Male Menopause

“The term “male menopause” has been used to describe decreasing testosterone levels related to aging. But aging-related hormone changes differ between women…”.1

Umbrella

What may the Male Menopause Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Adrenopause
  • Age-Related Low Testosterone
  • Androgen Deficiency of the Aging Male
  • Andropause
  • Hypogonadism
  • Late-Onset Hypogonadism
  • Male Climacteric
  • Male Menopause
  • Male Reproductive Changes
  • Menopause
  • Testosterone Deficiency Syndrome
  • Viropause

Andropause

What is andropause?

DotS the definition of androgynous may vary. The (United States) Endocrine Society’s definition is:

“Andropause is a biological change characterized by a gradual decline in androgens experienced by men during and after their mid-life. Andropause is sometimes inaccurately described as male menopause”.2

Female Menopause

Is the female menopause the same as the male menopause?

In Aging Changes In the Male Reproductive System: Introduction the (United States) MedlinePlus explain:

“Unlike women, men do not experience a major, rapid (over several months) change in fertility as they age (like menopause). Instead, changes occur gradually during a process that some people call andropause”.3

Male Menopause

Is there such a thing as a ‘male menopause’?

In The ‘Male Menopause’: Is There Such A Thing As A “Male Menopause”? the (United Kingdom) NHS elaborate on:

“The “male menopause” (sometimes called the andropause) is an unhelpful term sometimes used in the media.

This label is misleading because it suggests the symptoms are the result of a sudden drop in testosterone in middle age, similar to what occurs in the female menopause. This is not true”.4

In Male Menopause: Myth or Reality? Debunking the Male Menopause Myth, dated 26 March 2025, the (United States) Mayo Clinic also note:

“The term “male menopause” has been used to describe decreasing testosterone levels related to aging. But aging-related hormone changes differ between women and men. In women, ovulation ends, and hormone production falls over a fairly short amount of time. This is called menopause. In men, the production of testosterone and other hormones goes down over many years.

This gradual fall of testosterone levels is called late-onset hypogonadism. Sometimes it’s called age-related low testosterone. Not everyone with age-related low testosterone has symptoms. Its long-term effects also aren’t clear”.5

Male Reproductive System

What and where do aging changes in the male reproductive system occur?

In Aging Changes In the Male Reproductive System MedlinePlus explain:

“Aging changes in the male reproductive system may include changes in testicular tissue, sperm production, and erectile function. These changes usually occur gradually”.6

In Aging Changes In the Male Reproductive System: Information MedlinePlus also note:

“Aging changes in the male reproductive system occur primarily in the testes. Testicular tissue mass decreases. The level of the male sex hormone, testosterone decreases gradually. There may be problems getting an erection. This is a general slowing, instead of a complete lack of function”.7

Testosterone

Is there an association between testosterone and aging?

In The ‘Male Menopause’: Is There Such A Thing As A “Male Menopause”? the NHS note:

“Although testosterone levels fall as men age, the decline is steady at about 1% a year from around the age of 30 to 40, and this is unlikely to cause any problems in itself”.8

In Male Menopause: Myth or Reality? Recognizing Low Testosterone Levels the Mayo Clinic elaborate on:

“Men’s testosterone levels generally fall about 1% a year after age 40. But most older men still have testosterone levels within the standard range. Only about 10% to 25% of men have levels thought to be low”.9

Testosterone Deficiency

What is a testosterone deficiency?

In The ‘Male Menopause’: Is There Such A Thing As A “Male Menopause”? the NHS explain:

“A testosterone deficiency that develops later in life, also known as late-onset hypogonadism, can sometimes be responsible for these symptoms, but in many cases the symptoms are nothing to do with hormones”.10

Low Testosterone Symptoms

What can low testosterone symptoms include?

