Andropause Explained: Understanding Male Menopause, Symptoms, and Hormonal Changes

ByDiwanshu Dika
Updated: 19 Dec 2025, 9:00 am

Andropause, or male menopause, occurs when testosterone and other vital hormones decline with age. When andropause hits, men experience low libido, fatigue, and mood swings. Understanding male menopause, symptoms, hormonal changes, and medical treatments can help men maintain optimal health and vitality.

Pregatips
While menopause is a phase in a woman’s life, only a few people know that men experience a similar transition known as andropause, or male menopause. It generally occurs in middle-aged men when testosterone levels decrease, an essential hormone that regulates mood, energy, muscle growth, and sexual health.
In this article:

Unlike female menopause, which occurs suddenly, andropause develops slowly and often starts around the age of 40 and progresses over decades. The andropause may cause fatigue, low libido, and mood changes in men. Let’s discuss the symptoms, hormonal changes, and essential tips to maintain vitality and emotional well-being during midlife and beyond.

What is Andropause?

Andropause, also known as male menopause, is a phase in a man’s life where his testosterone levels drop and other essential hormones, such as dehydroepiandrosterone (DHEA) and growth hormone, are affected. Generally, testosterone levels peak in early adulthood and begin to decline by 1% every year after the age of 30. While the decrease is gradual, it may lead to significant physical, emotional, and sexual changes, affecting the quality of life.

However, the extent to which men experience symptoms may vary. Some may notice only mild changes, while others may experience a significant effect on mood, energy, and sexual function.

Hormonal Changes During Andropause

During andropause, men may experience a gradual decline in key hormones that regulate physical health, sexual health, and emotional balance. While testosterone plays a crucial role in affecting andropause, there are other hormones equally involved.

  • Oestrogen

Men also produce a small amount of oestrogen, which plays a significant role in bone and brain health. During andropause, reduced testosterone levels and increased fat tissue can enhance oestrogen levels, causing a hormonal imbalance and unexpected weight gain.

  • Low Testosterone

Testosterone plays a significant role in regulating muscle mass, bone density, libido, and strength. When andropause hits, men may experience reduced energy and compromised sexual performance.

  • Reduced DHEA & Growth Hormone

Adequate levels of DHEA and growth hormone support muscle mass, immune health, and mental clarity. However, when men age, andropause occurs, leading to lower DHEA and growth hormone levels. Such changes ultimately lead to fatigue, decreased motivation, and slower recovery after physical activity.

Treatment Options & Lifestyle Changes for Managing Andropause

Managing andropause demands the best treatment and abundant lifestyle changes to restore hormonal balance and improve overall well-being. Here are the best treatment options and lifestyle changes for managing andropause.

  • Testosterone Replacement Therapy

TRT is one of the standard medical treatments for men with andropause. Doctors may administer it via injections, gels, patches, or implants to improve mood, libido, energy, and muscle strength. Furthermore, it helps enhance testosterone levels in men, an essential hormone for managing andropause. Consult a certified doctor for TRT to avoid potential side effects.

  • Lifestyle Changes

Adopting health habits can naturally support hormone balance and reduce andropause symptoms. Eat a balanced diet which includes foods rich in zinc, magnesium, vitamin C, vitamin D, and omega-3 fatty acids. Consume seasonal fruits and vegetables to support your reproductive health. Furthermore, prioritise 7-8 hours of sleep every night to boost testosterone and reduce cortisol levels.

  • Focus on Emotional Well-Being

Andropause can significantly affect confidence and emotional stability. Practise deep breathing, stretching, yoga, jogging, or running to help manage mood swings and anxiety. Furthermore, always be open to your partner to get emotional support, which ultimately reduces your stress.

  • Regular Checkups are a Must

Men with andropause should undergo regular checkups, especially those undergoing testosterone replacement therapy (TRT). Regular monitoring may help your doctor track hormone levels and the treatment's efficacy, and identify potential side effects. Doctors may conduct a routine blood test, cardiovascular evaluations, and metabolic checks to customise treatment plans to changing needs.

Note: Always seek medical assistance if you experience severe symptoms like fatigue, low libido, depression, or sudden weight loss. Early diagnosis is crucial to improving treatment effectiveness and quality of life.

Andropause is a natural stage of the male age process, but its impact differs from man to man. Hormonal changes lead to a loss of energy, stamina, and vitality. Early diagnosis and appropriate treatment may significantly enhance physical health, emotional balance, and overall vitality.

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FAQs on Andropause Explained: Understanding Male Menopause, Symptoms, and Hormonal Changes

  1. Can stress make andropause worse?
    Yes, chronic stress increases cortisol, which disrupts testosterone production, causes mood swings, and low energy levels.
  2. Does every man experience andropause?
    No, not every man experiences visible symptoms. Some men maintain stable hormone levels and feel little to no change.
  3. Is testosterone therapy safe?
    When prescribed by a certified and qualified specialist, testosterone therapy is generally safe. However, it may not be suitable for men with prostate or heart conditions.
Medically Reviewed By:
Dr Niti Kautish, Director, Obstetrics & Gynaecology, Fortis Escorts Hospital, Faridabad

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