Andropause: Is Male Menopause Real?

Menopause in women is well understood, but is there an equivalent condition for men? Many men in midlife notice changes in mood, energy, and sexual health that feel surprisingly similar. This has led to growing discussion around andropause, sometimes called male menopause.

So, is it real? In a way, yes. Men don’t experience a sudden hormonal shift like women do, but testosterone levels do decline gradually over time, often leading to noticeable physical and emotional changes. Here, we take a closer look at what andropause really means, what causes it, how it’s diagnosed, and how men can manage it, guided by insights from men's health doctor, Dr Tan Kok Kuan.

What Is Andropause?

Andropause refers to the gradual decline in testosterone levels that occurs in men as they age, typically beginning around the age of 40. Unlike menopause in women, which involves a sudden and complete halt in hormone production, andropause develops gradually.

Although it is not formally classified as a medical condition in the same way as female menopause, andropause is a recognised physiological process that can affect many men. The reduction in testosterone can influence energy levels, mood, sexual health and overall well-being, making it an important aspect of men’s health that deserves attention and proper management.

Common Symptoms of Andropause

As testosterone levels decline, men may begin to experience a range of physical, emotional, and cognitive changes. These symptoms can vary in severity and may develop gradually over several years. Common signs of andropause include:

• Reduced Libido and Sexual Performance

  : A noticeable decrease in sexual desire or function is often one of the first symptoms men observe.

• Fatigue and Lower Energy Levels

  : Many men report feeling more tired than usual, even after adequate rest or sleep.

• Mood Swings and Irritability

  : Changes in hormone levels can affect emotional stability, sometimes leading to moodiness or reduced motivation.

• Increased Body Fat, Particularly Around the Abdomen

  : Slower metabolism and hormonal shifts may lead to weight gain in the midsection.

• Loss of Muscle Mass and Strength

  : Testosterone plays a key role in maintaining muscle tone, so declining levels often cause gradual muscle loss.

• Difficulty Concentrating or Memory Problems

  : Some men experience reduced focus or occasional lapses in memory often linked to hormonal changes, fatigue, and stress.

• Sleep Disturbances

  : Insomnia or disrupted sleep patterns are also common during andropause and can worsen fatigue and mood symptoms.

Causes of Andropause

The main cause of andropause is the natural decline in testosterone production that occurs as men age. Testosterone levels typically start to decrease gradually after the age of 30, leading to noticeable hormonal changes over time.

However, several factors can accelerate or worsen this decline:

• Chronic Stress

  : Prolonged stress increases cortisol levels, which can interfere with testosterone production and contribute to fatigue and mood changes.

• Obesity

  : Excess body fat, especially around the abdomen, can lower testosterone levels by converting the hormone into oestrogen through a process called aromatisation.

• Unhealthy Lifestyle Habits

  : Smoking, excessive alcohol consumption, poor diet and lack of exercise can all affect hormone balance and overall metabolic health.

• Underlying Medical Conditions

  : Diseases such as diabetes, high blood pressure and heart disease are linked to reduced testosterone production and can worsen andropause symptoms.

• Hormonal Imbalances

  : Conditions that affect the pituitary gland or thyroid can disrupt hormone regulation, influencing testosterone levels and sexual health.

While ageing is inevitable, maintaining a healthy lifestyle and managing chronic conditions can help slow the decline in testosterone and reduce the impact of andropause.

Diagnosing Andropause

Diagnosing andropause involves a detailed and comprehensive evaluation by a men’s health doctor. Since its symptoms can resemble those of other medical or lifestyle-related conditions, a careful assessment is essential to confirm the cause and determine the most appropriate treatment plan.

• Medical History

  : The doctor will begin with a detailed discussion about your symptoms, lifestyle habits and any existing medical conditions to understand potential contributing factors.

• Physical Examination

  : To assess overall health, a physical examination is performed to evaluate body fat distribution, muscle tone and any signs of hormonal imbalance. This assessment also helps identify or rule out other possible medical causes of low testosterone.

• Blood Test

  : A blood test is used to measure testosterone levels and assess other relevant hormones, such as luteinising hormone (LH) and thyroid hormones. Additional tests may also be performed to evaluate blood sugar, cholesterol and general health markers.

Treatment Options for Andropause

Managing andropause focuses on restoring hormonal balance and improving overall well-being. Treatment is tailored to each individual’s needs and may include the following approaches:

• Hormone Replacement Therapy (HRT)

  : Testosterone replacement therapy can help restore hormone levels, improving energy, mood, sexual health and muscle strength. It is prescribed only after proper evaluation and monitoring by a qualified men’s health doctor to ensure safety and effectiveness.

• Lifestyle Modifications

  : Regular physical activity, a balanced diet, adequate sleep and effective stress management can naturally support hormonal health. Maintaining a healthy weight and avoiding smoking or excessive alcohol use also play an important role in improving testosterone levels and general vitality.

• Medical Management

  : Addressing underlying health issues such as diabetes, obesity or thyroid disorders can help stabilise hormone production and reduce symptoms of andropause.

At Dr Tan Medical Centre, treatment plans are personalised and designed to address both hormonal and lifestyle factors. The goal is to help men regain balance, maintain long-term health, and enhance quality of life through evidence-based care and ongoing support.

Why Consult Dr Tan Kok Kuan for Andropause?

While andropause does not cause the same rapid hormonal changes seen in menopause, it is still an important health concern for ageing men. Recognising the symptoms early and seeking proper management can greatly improve overall well-being and quality of life.

If you are experiencing signs of low testosterone or have questions about male menopause, consider scheduling a consultation with Dr Tan Kok Kuan at Dr Tan Medical Center. As an experienced men’s health doctor, Dr Tan specialises in diagnosing and managing hormonal imbalances, including andropause. His comprehensive, patient-centred approach ensures that each individual receives personalised care tailored to their specific needs and health goals.