any more effective. Irritable male syndrome may cause symptoms including depression, low self-confidence, difficulty concentrating, reduced energy, and issues sleeping, as well as irritability. 46. 25 years. Menopause occurs after you’ve had no period for 12 consecutive months, which on average happens around 51 years old. The main medicine treatment for menopause and perimenopause symptoms is hormone replacement therapy (HRT), which replaces the hormones that are at low levels. By The New York Times. Introduction. 001). infertility. 23. A holistic patient care model that emphasizes earlier and more robust education about the menopause transition for patients and providers would aid in the normalization of this life transition and improve quality of. INTRODUCTION — Women have menopause at a mean age of 51 years, with 95 percent having their final menstrual period between the ages of 45 to 55 years. A number of terms have been used to describe the loss of hormone production and their secretory patterns as we age including menopause, andropause, adrenopause, and somatopause. Some people call the time leading up to a woman's last period menopause. In addition to the latest research, we’ve included a “Menopause Self Assessment” that can help you determine if hormone therapy (HT) is a. Vaginal dryness. As the body produces less estrogen, the risk of osteoporosis, cognitive impairment, heart disease. Menopause happens when your ovaries stop producing a. These changes can raise your risk of type 2 diabetes. Vitamin supplements for male menopause may help your body produce. Exercise regularly. Hormone replacement therapy (HRT) HRT is a safe and effective treatment for most going through menopause and. 2 /12. fatigue. In addition, midlife — when menopause occurs — is a time when women sometimes face multiple sources of stress, including caring for children, dealing with aging parents, and navigating life changes, all of which may contribute to the incidence of depression and anxiety at this age. Hormone therapy has also been. Reducing stress can help too. Modifiable Risks. In the years around menopause, you may experience changes in your sex life. About 13% of women experience this symptom during menopause. The deficiency of. “Male climacteric” refers to the syndrome of endocrine, somatic, and psychic changes that occur in normal men with aging. Just as #noperiodshame has begun. Considered effective and low-risk, natural alternative treatments manage hormonal fluctuations through the use of herbal remedies. A study from 2020 found that nearly 27% of people in menopause used marijuana to ease symptoms. a recent study into the effectiveness of. " Menopause does not happen all at once. Relax, exhale and measure your waist. Andropause (Male Menopause) vs Menopause. mood swings. Genetics, lifestyle, menstrual cycle patterns, and medications are factors that affect timing. Tweet: Email a Friend close. vaginal dryness. Menopause, which is defined as one year after your last period. Male andropause: myth, reality, and treatment. The most recent data on the years just before menopause – a time when cardiovascular risks accelerate. Other health benefits of taking HT include: Reduced risk of developing osteoporosis and reduced risk of breaking a bone. Be sure you’re getting enough nutrients such as zinc (red meats, mushrooms, spinaches, broccolis, etc. Menopause is the clinical term for when a person’s estrogen levels drop and they stop menstruating. – Improvement of well-being and mood. Menopause. Menopause can happen naturally, or for reasons such as surgery to remove the ovaries (oophorectomy) or the uterus (hysterectomy), cancer treatments like. Menopause that happens before age 40 is called premature menopause. Often, due to testing ranges that are too broad, and the fact that — unlike menopause — testosterone and male hormones decrease over a period of several years, it can be easy. Reduce musculoskeletal pain and spasms. How Can BHRT Help With Andropause Symptoms? The most common symptoms of hormonal imbalance in men are often disregarded until they impact the quality of life so severely that treatment is aggressively sought. Some women say they enjoy sex more. Age and menopause. campaign in the history of the universe, because it’s not just hot flashes and night sweats,” says Rachel Rubin, a sexual. Written by WebMD Editorial Contributors What Is Menopause? Menopause Causes Menopause Symptoms What Happens During Menopause? 7 min read What Is. Some supplements can interfere with prescription medications or cause problems if you have other health conditions, so talk with a healthcare provider before starting any. Finding menopause experts. 2. The transition takes a few years. – Preservation of bone mass. If a woman is 55 or older and still hasn’t begun menopause, it is considered late-onset menopause. Diagnosis of late-onset of hypogonadism is based on presence of symptoms suggestive of testosterone deficiency - prominent among them are sexual symptoms like loss of libido, morning penile erection and erectile dysfunction; and. Depression.