Male Menopause: The Concept Lives

The possibility that men experience a hormonally driven change of life that can affect everything from libido and body fat to mood swings -- known as male menopause -- continues to fascinate.

The topic was largely treated as a joke in popular culture until 1993 when journalist Gail Sheehy wrote a magazine article suggesting many men go through an "unspeakable passage" surrounded by secrecy and shame. She elaborated on the possible effects on men two years later in her book "New Passages: Mapping Your Life Across Time" (Ballantine Books, $12.95).

"Although it is not strictly a menopause," Sheehy writes, "Many men in middle or later life do experience a lapse in virility and vitality and a decline in well being."

The topic later reared its head in a new compendium about life after 50 titled "Are You Old Enough To Read This Book" (Reader's Digest, $21) edited by Deborah H. DeFore.

"While scientists disagree about male menopause, the ultimate experts on the issue -- middle-age men themselves -- express few doubts that it exists," writes Cyra McFadden, who polled a dozen men age 45 to 70 for her chapter "Is There Really A Male Menopause?"

Therapist Jed Diamond, a nationally known men's-movement leader, says he was skeptical until he researched his own book, "Male Menopause" (Sourcebooks Inc., $22.95).

Diamond, who directs the Men's Health Clinic at California's Long Valley Health Center, estimates that more than 25 million American men between 40 and 55 are now going through the "male menopausal passage." He expects the number to more than double by the year 2020, says a report in The Washington Times newspaper.Diamond says that while men's hormone levels don't plummet as estrogen does in menopausal women, the level declines enough to cause a host of troubling symptoms such as hair loss, irritability, depression, forgetfulness, reduced sexual desire and impotence.
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