What Is Male Menopause (Andropause)?

Women experience menopause due to the end of ovulation and a sudden drop in hormone levels. In men, however, there is no sudden hormonal shutdown. Instead, testosterone levels gradually decline with age, a condition known as andropause. Andropause typically appears after the age of 40 and progresses slowly. Its symptoms may include fatigue, decreased muscle strength, weight gain, reduced sexual desire, erectile problems, sleep disturbances and even a tendency toward depression. Because these symptoms develop gradually, they are often attributed to aging and go unnoticed.

Causes and Hormonal Changes in Andropause

In women, estrogen levels drop rapidly during menopause. In men, testosterone levels decrease slowly and progressively. Therefore, changes related to andropause occur more subtly and over a longer period of time. Low testosterone affects not only sexual function but also cardiovascular health, bone density and mental clarity.

So, what should be done? Any man experiencing the symptoms mentioned earlier should have his testosterone level checked with a blood test taken in the morning. If levels are low, additional hormone tests may also be necessary.

In some patients, lifestyle changes such as regular exercise, quality sleep and healthy nutrition can improve testosterone levels. However, if the decline is significant and symptoms persist despite these measures, testosterone replacement therapy becomes an option. This can be administered through injections, gels or implants.

In conclusion, men also experience hormonal aging—referred to as andropause. Men over 40 should be aware of this condition. When symptoms appear, consulting an andrology specialist can significantly improve quality of life and help prevent future health problems.