Is Male Menopause Real?

Dr. Mujahid Jammel

MD(AM)BUMS, DAF, CHEF, PGDYT

June 7th, 2024

While the concept of male Menopause is widely discussed, there is still some debate about whether it is an actual medical condition. In women, Menopause is when their period (Menstruation cycle) stops, and after that, they will no longer be able to get pregnant. Male Menopause is the idea of a male equivalent to the hormonal changes experienced by women during Menopause. Is male Menopause an actual medical condition or not? Has been the subject of research and discussion within the medical community.

Is Male Menopause Real?

The answer is yes. But not every man experiences male Menopause, and also, there is no fixed age for male Menopause as it can happen at any age period starting from age 30 onwards. Every man can notice the symptoms as the symptoms are real.

What is Male Menopause?

Male Menopause, also known as andropause, refers to the gradual decline in testosterone levels that occurs as men age. Unlike the dramatic hormonal shift experienced by women during Menopause, the changes in men tend to be more gradual and less pronounced.

The primary hormone affected is testosterone , crucial in maintaining muscle mass, bone density, sexual function, and overall energy levels. As men age, typically starting around the age of 40, their testosterone levels begin to drop by about 1% per year. This gradual decline can lead to a range of symptoms that are often associated with male Menopause.

Difference between menopause and andropause

Symptoms of Male Menopause

The symptoms of male Menopause can vary widely from individual to individual, and the severity of the symptoms can also differ. The most typical signs and symptoms of andropause are

Decreased sex drive

One of the most notable symptoms of male Menopause is a decline in sexual desire and function. This can be caused by the drop in testosterone levels, which plays a crucial role in sexual arousal and performance.

Erectile dysfunction

Along with a decreased sex drive, some men may experience difficulty achieving or maintaining an erection, known as erectile dysfunction.

Fatigue and decreased energy levels

As testosterone levels drop, men may experience a general sense of fatigue and a lack of energy, making it challenging to maintain their usual physical and mental activity.

Mood changes

Hormonal fluctuations can lead to mood swings, irritability, and even depression in some men experiencing andropause.

Decreased muscle mass and strength

Testosterone is essential for maintaining muscle mass and strength. As levels decline, men may notice a gradual loss of muscle tone and strength.

Increased body fat

With the decrease in muscle mass and the drop in testosterone, some men may experience an increase in body fat, particularly around the midsection.

Cognitive changes

Some men report experiencing difficulty with memory, concentration, and problem-solving, which may be related to the changes in hormone levels.

Diagnosis of Male Menopause

Diagnosing male Menopause can be a complex process, as the symptoms can be similar to those associated with other health conditions. To confirm a diagnosis, healthcare providers may perform a series of tests, including

1. Blood tests: Measuring testosterone levels and other hormones can help determine if a man is experiencing a decline in testosterone.

2. Physical examination: A physical exam can help identify any underlying health issues contributing to the symptoms.

3. Questionnaires: Healthcare providers may use questionnaires to assess the severity of the symptoms and their impact on a man’s quality of life.

Treatment Options For Male Menopause

1. Testosterone replacement therapy (TRT): This is the primary treatment for male Menopause. TRT involves the administration of synthetic testosterone, either through injections, patches, gels, or implants, to restore the body’s hormone levels.

2. Lifestyle changes: Adopting a healthier lifestyle, including regular exercise, a balanced diet, and stress management techniques, can help alleviate some of the symptoms associated with male Menopause.

3. Medications: In some cases, healthcare providers may prescribe medications to address specific symptoms, such as erectile dysfunction or mood changes.

4. Counseling and support: Seeking support from a mental health professional can be beneficial for men experiencing the emotional and psychological impacts of male Menopause.

It’s important to note that the treatment approach will be tailored to the individual’s specific needs and the severity of their symptoms. 

Takeaway

Men usually experience a decline in testosterone levels as they age. Every man does not experience andropause. The drop in testosterone levels can be brought up by lifestyle changes, diet, and workouts in most men. Consult with a sexologist if the symptoms are causing difficulties. Also, it’s important to get enough laughter and a stress-free lifestyle to avoid male Menopause and keep your testosterone levels up to the mark.