At Womeno we talk a lot about menopause, but what about men? Is there a “male menopause”? The answer is yes… kind of. It’s not as sudden or dramatic as what women experience, but men also go through hormonal changes as they age. This shift is commonly known as andropause, or more clinically, Testosterone Deficiency Syndrome.
Dislike some cases of menopause in women, which may happen extremely quickly and sometimes abrupt, the andropause doesn’t happen overnight. In fact, it’s so gradual that many men don’t even notice it…until they do. Testosterone levels start to decline slowly from the age of 30, dropping about 1% each year. By the time a man reaches his late 40s or 50s, he might start feeling different. More tired. Less interested in sex. Struggling with motivation. Maybe more irritable or just… not being himself…sound familiar?
What Does Andropause Actually Feel Like?
Men experiencing andropause often describe low energy, poor sleep, mood swings, and a noticeable drop in sex drive. Some say they feel weaker or can’t build muscle like they used to. Others talk about feeling down or mentally foggy. It’s easy to shrug it off as “midlife” or stress, often these changes are tied to varied hormone levels.
And it doesn’t just affect the individual. Partners notice too. Arguments start to pop up. Emotional distance grows. It can impact relationships, work, and self-confidence.
Why Most Men Never Hear About This
One of the biggest problems with andropause is that no one talks about it. There’s no big milestone like a final period to mark the transition. And culturally, many men are taught to “tough it out” rather than ask for help, especially for something that sounds like a “women’s issue.”
To make things trickier, the symptoms of low testosterone often overlap with other health and lifestyle issues. Gained some weight? Sleeping badly? Feeling off? It could be stress, aging, poor diet. Or it could be low testosterone.
So What Can You Do?
First, know that this is very common and usually treatable. If you or someone you love is feeling out of sync physically or emotionally, a good first step is to see a doctor. A simple blood test (done in the morning) can measure testosterone levels. If it’s low and if symptoms are affecting your daily life, there are few options.
Lifestyle changes like regular exercise, improving sleep, and cutting down on alcohol can make a big difference. For some, Testosterone Replacement Therapy (TRT) might be recommended.
What is TRT
Testosterone Replacement Therapy, or TRT, is a treatment used to help men with unusually low testosterone levels—something that can lead to symptoms like constant fatigue, low sex drive, mood swings, or trouble concentrating. It’s available in several forms, including gels, patches, and injections, but it’s important to know that TRT isn’t a quick fix, and it’s definitely not for everyone. A healthcare provider can explain the pros and cons, as well as possible side effects like acne, sleep disturbances, or increased red blood cell count. Regular check-ups are usually needed, and in many cases, doctors also recommend making lifestyle changes—like improving diet, exercising more, and reducing stress—for the best results.
Risks taking TRT
Like any other medical treatment, Testosterone Replacement Therapy comes with its own share of risks. Some men may experience side effects such as acne, oily skin, or swelling in the ankles. Others might notice changes in their mood or sleep patterns, including an increase in irritability or difficulty sleeping. TRT can also lead to increased red blood cell counts, which may create higher risk of blood clots. In some cases, it can affect fertility by lowering sperm production. There is also ongoing research about its potential impact on heart health and prostate issues, so it is important to have regular check-ups and blood tests if you’re on TRT. Ultimately, the risks vary from person to person, which is why it’s essential to work closely with a doctor throughout the process.
Let’s Talk About It
June 9–13 is Men’s Health Week, and it’s the perfect time to talk openly about this. Andropause isn’t a sign of weakness. It’s biology. And the more we understand it, the more we can support ourselves, and each other.
Whether you’re going through it or living with someone who might be, you’re not alone. Men deserve the same level of attention and care when it comes to midlife health. Let’s stop pretending it doesn’t exist and start having real conversations that help everyone feel better, stronger, and more connected.
It’s time to break the stigma around men’s health. Talking about hormones, mental well-being, and aging should not feel a taboo. Awareness leads to action and that action can mean better energy, stronger relationships, and a healthier life overall.
Sources:
- New York Post. What is TRT? https://nypost.com/health/what-is-trt
- The Sun. ‘It’s not just her!’ Expert warns husbands and wives bickering in middle age could be going through ‘manopause’ and perimenopause. https://www.thesun.co.uk/health/33671235/husband-wife-bickering-perimenopause-manopause