Andropause - The Balance Clinic

What is Andropause? A Man's Guide to the Male Menopause

Let's talk about something many men hesitate to discuss: andropause, also known as the male menopause. It's a gradual decline in testosterone production that typically begins in a man's 30s or 40s and continues throughout life. Think of it as the male equivalent of menopause in women, but with some key differences. Unlike menopause, which is a relatively sharp event, andropause is a slow, progressive change.

What are the symptoms of andropause?

The symptoms vary from man to man. Some men barely notice it, while others experience a range of symptoms that significantly impact their quality of life. Common symptoms include:

• Decreased libido: Sex drive can be affected.
• Erectile dysfunction (ED): Difficulty getting or maintaining an erection.
• Fatigue and low energy: Feeling perpetually tired.
• Loss of muscle mass and strength: Difficulty maintaining muscle mass.
• Increased body fat: Noticeable increase in waistline.
• Mood changes, including irritability and depression: Increased mood swings and feelings of depression.
• Reduced bone density: Increased risk of fractures.
• Sleep disturbances: Difficulty sleeping soundly.

What causes andropause?

The primary cause is age. As men age, the testes naturally produce less testosterone. Other contributing factors include:

• Certain medical conditions: Diabetes, obesity, and chronic illnesses can accelerate the process.
• Medications: Some prescription drugs can interfere with testosterone production.
• Lifestyle factors: Smoking, excessive alcohol consumption, and a sedentary lifestyle can worsen symptoms.

Is there a test for andropause?

Yes. A doctor can order a simple blood test to measure your testosterone levels, helping determine if you're experiencing a significant decline.

How is andropause treated?

Treatment options depend on symptom severity and overall health. Some men need no treatment, while others may benefit from:

• Testosterone replacement therapy (TRT): This common treatment involves testosterone gels, injections, or patches. It should only be done under a doctor's supervision due to potential side effects.
• Lifestyle changes: Maintaining a healthy weight, regular exercise, a balanced diet, and stress management can significantly improve symptoms.
• Other medications: In some cases, medications for ED or other symptoms may be prescribed.

What's the bottom line? Andropause is a normal part of aging for many men. However, if you're experiencing troublesome symptoms, consult your doctor. They can diagnose the issue and create a treatment plan, leading to a happier and healthier life. Remember, you're not alone. Many men face similar issues.

Keywords: Andropause, male menopause, testosterone, low testosterone, symptoms of andropause, treatment for andropause, testosterone replacement therapy (TRT), erectile dysfunction (ED), decreased libido, fatigue, age, test, blood test.