Most people have heard of menopause. Far fewer have heard of andropause. And yet the gradual decline of testosterone that happens in men from their 40s onwards has real and significant effects on how they feel, function and think.
What is andropause?
Unlike menopause, which involves a relatively rapid hormonal shift, andropause is gradual. Testosterone levels decline slowly over years, typically at around 1 to 2 percent per year from the age of 40. Not all men experience significant symptoms, but many do without connecting them to hormonal change.
What are the symptoms?
Reduced energy and increased fatigue that does not improve with rest. Lower libido and, in some cases, erectile difficulties. Mood changes including irritability, low mood and reduced motivation. Difficulty concentrating. Changes in body composition, with fat increasing and muscle decreasing even without changes to diet or activity. Disturbed sleep.
These symptoms are not inevitable, and they are not the same as simply getting older. But they are common, and they are often unaddressed.
What helps?
Lifestyle has a significant impact on testosterone levels. Regular resistance exercise, adequate sleep, managing stress and maintaining a healthy body weight all support hormonal health.
If symptoms are significant and affecting quality of life, it is worth speaking to a doctor. A blood test can check testosterone levels, and there are medical options if levels are clinically low.
The important thing is to have the conversation rather than dismiss the symptoms as just part of getting older.