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What is Male Menopause

What is Male Menopause

By Mike Kocsis | 7 minutes read | Last updated: December 29, 2023
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  • Medically Reviewed by Dr. George Touliatos

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    When the term “menopause” comes to mind, it’s often associated exclusively with women. However, a condition known as andropause, more informally referred to as ‘male menopause,’ shares striking similarities with its female counterpart. While not technically classified as menopause, andropause manifests many of the same symptoms, earning its nickname as the male version of this hormonal transition. These symptoms are recognised in men experiencing challenges in testosterone production or grappling with conditions like testosterone deficiency, otherwise known as hypogonadism.

    Andropause typically involves a decline in testosterone production, particularly prevalent in men aged 50 or older, though it’s not exclusive to this age group. Hypogonadism emerges as a common factor contributing to this decline, leading to low testosterone levels and the array of symptoms associated with testosterone deficiency.


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    What does testosterone do?

    Testosterone is the most important hormone produced in the body of men, and it contributes to many of the healthy bodily functions that men experience every day. Testosterone is exclusively produced in the testes. If they are not producing as much testosterone as they should it can lead to a hormone imbalance in the body. While many people associate testosterone with simply being in charge of fueling sex drive, that is far from the only thing that it is responsible for. It helps to regulate puberty, mental and physical energy levels, maintaining and increasing muscle, emergency response instincts and also has a hand in countless other bodily processes.

    While male menopause and female menopause share the title of menopause, the cycles that men and women go through during this time are quite different. The main difference is that not all men experience menopause, while all women are subject to menopause. Another difference is that the men who do go through male menopause do not experience a complete shutdown of the reproductive organs. Though it can affect sex drive and sexual function heavily.


    What are the symptoms of male menopause?

    Unfortunately, the symptoms of male menopause are very broad and can affect many parts of the body and mind. Additionally, they worsen with age, meaning it could become an ongoing issue that continues to develop. Here are the symptoms, both physical and mental, that one might expect when going through male menopause.

    Physical Symptoms

    Since testosterone plays a large role in making sure that the bodies of men function properly, low testosterone can have physical consequences that are less than pleasant.

    One of the main symptoms that you might experience is low energy.  This can also contribute to decreased motivation in your personal and professional life and lead you to be less productive and less driven.

    male menopause and sleep infographicAnother effect is insomnia or general difficulty sleeping. Without the right balance of hormones, you can find that sleeping and other basic activities start becoming harder and more of a struggle, especially when it comes to regulating those activities. Not getting enough sleep or having a poor sleep schedule can also take a toll on your energy and productivity.

    With a less regulated body and more irregular body functions, low testosterone can also contribute to raising the amount of body fat that you have and put you in worse physical shape overall. These effects also transmit to muscle mass and strength, since testosterone also plays a large part in developing muscles and providing muscular strength to the body.

    Since testosterone is the main hormone for male development, low testosterone could lead to slowed or underdevelopment of the body. Without proper testosterone levels, it is possible that men could develop breasts (gynecomastia). This also will come with a decreased sex drive and possibly problems achieving or maintaining an erection.


    Mental Symptoms

    While the physical symptoms of male menopause and low testosterone are often severe and challenging, it’s crucial to recognise the significant impact on mental well-being. Testosterone, a vital hormone for both the body and mind, plays a key role in maintaining a healthy balance and regulating mood and emotions. When testosterone levels are insufficient, this delicate balance is disrupted, affecting emotions and moods in various ways.

    One prominent mental side effect of low testosterone and male menopause is depression or persistent sadness. The resulting chemical imbalance in the brain can lead to heightened feelings of sadness and depression, serving as an important indicator that male menopause or low testosterone may be occurring.

    Beyond depression, another emotional symptom often experienced is a notable lack of motivation and drive. Adequate hormone levels typically establish a baseline of motivation and drive, which diminishes when testosterone levels are insufficient.

    Whether manifested as a distraction due to male menopause or restlessness, many men undergoing this phase also struggle with a diminished ability to concentrate. This difficulty in focusing can impede productivity and happiness, disrupting the harmony in both personal and professional aspects of life.


