Male menopause, also called late-onset hypogonadism, refers to a set of age-related hormonal changes that occur in some men as they get older. It is characterised by a gradual drop in testosterone levels, the primary male sex hormone, and can lead to various physical and psychological symptoms. Male menopause is also known as androgen deficiency, andropause or testosterone deficiency.

Female menopause involves the complete cessation of reproductive function and hormone production. However, testosterone levels in men typically only decline by about 1% per year after the age of 30.

For most, the symptoms of male menopause are usually related to lifestyle changes, for example poor diet or lack of exercise and sleep. In some cases, men may experience a more sudden drop in testosterone, or late-onset hypogonadism, leading to the symptoms associated with male menopause.

Symptoms of male menopause can vary among individuals but may include:

1. Decreased libido or loss of sex drive: Many men may notice a reduced interest in sex or a decline in sexual desire.
2. Erectile dysfunction: Some men may experience difficulty achieving or maintaining erections. 52% of men will experience erectile dysfunction at some point in their life.
3. Fatigue and decreased energy levels: Some men may feel tired and lack the energy they had in their younger years.
4. Mood changes: The sudden decline in testosterone levels can have a big impact on a man's mental health. This can often lead to mood swings, irritability, depression, as well as decreased motivation. Mood swings can also cause relationship issues and impact a person's quality of life.
5. Loss of muscle mass and strength: Testosterone plays a role in maintaining muscle mass, and its decline can lead to reduced muscle strength and increased body fat. Strength training is often recommended to try and combat this decline. A sign of tesosterone deficiency in men can also be weight gain.
6. Decreased bone density: Low testosterone levels can contribute to a loss of bone density and increase the risk of osteoporosis.
7. Sleep disturbances: Men may experience insomnia, difficulty falling asleep, or restless sleep patterns. Like mentioned before, the impact on a man's mental health can also make it much harder to sleep.
8. Memory and concentration problems: Some men may notice a change in cognitive abilities such as increased short-term memory, lack of focus, and poor concentration.

It is important to note that not all men will experience these symptoms, and the severity can vary. Additionally, other medical conditions and lifestyle factors can contribute to similar symptoms such as a poor diet, lack of exercise, increased consumption of alcohol, and lack of sleep.

If you suspect you may be experiencing male menopause, it is advisable to speak to your healthcare professional who can evaluate your symptoms, perform appropriate tests, such as blood tests, and provide appropriate guidance or treatment options if necessary.

If the results show a testosterone deficiency then you may be given testosterone replacement therapy, which typically comes in the form of a gel or injection. If you have any questions about the male menopause or any testosterone-related concerns, speak to your GP or your Fertifa Patient Advisor. We are always here to help 💜