Male Hormonal Decline and Fertility: How Andropause Affects Sperm Health and Energy Levels

ByDiwanshu Dika
Updated: 19 Dec 2025, 8:00 am

Andropause, or age-related hormonal decline in men, can significantly affect fertility, sperm quality, and energy levels. Understanding how andropause affects sperm health and energy is crucial for better reproductive planning and maintaining overall vitality.

Pregatips
Men's fertility is often assumed to remain stable throughout life, but hormonal changes can take a toll on their physical health and emotional balance. Just as women experience menopause, men also go through andropause, which is a gradual decline in testosterone and other vital growth hormones.
In this article:

While these hormonal changes are a regular part of ageing, they may have a significant impact on a man’s fertility, sperm quality, sexual health, and energy levels. Let’s discuss how andropause affects sperm health and energy levels, and how this may help men take proactive steps to maintain their fertility and vitality in midlife.

Signs & Symptoms Men Should Look Out For

Understanding the early signs of hormonal decline is essential for men to learn how andropause may be affecting their fertility and overall well-being. Here are the key signs and symptoms men should watch out for.
  • Decreased sexual desire
  • Difficulty conceiving with a partner
  • Reduced morning erections
  • Loss of energy
  • Consistent tiredness
  • Weight gain around the abdomen
  • Mood swings or irritability
  • Loss of muscle mass
  • Difficulty concentrating
Note: If you’re in your late 30s or 40s and experience such side effects, consult your doctor for early diagnosis and effective medical treatment.

How Does Andropause Affect Sperm Health

During andropause, men’s hormone levels decline, which may significantly affect their reproductive health. Let’s learn how andropause affects sperm health.

  • Reduced Sperm Production

Testosterone plays a significant role in sperm production. When male menopause hits, testosterone production drops, which ultimately reduces overall sperm count. A lower sperm count reduces the chances of conception.

  • Decline in Sperm Quality

During andropause, sperm may become less mobile or less structurally intact, which can affect their quality. Furthermore, DNA fragmentation increases, significantly affecting fertilisation and the risk of miscarriage. However, even if the sperm count is normal, poor sperm quality reduces fertility.

  • Changes in Sperm Morphology

Hormonal imbalance may affect the shape and structure of sperm. Furthermore, changes in sperm morphology reduce the sperm’s ability to penetrate the egg and increase the risk of unsuccessful fertilisation. Consult a certified gynaecologist for proper diagnosis and treatment to restore your sperm health and vitality.

  • Increased Oxidative Stress

Ageing increases the risk of oxidative stress, which can significantly damage sperm cells. If a man has undergone extreme stress during andropause, it leads to weaker sperm and lower fertility potential.

How Does Andropause Impact Energy Levels

Andropause plays a crucial role in a man’s physical strength, stamina, and vitality. When hormonal imbalance hits, many men notice changes in energy, motivation, and overall well-being. Here’s how andropause affects a man’s energy levels.

  • Regular Fatigue

When andropause hits, it reduces testosterone levels, which ultimately leads to low energy, continuous tiredness, and decreased stamina. Many men experience extreme fatigue even after just climbing stairs or walking a few metres. They simply no longer feel energetic or motivated as they once were.

  • Mood Changes & Irritability

Hormonal imbalance may significantly affect neurotransmitters, which lead to mood swings, lack of focus, irritability, and even mild depression. When your body absorbs a lot of energy managing your mood and emotions, it may lead to burnout, causing fatigue and exhaustion.

  • Decreased Muscle Strength

When a male’s body reduces testosterone production, it leads to a decrease in muscle mass and ultimately, strength levels. Thus, reduced muscle strength simply means low energy, tiredness, and fatigue.

Can Men Still Become Fathers During Andropause

Yes, many men can become fathers in their 40s, 50s, and beyond. However, fertility may decline, and conception may take longer due to hormonal imbalance and reduced sperm quality. With early diagnosis and proper treatment, many men can enjoy fatherhood.

Note: While lifestyle changes play a significant role in maintaining optimal fertility, always consult your gynaecologist for proper evaluation, personalised guidance, and the most suitable treatment plan.

Andropause is a regular part of ageing, but it may also impact fertility, energy levels, and emotional well-being. Understanding how andropause affects sperm health allows couples to make the right step towards improved reproductive health. With the proper medical support, healthy habits, and the right treatment plan, men can improve their sperm quality and maintain optimal energy levels.

You’re not alone in your journey when trying to conceive. Join our supportive community to connect with others, share experiences, and find encouragement every step of the way.

FAQs on Male Hormonal Decline and Fertility: How Andropause Affects Sperm Health and Energy Levels

  1. Is male infertility always age-related?
    No, lifestyle factors, genetics, medications, or medical conditions can affect a man’s fertility at any age.
  2. How long does it take to improve my sperm health?
    Generally, it can take up to 3 months or longer to experience increased sperm health with proper diet and medications as suggested by your doctor.
  3. Does andropause affect a man’s mental health?
    Yes, many men experience mood changes, irritability, reduced motivation, or mild depression during andropause, mainly due to hormonal imbalances.
Medically Reviewed By:
Dr Neha Gupta, Additional Director - Obs & Gynaecology, Fortis Hospital Noida

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