Andropause Can Affect Men After 50, But Help Is Available

Many people have heard of menopause, but fewer are familiar with andropause. Sometimes described as late-onset hypogonadism or androgen deficiency, andropause refers to physical, emotional, and sexual changes linked to a decline in testosterone levels in men.

While andropause is sometimes called the male version of menopause, the two are not the same. Menopause involves a clear and complete stop in certain hormone production. Andropause usually happens more slowly, as testosterone levels decline over time.

Symptoms often appear after age 50, though not all men are affected. Experts estimate that about 15 to 30 percent of men experience unwanted effects related to this change.

The symptoms can vary from person to person. Some men may notice decreased sexual desire, difficulty achieving an erection, fatigue, insomnia, mood swings, irritability, or sadness. Others may experience hot flashes, night sweats, heart palpitations, weight gain, memory and concentration problems, reduced muscle strength, decreased body hair, or breast development.

In some cases, andropause may also be linked to anemia or loss of bone density.

Because these symptoms can overlap with other health conditions, men should not try to diagnose themselves. Fatigue, mood changes, sexual difficulties, and weight gain can have many causes, including stress, medication, sleep problems, heart disease, diabetes, or thyroid issues.

Treatment may include testosterone supplementation, available as injections, skin patches, topical gels, or capsules. However, testosterone therapy is not right for everyone and should only be considered with medical guidance.

Healthy lifestyle habits may also help reduce symptoms. Regular physical activity, balanced eating, good sleep, stress management, and quitting smoking can support overall health and may lessen some effects.

Men over 50 who notice changes that affect their quality of life should speak with a healthcare professional. A medical evaluation can help determine whether testosterone levels are part of the problem and whether treatment is appropriate.