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Andropause, or "male menopause," is a, often gradual, decline in testosterone levels typically starting after age 40–50. Symptoms include low libido, erectile dysfunction, fatigue, depression, irritability, reduced muscle mass, and increased body fat. It is a chronic condition often requiring long-term lifestyle management, though hormone therapy can help. [1, 2, 3, 4, 5]

Key Aspects of Andropause

• Onset and Duration: While testosterone declines by 1–2% annually after age 30, symptomatic andropause usually becomes noticeable after age 40 or 50. Unlike female menopause, the decline is gradual and continues throughout later life, rather than being a temporary phase.
• Symptoms:
  • Sexual: Decreased libido, erectile dysfunction, and potential infertility.
  • Physical: Reduced muscle mass/strength, increased body fat (especially abdominal), fatigue, gynecomastia (breast swelling), and hot flashes.
  • Psychological/Cognitive: Depression, anxiety, irritability, lack of motivation, and poor concentration.
• Risk Factors: Key factors accelerating the decline include obesity, chronic stress (high cortisol), poor sleep, smoking, and excessive alcohol consumption.
• Potential Complications: If left unmanaged, low testosterone is associated with cardiovascular issues and osteoporosis (low bone density).
• Management: Treatment includes lifestyle changes (diet, exercise, stress management) and in some cases, testosterone replacement therapy (TRT) administered via gels, injections, or patches. [1, 2, 3, 4, 5, 6, 7, 8]

It is recommended to consult a healthcare professional to differentiate andropause from other medical issues, typically using blood tests for hormone levels. [1, 2, 3]

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