Conversations about once-taboo health issues are quickly evolving. Increased public awareness and a willingness to challenge old stigmas have opened the door for honest discussions about topics like mental wellness and women’s health. Yet, one subject remains noticeably absent: the hormonal changes and symptoms men experience as they age, called “andropause” or “age-related hypogonadism.”
While commonly referred to as the “male menopause,” most board-certified physicians prefer the term “age-related hypogonadism.” The term andropause is used when men experience low serum testosterone levels with no other apparent cause other than aging.
In this article, you’ll find out what andropause is, how to recognize the signs and why it’s time for men over 40 to bring this important topic to the forefront.
What Is Andropause?
Andropause refers to a gradual decline in hormones, especially testosterone, that typically starts around age 40. Yet unlike female menopause, which has a definite end, andropause is a slow and steady ongoing process. The drop in hormone levels — about 1 percent a year, studies estimate — often sneaks up, making it easy for men to miss the symptoms until they begin to affect daily life. This gradual shift makes andropause hard to pinpoint but no less important to recognize.
Recognizing Andropause Signs: Not Just “Getting Older”
It’s common for men to dismiss changes in their body or mood as just part of aging. However, some of these changes may actually be signs of male hormone decline. Raising awareness about andropause can help you recognize the difference.
Physical Symptoms
- Low energy or persistent fatigue
- Reduced muscle mass and strength
- Increased abdominal fat
- Insomnia
- Lower sex drive or sexual function
Emotional and Mental Symptoms
- Mood swings or irritability
- Feelings of sadness or depression
- Trouble focusing or “brain fog”
- Drop in motivation or confidence
These symptoms aren’t just something you have to accept. They may be your body’s way of signaling a hormonal imbalance that can be addressed.
Why Don’t Men Talk About Male Menopause? Breaking the Stigma
Many men feel embarrassed or pressured to keep quiet about fatigue, mood changes or libido issues, fearing it makes them look weak. Society often teaches men to be self-reliant and tough — it’s no wonder that talking about andropause can feel taboo. The stigma has caused many men experiencing andropause to go undiagnosed and untreated. Opening up about these changes isn’t a sign of weakness; it’s a step toward better health for yourself and a way to encourage other men to do the same.
Why Treating Andropause Is Important
Treating andropause can reverse and improve some of the physical symptoms you’re experiencing, but the importance of treating the condition goes beyond just that. Several long-term health concerns have been links to untreated low testosterone levels.
1. Cardiovascular Disease
Men with hypogonadism have higher rates of cardiovascular disease and a higher risk of having a heart attack. Treating men with testosterone replacement might help reduce the risks of heart disease.
2. Osteoporosis
An estimated one-third of men over 50 with testosterone deficiency also develop osteoporosis or osteopenia. Treating low testosterone levels actively boosts bone mineral density.
3. Diabetes
In one study, men receiving testosterone had decreased rates of becoming diabetic and those with diabetes had improved blood sugars compared to patients receiving placebo.
How to Get Diagnosed
If you suspect you might be experiencing andropause, the first step is to talk to a healthcare professional. Diagnosis usually begins with a conversation — your doctor will ask about your symptoms, overall health and any changes you’ve noticed. Don’t be afraid to be honest. Sharing all the details helps your doctor get a clearer picture.
Your doctor may:
Ask you about:
- Fatigue or changes in energy
- Mood shifts, irritability or sadness
- Changes in sleep patterns
- Reduced muscle mass or increased body fat
- Reduced libido or sexual function
Perform a physical exam to check for:
- Changes in muscle strength
- Increased abdominal fat
- Other visible symptoms of hormone decline
Order bloodwork to:
- Measure your testosterone levels
- Check for other hormone imbalances that might explain your symptoms
Sometimes, your doctor might repeat blood tests at different times, since hormone levels can fluctuate throughout the day. Once all the results are in, they will then determine whether low testosterone or another issue is behind your symptoms and suggest the best next steps.
What to Do Next: Simple Steps Toward Better Health
If you’re noticing symptoms related to andropause, there are steps you can take to feel better. They include:
- Adopt a balanced diet: Focus on nutrient-rich foods that support hormonal health, such as lean proteins, healthy fats, and plenty of fruits and vegetables. Reducing processed foods and sugar can also help maintain energy levels and overall well-being.
- Incorporate regular exercise: Engage in a mix of strength training, cardio and flexibility exercises. Physical activity not only boosts mood and energy but also helps regulate hormones and maintain muscle mass as you age.
- Prioritize stress management: Chronic stress can exacerbate hormonal imbalances. Practice mindfulness, meditation or other relaxation techniques to keep stress levels in check and improve overall health.
- Consider medical interventions when needed: If you’re not currently using medications or testosterone replacement therapy (TRT), your healthcare provider may recommend them to manage andropause symptoms. Talk to your doctor to explore options tailored to your needs and health.
Starting this conversation is about prioritizing your health and taking charge of your well-being.
At Stony Brook Medicine’s Department of Urology, we provide comprehensive and compassionate care tailored to fit your needs. Urologists specialize in treating issues of the kidneys, bladder, urinary tract and male reproductive system. Each member of our team is committed to delivering exceptional treatment for both common and complex urologic conditions.
