What are side-effects related to male menopause & PADAM treatments?

Headache, weight gain, acne, increased aggression and male-pattern baldness have all been reported with testosterone treatment, but are uncommon if free testosterone levels are maintained within the normal range.

Considerable controversy exists over the effect of testosterone upon the prostate gland. Men with abnormally low levels of testosterone have small prostate glands.

Replacement therapy causes the prostate to grow to about the average size predicted for their age.
Current evidence indicates that testosterone does not cause abnormal prostate enlargement (benign prostatic hypertrophy).
Testosterone should not be given to men who have symptoms of restricted urine flow (urinary outflow obstruction) due to prostate enlargement.

Testosterone supplements are not thought to cause prostate cancer. However, the hormone does help existing prostate cancers grow and must not be given to men with prostate cancer.

If a man lives long enough, he will probably develop prostate cancer (up to 80%of 80-year-old men are found to have prostate cancer at post-mortem examination) so whether testosterone supplements will affect mortality in older men is unknown.
Cholesterol levels and production of red blood cells are affected by testosterone, and must be closely monitored, particularly during the first year of treatment.

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