Mid Life Question:

What are the physical causes?

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Answer:

► Some doctors argue that the crisis of confidence and the unpleasant mid-life symptoms some men experience are not primarily psychological in origin. While there may be common psychological problems arising as a reaction to life events and the consequences of getting older, they argue for the existence of a "male menopause" involving hormonal changes in the body, analogous to the female menopause.
► The male menopause has been defined by its proponents as the hormonal, physiological and chemical changes which occur in men between around 40 and 55.
► Opponents of the male menopause theory don't deny that testosterone levels fall steadily with age or that SHBG levels may rise. What they do say, however, is that these changes aren't sufficient to produce any noticeable symptoms in the vast majority of men.

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