In What Is Male Menopause? Common Questions and Answers: What Are Symptoms of Male Menopause? dated 10 December 2024, the authors explain:

“Low testosterone can affect physical, cognitive, and emotional health. Symptoms can include erectile dysfunction, low libido, shrinking testicles, loss of armpit or pubic hair, depressed mood, hot flashes, fatigue, irritability, increased body fat, and brain fog”.11

Cause

What may be responsible for symptoms in men at this time?

In The ‘Male Menopause’: Personal or Lifestyle Issues the NHS elaborate on:

“Lifestyle factors or psychological problems can also be responsible for many of these symptoms.

For example, erectile dysfunction, loss of libido and mood swings may be the result of:

  • Stress
  • Depression
  • Anxiety

There are also physical causes of erectile dysfunction, such as smoking or heart problems, which may happen alongside any psychological cause”.12

Testosterone Therapy

What are the recommendations on testosterone therapy for men with age-related low testosterone?

In Male Menopause: Myth or Reality? Treatment Recommendations for Men With Low Testosterone the Mayo Clinic elaborate on:

“Recommendations on testosterone therapy for men with age-related low testosterone vary”.13

The Mayo Clinic also explain:

“If you choose to start testosterone therapy, your healthcare professional talks with you about the different ways you can take it. You may also talk about target levels and the need for follow-up testing”.14

Health Care Provider

What if I think I have male menopause?

In Consumer Health: What Does ‘Male Menopause’ Mean? Treatment the Mayo Clinic note:

“If you think you might have low testosterone, talk to your healthcare team about your signs and symptoms, testing, and possible treatment options. They can help you weigh the pros and cons of treatment”.15

Health Topics A-Z

Where may I find Health Topics A-Z related to Male Menopause?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

Where may I find Links related to Male Menopause?

Your Country may have Links similar to:

Links

This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.

