Some men develop depression,loss of sex drive, erectile dysfunction, and other physical and emotional symptomswhen they reach their late 40s to early 50s.
Other symptoms common in men this ageare:
- mood swings andirritability
- loss of muscle mass and reduced ability to exercise
- fat redistribution, such as developing a largebelly or "man boobs" (gynaecomastia)
- a general lack of enthusiasm or energy
- difficulty sleeping (insomnia) or increased tiredness
- poor concentration and short-term memory
These symptoms can interfere with everyday life and happiness, so it's important tofind the underlying cause and work out what can be done to resolve it.
Is there sucha thing as a "male menopause"?
The "male menopause" (sometimes called the andropause) is an unhelpful term sometimes used in the media.
This label ismisleading because it suggests the symptoms are the result of a suddendrop in testosterone in middle age, similar to what occurs in the female menopause. This is not true.
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.
A testosterone deficiency that develops later in life, also known as late-onset hypogonadism, can sometimesbe responsible for these symptoms, but in many cases the symptoms are nothing to do withhormones.
Personal or lifestyle issues
Lifestyle factors or psychological problems can also be responsible for many of these symptoms.
For example,erectile dysfunction,low sex driveandmood swingsmay bethe result of:
There are alsophysical causes of erectile dysfunction, such as smoking or heart problems, which may happen alongside any psychological cause.
Psychological problems are typically brought on by workor relationship issues,money problems or worrying about ageing parents.
A "midlife crisis" can also be responsible. Thiscan happen when men think they have reached life's halfway stage.
Anxieties over what they have accomplished so far, either in their job or personal life, can lead to a period of depression.
Other possible causes of the "male menopause" include:
- lack of sleep
- a poor diet
- lack of exercise
- drinking too much alcohol
- smoking
- low self-esteem
Late-onset hypogonadism
In some cases, where lifestyle or psychological problems do not seem to be responsible, the symptoms of the "male menopause" may bethe result ofhypogonadism, wherethe testes produce few or no hormones.
Hypogonadism issometimes present from birth,which can cause symptoms like delayed puberty and small testes.
Hypogonadism can also occasionallydevelop later in life, particularly in men who are obese or have type 2 diabetes.
This is known aslate-onset hypogonadism and can cause the "male menopause" symptoms.
But this is an uncommon and specific medical condition that's not a normal part of ageing.
A diagnosis oflate-onset hypogonadism can usually be made based on your symptoms and the results of blood testsused tomeasure your testosterone levels.
What to do
If you're experiencing any of these symptoms, see your GP. They'll ask about your work and personal life to see if your symptoms may be caused by a mental health issue, such as stress or anxiety.
If stress or anxiety are affecting you, you may benefit from medication or a talking therapy, such as cognitive behavioural therapy (CBT).
Exercise and relaxation can also help.
Read about:
Do I need hormone replacement therapy (HRT)?
Your GP may also order ablood test to measure your testosterone levels.
If the results suggest you have a testosterone deficiency, you may be referred to an endocrinologist, a specialist in hormone problems.
If the specialist confirms this diagnosis,youmay be offered testosterone replacementto correct the hormone deficiency, which should relieve your symptoms.
This treatment may be given as an injection or a gel.
Page last reviewed: 13 October 2022
Next review due: 13 October 2025