    Male Menopause Symptoms Summary Table

    Lack of energyLoss of motivationLow libido (sex drive)
    Brain fogIncreased body fatIrritability
    Loss of confidencePoor sleep cyclesWeak erections
    No morning erectionsFacial hair lossLack of concentration
    FatigueSleep apneaDepression


    How to diagnose male menopause or low testosterone

    If you want to combat your male menopause and reverse the symptoms that you might be experiencing, then the first step is diagnosing the condition in the first place. Diagnosing ‘male menopause’ is difficult since it’s not a technical medical term. However, the underlying conditions that cause it to happen are much easier to diagnose. To start, your doctor simply needs to take a blood sample to test the amount of testosterone in your bloodstream. This will give the doctor insight into what levels your testosterone is at and whether they are appropriate for your age and other factors in your life.

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    Treating male menopause

    Though identifying male menopause is pretty simple and easy, the treatment is the hard part of the process. The reason that treatment can be difficult for low testosterone conditions is that there are a variety of reasons that could cause low testosterone. For most of the men who are experiencing male menopause, they are experiencing it as a result of age. It is a known fact that a decline in testosterone levels in men over time is a natural and normal thing to occur. That is why you shouldn’t be too concerned if you are experiencing low testosterone as an ageing man.

    male-menopause-treatmentIt is normal to experience a decline in testosterone as you age, but that doesn’t mean that there’s nothing you can do about it. There are several natural steps that you can take to lessen the effects of low testosterone on your body. They include:

    • Eating healthier
    • Getting more exercise
    • Keeping a healthy sleep schedule
    • Reducing stress as much as possible

    However, if you are experiencing low testosterone at a younger age, there are some actionable steps that you can take to combat those effects. You can get testosterone replacement therapy, which is a therapy that is designed to supplement the testosterone in your body through testosterone injections or another method. This regulates the amount of testosterone in your body and mitigates the side effects of low testosterone. In addition, you can take natural treatment steps to combat low testosterone and ensure that you are putting your body in the best position possible to produce the right amount of testosterone.



    If you are experiencing male menopause or are concerned about the issue of low testosterone, then being informed is your greatest weapon. With the information that you now have, you should be able to identify low testosterone, know which questions to ask your medical professional, and gain more insight into the treatment options that you have for low testosterone.


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    Male menopause FAQs

    How long does male menopause last?
    Men start to produce 1% less testosterone a year once they reach the age of 30+ so unfortunately, the symptoms associated with male menopause will not go away unless you opt for TRT.

    What is the male menopause age?
    As the body decreases testosterone production by 1% each year, you could experience the symptoms above at any time after this, however they can become more severe in your late 30s and 40s.

    Is there a male menopause?
    Yes, this condition does exist and is far less known and talked about compared to female menopause, however, awareness for the condition is starting to increase.

    Male menopause and the NHS
    The NHS don’t often treat this condition and have less knowledge on the subject than our specialist doctors, so we would advise speak to us rather than the NHS.

    Male menopause and hot flashes
    As your hormones adjust with age or if you have a hormone imbalance you may experience hot flashes, we advise having one of our comprehensive blood tests to check your overall hormonal health and bodily functions.

    Male menopause and depression
    Testosterone levels play an important role in mood control and can affect depression, confidence, sexual urges and more.

    What are the signs of male menopause?
    Please review our symptoms table above for a full list of signs and symptoms associated with male menopause, these can range from low libido, fatigue, and body fat to depression and sleep issues.

    Scientific References / Resources / Further Reading / Study Material

    The below links are scientific references, resources to perform further analysis and reading along with studies that have been conducted:

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    Evidence Based Research

    This article has been researched and written based on scientific evidence and fact sheets that have then been crossed checked by our team of doctors and subject matter experts.

    References, sources and studies used alongside our own in-house research have been cited below, most of which contain external clickable links to reviewed scientific paper that contain date stamped evidence.

    Our team of healthcare experts and GMC registered doctors are licensed to UK GMC standards. We strive to provide you with the latest evidence based, researched articles that are unbiased, honest and provide you with accurate insights, statistics and helpful information on the discussed topic to ensure you gain a better understanding of the subject. You can read more about our Editorial Process by clicking here.

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    About the Author: Mike Kocsis

    Mike KocsisMike Kocsis has an MBA with a focus on healthcare administration and is an entrepreneur and medical case manager for Balance My Hormones Ltd which offers medical services in the UK and Europe. Mike has over 20 years of experience in the healthcare sector, much of that working with people who have hormone imbalances. Mike has appeared on podcasts and radio and is an expert speaker on the subject of hormone imbalance. He specialises in Testosterone Replacement Therapy (TRT) and Hormone Replacement Therapy (HRT) and has helped thousands of people suffering from hormone imbalances recover and regain control of their lives. You can follow him on LinkedIn and on the Balance My Hormones YouTube Channel.

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