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  2. Aging Changes In the Male Reproductive System
  3. Andropause: Exploring the Male Menopause [+ Video]
  4. Male Menopause Andropause: Rising Interest In Falling Testosterone
  5. Consumer Health: What Does Male Menopause Mean?
  6. Could You Have Low Testosterone?
  7. Depression
  8. Dietary Supplements for Erectile Dysfunction: A Natural Treatment for ED?
  9. EMAS Position Statement | Testosterone Replacement Therapy In Older Men [European Menopause and Andropause Society]
  10. Erectile Dysfunction [+ Video Courtesy: Mayo Clinic News Network]
  11. Erectile Dysfunction and Diabetes Take Control Today
  12. Erectile Dysfunction: Viagra and Other Oral Medications
  13. Erection Problems
  14. European Menopause and Andropause Society
  15. Find Information About A Drug
  16. Goodhealthheroes.org.au [Good Health Heroes, Australia]
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  17. Hormones and Erectile Dysfunction: What You Need To Know
  18. How To Overcome Sexual Performance Anxiety
  19. Is Andropause the Same As ‘Male Menopause,’ and Should Men Worry?
  20. Is Loss of Sex Drive Normal As Men Get Older?
  21. Issm.info: Sexual Health Topics [International Society for Sexual Medicine]
  22. Let’s Talk Low Libido
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  24. Male MenopauseLow Testosterone Treatments: What You Need To Know
  25. Low Testosterone: Male Hypogonadism – Symptoms of Low Testosterone In Men
  26. Male Hypogonadism
  27. Male Menopause (Androgen Deficiency In the Ageing Male)
  28. Male Menopause: Myth or Reality?
  29. ‘Male Menopause’ Is Real and Treatable, Say Pharmacy Researchers
  30. Mayo Clinic Minute: How Low Testosterone Can Affect Men’s Health [+ Video]
  31. Mayo Clinic Minute: Prescribing Nature for Mental, Physical Health [+ Video Courtesy: Mayo Clinic News Network]
  32. Mayo Clinic Q and A: Male Menopause — Myth or Reality?
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  47. Relate.org.uk [Relate The Relationship People]
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  54. Testosterone
  55. Testosterone Therapy: Potential Benefits and Risks As You Age
  56. Testosterone Treatment In Adult Men With Age-Related Low Testosterone: A Clinical Guideline From the American College of Physicians
  57. The ‘Male Menopause’
  58. The ‘Male Menopause’—What You Need To Know
  59. The Truth About Testosterone Treatments
  60. Top Tips To Improve Your Mental Wellbeing
  61. U.S. Food & Drug Administration [United States]
  62. What Are the Risks of Testosterone Therapy?
  63. What Can (and Can’t) Cause Low Testosterone
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  65. What Is Male Menopause?
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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Male Menopause: Myth or Reality? Debunking the Male Menopause Myth. 26 March 2025. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/male-menopause/art-20048056 Accessed: 18 April 2025
  2. Endocrinology Glossary: Andropause. Endocrine Society https://www.endocrine.org/news-and-advocacy/news-room/glossary Accessed: 18 April 2025
  3. Aging Changes In the Male Reproductive System: Information. Review Date: 15 July 2024. MedlinePlus https://www.nlm.nih.gov/medlineplus/ency/article/004017.htm Accessed: 18 April 2025
  4. The ‘Male Menopause’: Is There Such A Thing As A “Male Menopause”? Page Last Reviewed: 13 October 2022. NHS https://www.nhs.uk/conditions/male-menopause/#is-there-such-a-thing-as-a-male-menopause Accessed: 18 April 2025
  5. Male Menopause: Myth or Reality? Debunking the Male Menopause Myth. 26 March 2025. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/male-menopause/art-20048056 Accessed: 18 April 2025
  6. Aging Changes In the Male Reproductive System. Review Date: 15 July 2024. MedlinePlus https://www.nlm.nih.gov/medlineplus/ency/article/004017.htm Accessed: 18 April 2025
  7. Aging Changes In the Male Reproductive System: Information. Review Date: 15 July 2024. MedlinePlus https://www.nlm.nih.gov/medlineplus/ency/article/004017.htm Accessed: 18 April 2025
  8. The ‘Male Menopause’: Is There Such A Thing As A “Male Menopause”? Page Last Reviewed: 13 October 2022. NHS https://www.nhs.uk/conditions/male-menopause/#is-there-such-a-thing-as-a-male-menopause Accessed: 18 April 2025
  9. Male Menopause: Myth or Reality? Recognizing Low Testosterone Levels. 26 March 2025. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/male-menopause/art-20048056 Accessed: 18 April 2025
  10. The ‘Male Menopause’: Personal or Lifestyle Issues. Page Last Reviewed: 13 October 2022. NHS https://www.nhs.uk/conditions/male-menopause/#is-there-such-a-thing-as-a-male-menopause Accessed: 18 April 2025
  11. Rapaport, L. and Daniel, K. What Is Male Menopause? Common Questions and Answers: What Are Symptoms of Male Menopause? 10 December 2024. https://www.everydayhealth.com/mens-health/male-menopause/ Accessed: 18 April 2025
  12. The ‘Male Menopause’: Is There Such A Thing As A “Male Menopause”? Page Last Reviewed: 13 October 2022. NHS https://www.nhs.uk/conditions/male-menopause/#is-there-such-a-thing-as-a-male-menopause Accessed: 18 April 2025
  13. Male Menopause: Myth or Reality? Treatment Recommendations for Men With Low Testosterone. 26 March 2025. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/male-menopause/art-20048056 Accessed: 18 April 2025
  14. Male Menopause: Myth or Reality? Treatment Recommendations for Men With Low Testosterone. 26 March 2025. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/male-menopause/art-20048056 Accessed: 18 April 2025
  15. Consumer Health: What Does ‘Male Menopause’ Mean? Treatment. 25 December 2023. Mayo Clinic https://newsnetwork.mayoclinic.org/discussion/consumer-health-what-does-male-menopause-mean/ Accessed: 18 April 2025
Topic Last Updated: 05 June 2025 – Topic Last Reviewed: 18 April 2025

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