Urologist explains the truth behind andropause or male menopause, when men hit their midlife shift

Symptoms of andropause: Symptoms such as tiredness even after good rest, mood swings, or loss of sexual interest are often dismissed as stress or ageing. But in reality, the body might be signalling that testosterone levels are dropping (Image: Canva)

Menopause is considered a turning point in a woman’s life, a biological shift that signals change. But did you know that men, too, have their own version of it? It’s called andropause, or more commonly, male menopause. While it doesn’t come with the same drama, its effects can be just as real.

The fading testosterone

After a man hits 30, his testosterone levels begin a gentle yet steady decline, about one percent each year. “It’s not an abrupt stop like in women, but this slow fall can make men feel not quite themselves,” Dr Bhavatej Enganti, MS, MCh (Urology), Director of Men’s Health and Reconstructive Urology at the Asian Institute of Nephrology & Urology, Hyderabad, tells Moneycontrol.

He adds, “Symptoms such as tiredness even after good rest, mood swings, or loss of sexual interest are often dismissed as stress or ageing. But in reality, the body might be signalling that testosterone levels are dropping.”

Also read | Low on testosterone? It could impact men's sexual health, bone density, muscle mass

Modern men and hormones

Modern life hasn’t been kind to men’s hormones. Long working hours, disturbed sleep, poor diet, alcohol, and stress are all silent culprits. Plus, lifestyle diseases like obesity and diabetes, and testosterone takes a further hit. “The cause of worry is that most men don’t talk about it. They normalise it, delay check-ups, and by the time they seek help, their overall health and relationships may already be affected,” warns Dr Enganti.

Symptoms of male menopause

Dr Enganti shares symptoms that might signal the arrival of  andropause

• Persistent fatigue and low motivation
• Loss of muscle mass or unexpected weight gain
• Irritability, mood swings, or anxiety
• Reduced sex drive or performance issues
• Trouble sleeping or restless nights
• Decline in focus and confidence

Also read | Testosterone levels and kidney health: Low count could increase risk of kidney stones in men

The expert strongly cautions against self-medicating or buying “testosterone boosters” online. “A proper evaluation by a urologist or andrologist is essential. A simple blood test can confirm if testosterone levels are genuinely low,” he advises.

If diagnosed, some men may benefit from Testosterone Replacement Therapy (TRT) — but only under strict medical supervision. In most cases, lifestyle changes can naturally revive balance:

• Exercise regularly: Strength training works best for boosting testosterone.
• Eat clean and balanced: Focus on lean proteins, healthy fats, and micronutrients.
• Prioritise sleep: Aim for 7–8 hours of quality rest.
• Manage stress: Yoga, meditation, or simple hobbies can do wonders.

Prevention tips:

Male menopause is a gradual transition, not a sudden stop, and it can be managed with awareness and care. Says Dr Enganti, “When men take charge early, they can stay strong, confident, and energetic well into later years. It’s about listening to your body before it whispers too softly to hear.”

FAQs on What is Andropause

1. What is andropause?

Andropause, often referred to as male menopause, is a gradual decline in testosterone levels in men starting around age 30. This can result in various physical and emotional changes.

2. What are the symptoms of andropause?

Symptoms of andropause include persistent fatigue, mood swings, loss of sexual interest, muscle mass reduction, unexpected weight gain, trouble sleeping, and decreased focus or confidence.

3. How does modern life affect men's hormones?

Modern lifestyle factors such as long working hours, disturbed sleep, poor diet, alcohol, stress, obesity, and diabetes can negatively impact testosterone levels in men.

4. How can andropause be diagnosed?

Andropause can be diagnosed through a simple blood test that measures testosterone levels. Consulting a urologist or andrologist is essential for accurate evaluation.

5. What are the treatment options for andropause?

Treatment options include Testosterone Replacement Therapy (TRT) under medical supervision and lifestyle changes like regular exercise, a balanced diet, quality sleep, and stress management.

Disclaimer: This article, including health and fitness advice, only provides generic information. Don’t treat it as a substitute for qualified medical opinion. Always consult a specialist for specific health diagnosis.