Men Going Through Andropause: Symptoms, Myths & Treatment

​If you’ve noticed shifts in the body, mood, or energy of a man in your life—perhaps your partner, father, or brother—and he’s in his 40s or 50s, it might not simply be ‘ageing’. It could be andropause, sometimes referred to as the ‚male menopause‘.

​This phase involves a gradual decline in testosterone and other hormonal shifts, and it can bring about symptoms that affect both his mind and body. For many men, simply recognising what’s happening is a giant step toward regaining control, and your support can be invaluable.

What to Look For

The symptoms don’t always show up neatly. He might have one, several, or varying patterns over time. You may notice:

1. ​A drop in libido or changes in sexual performance.
2. ​Changes in body composition, like reduced muscle mass, increased belly fat, or a loss of strength.
3. ​Persistent tiredness, fatigue, or disrupted sleep patterns.
4. ​Mood shifts, such as new irritability, low motivation, or seeming emotionally ‚flat‘.
5. ​He might complain of struggling with concentration or memory lapses.

​You might also notice a significant drop in his drive. Tasks he used to enjoy might feel ‚heavy‘, or you might find him staring blankly at his to-do list, unable to start anything meaningful. This often happens because his mental and physical resources feel depleted.

Separating Fact from Fiction

It’s helpful to understand what andropause actually is, as there are many myths.

The «Menopause» Myth: One common myth is that men go through a «male menopause» just like women, defined and dramatic. In reality, the change is far more gradual and subtle. Unlike the sudden hormone crash women often experience, most men’s hormone levels decline slowly over many years, so the onset can be less obvious.

​The «Treatment» Myth: Another misunderstanding is that treatment always means testosterone replacement. While that is an option, lifestyle changes—such as strength training, quality sleep, stress management, and nutrition—play a huge role in how he feels day-to-day and whether medical treatments are needed.

How He Can Get Support

​If andropause seems to be impacting his life, here’s what he (and his doctor) may consider.

• Medical Review: The first step is often a visit to the GP. If blood tests show low testosterone and he has symptoms, his doctor or a specialist may discuss hormone therapy. This is only done after carefully evaluating other factors, like his prostate health or cardiovascular risks.
• ​Targeted Symptom Relief: If sleep is the main issue, his mood is low, or sexual difficulties persist, there are specific treatments, therapies, and counselling that can help address those symptoms directly.
• ​Open Conversation: This is perhaps the most critical part. Many men find it incredibly difficult to talk about these changes, seeing them as a failure of masculinity or just ‚getting old‘. Being able to discuss symptoms openly with a partner or doctor makes a huge difference in finding the right support. 

​If you suspect a man you care about is feeling the effects of andropause, just knowing what’s realistic and what’s not, can help you support him. An open, non-judgemental conversation might be the nudge he needs to take action. Healthy adjustments or targeted treatment can make the months and years ahead far more comfortable for him.

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