Understanding 'Male Menopause' (Andropause)

A Guide to Age-Related Hormonal Changes in Men

Endocrinology

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Last updated: Mar 24, 2025

What Is Male Menopause?

'Male menopause,' medically known as andropause or late-onset hypogonadism, refers to the gradual decline in testosterone levels that occurs as men age. Unlike female menopause, this process is more gradual and doesn't involve a complete cessation of hormone production.

Key Facts

  • Occurs gradually, typically starting around age 40-50
  • Affects approximately 2-5% of men
  • Testosterone levels decline about 1-2% per year after age 40
  • Not all men will experience significant symptoms

Common Symptoms

  • Physical Changes:

    • Reduced muscle mass
    • Increased body fat
    • Decreased bone density
    • Reduced energy levels
  • Emotional/Mental Changes:

    • Mood swings
    • Difficulty concentrating
    • Depression
    • Reduced motivation
  • Sexual Function:

    • Decreased libido
    • Erectile dysfunction
    • Reduced fertility

Diagnosis

  1. Medical history review
  2. Physical examination
  3. Blood tests to measure testosterone levels
  4. Screening for underlying conditions

Treatment Options

Lifestyle Changes

  • Regular exercise
  • Balanced diet
  • Stress management
  • Adequate sleep

Medical Treatments

  • Testosterone Replacement Therapy (TRT)
  • Treatment for specific symptoms
  • Management of underlying conditions

When to Seek Help

Consult your healthcare provider if you experience:

  • Significant mood changes
  • Persistent fatigue
  • Sexual dysfunction
  • Other concerning symptoms

Important Considerations

  • Not all age-related changes require treatment
  • Regular medical check-ups are important
  • Some symptoms may be due to other conditions
  • Treatment decisions should be individualized

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