Male menopause in autists

I read an article about the male menopause today that made me realise that this will have a particularly strong impact on autistic men.

https://www.huffpost.com/entry/what-is-ims-in-men_l_68c42f3ce4b0b3dca95e7d4e 

Before any of you start screaming "there is no male menopause", I would like to quote:
Along with the term ‘andropause,’ which refers to male menopause, it’s a useful shorthand for describing what happens to men through gradual testosterone decline and hormonal changes,” said Dr Justin Houman, assistant professor of urology at Cedars-Sinai Medical Center.

It is an accurate term as it describes a group of symptoms much the same a women experience in their menopause but the exact cause is still being investigated.

the most common symptoms are:

    Mood changes, including irritability, lower motivation and feelings of depression
    Cognitive changes, like difficulty concentrating or memory lapses
    Low energy and fatigue that isn’t explained by poor sleep alone
    Reduced libido and fewer spontaneous erections
    Loss of muscle mass and strength despite regular exercise
    Increased body fat, particularly around the midsection
    Sleep disturbances, including insomnia or poor-quality rest

Most men start noticing symptoms like those listed above between 40 and 60, though lifestyle, chronic illness and genetics can accelerate or delay onset.”

Who here amongst the male audience of over 40 can relate to these symptoms?

Unlike the female menopause, this is a very long process and can be much harder to identify its onset, has no proven treatment and is still very much being researched.

Think about how any autist will describe how much it gets harder to cope as they age, how much harder it is to do the same things (work, socialise, even everyday tasks like shopping) as they get older, so when you add this hormonal issue for men then it is adding fuel to the fire.

Do you think there will be any sympathy for the men going through this male menopause? I doubt is as our peers come from a generation that had an approach of "just deal with it" and our female partners seem to be particularly dismissive of male suffering, possibly because so many of us spent our life being stoic and not letting on that we are suffering emotionally.

Without major studies identifying the cause and possible treatments, it is likely to remain as poorly understood in the medical world as autism for some time yet, in spite of the huge numbers of people involved (almost half the population over time).

It is an interesting subject and the parallels to autism make it an interesting one to watch.

  • Testosterone provides drive, focus, reduced emotional scope, lower feelings, more aggression, sex drive, etc.

    Reductions do the opposite. You are unlikely to be more aggressive. Although too low and it is known to cause psychological issues.

    I don't really see why it should be any different for autistic men. It's conceivable there may be greater sensitivity to levels.

    Of more note is that chronic stress keeps fight or flight active. This actively suppresses testosterone.

    Burnout can see it go very low, in my experience. Poor sleep, which is a normal autistic issue, also suppresses testosterone. Excess cardio workouts can too.

    Burnout mat be more of an issue in midlife, if you made it through your 20s, due to more commitments and pressure.

    At peak stress earlier this year, I had a blood test and multiple hormones were significantly outside normal ranges. They have since returned and I am feeling better.

    I suspect the worst symptoms of burnout, particularly the mental issues, are related to hormone imbalance caused by long term disruption caused by stress. There are many feedback loops and everything is inter-related.

  • Another instersting article focussed on autists and the menopause / andropause:

    https://neurolaunch.com/autism-and-hormones/

    As autistic individuals age, they may face unique challenges related to hormonal changes during menopause and andropause

    ...

    For older adults with autism, age-related hormonal shifts can interact with the natural changes in brain structure and function that occur over time. This interplay may influence the expression of autistic traits and the overall well-being of aging individuals on the spectrum.

    There is some coverage of the role of testosterone and becoming autistic too:

    Prenatal hormone exposure has emerged as a significant area of interest in autism research, with studies suggesting that fluctuations in certain hormones during critical periods of fetal development may influence the risk of ASD. 
    ...
    One of the most extensively studied hormones in relation to autism is testosterone. The theory, proposed by Simon Baron-Cohen, posits that exposure to high levels of testosterone in utero may contribute to the development of autistic traits.

    I think this is the reason behind some theories that the age of the father (and hence the age related testosterone level) could play a part in the chances of a child being autistic. To my knowledge these are only theories and unproven at this time.

    It is an interesting article and worth a read for those with an interest in the subject.