Understanding Andropause: The Male Menopause

While menopause is a well-recognized phase in a woman’s life, its male counterpart, andropause, often flies under the radar. Commonly known as male menopause, andropause refers to the gradual decline in testosterone levels in men as they age. This blog aims to demystify andropause, shedding light on its symptoms, causes, and management strategies.

What is Andropause?

Andropause is a term used to describe age-related changes in male hormone levels. Unlike menopause, where hormone production stops abruptly, the changes in men are more gradual. The term itself is somewhat misleading, as men do not undergo a well-defined period as women do with menopause. Nonetheless, andropause signifies a decline in testosterone, the key male hormone, which can affect various aspects of men’s health.

Symptoms of Andropause

The symptoms of andropause can be subtle and may develop over many years. They include:

  • Reduced Libido: A noticeable decrease in sexual desire.
  • Erectile Dysfunction: Difficulties in achieving or maintaining an erection.
  • Fatigue and Reduced Energy Levels: A general feeling of tiredness and loss of vitality.
  • Mood Changes: Increased irritability, depression, or mood swings.
  • Sleep Disturbances: Including insomnia or increased sleepiness.
  • Physical Changes: Decreased muscle mass and strength, increased body fat, and reduced bone density.
  • Cognitive Decline: Problems with memory and concentration.

Causes of Andropause

Andropause is primarily caused by a decline in testosterone production, which naturally decreases with age. This decline typically starts around the age of 35-40 and continues gradually over the years. By the time men reach their 80s, they have significantly lower testosterone levels than in their youth.

The Impact of Testosterone

Testosterone plays a pivotal role in male development and health. It regulates libido, muscle mass, fat distribution, bone density, and red blood cell production. Therefore, a decrease in this hormone can have widespread effects.

Diagnosing Andropause

Diagnosing andropause can be challenging due to the overlap of its symptoms with other health conditions. A diagnosis typically involves:

  • Medical History and Physical Exam: To rule out other conditions that may cause similar symptoms.
  • Blood Tests: Measuring testosterone levels, usually done in the morning when levels are highest.


Management and Treatment

Lifestyle Modifications:

  • Diet and Exercise: A balanced diet and regular exercise can help mitigate some symptoms of andropause.
  • Stress Reduction: Techniques like meditation and yoga can help manage mood swings and irritability.

Testosterone Replacement Therapy (TRT):

  • TRT can be effective in alleviating symptoms. However, it comes with potential risks, like increased chances of heart disease and prostate cancer, and should be discussed thoroughly with a fertility specialist.

The Debate Around Andropause

There’s ongoing debate in the medical community about whether andropause should be treated as a distinct medical condition. Some experts argue that the symptoms are a natural part of aging and do not require medical intervention.

Risks and Considerations of TRT

While TRT can improve quality of life for men experiencing severe symptoms, it’s not suitable for everyone. Men with a history of prostate or breast cancer, severe sleep apnea, heart failure, or high red blood cell count are typically advised against TRT.

Natural Remedies and Alternative Therapies

Many men seek natural remedies and alternative therapies to manage symptoms. These may include herbal supplements, acupuncture, and other holistic approaches. While some find relief, it’s important to approach these alternatives with caution and consult a fertility specialist.

The Importance of a Holistic Approach

Managing andropause effectively involves a holistic approach that encompasses physical health, mental well-being, and emotional support. Regular health check-ups, a healthy lifestyle, and open communication with fertility specialists are essential.


Andropause is a real and significant change that many men experience as they age. While it may not be as abrupt or pronounced as menopause in women, its impact on health and quality of life can be substantial. Understanding andropause, its symptoms, and potential treatments is crucial for men navigating this phase of life.

As we continue to break down the stigma around male aging and hormonal changes, more men can find the support and solutions they need to manage this natural transition effectively. Whether through medical interventions, lifestyle changes, or a combination of both, there are many pathways to maintaining health and vitality during andropause.

To know more, you can seek help from Fertility Specialist 

Dr Ila Gupta 

(Director & Sr. Consultant at Ferticity IVF & Fertility Clinics).