The effects of male menopause and its low testosterone levels

About Andropause/Male Menopause
on Thu 5 Jan


Those who support the existence of the male menopause claim that, like female menopause, it is a biological change that men experience in mid-life. However it varies in that:


  • there is often no clear signal that men have entered this phase (like women’s cessation of periods) However, men can present with hot flushes and sweats…
  • men can, of course, continue to reproduce and are able to father children until late in life
  • All women experience menopause but some men never do
  • and the decline is very gradual


Because of these differences doctors prefer to call the male menopause “andropause”. This comes from the word “androgen” which are the male sex hormones - the most important of which is testosterone.


You might be surprised at the areas in which treatment by testosterone replacement is hugely relevant. As it helps to regulate the immune system patients with some autoimmune disorders appear to benefit from testosterone.


It’s also been used to improve appetite and increase weight in malnourished patients; improve wound healing and increase resistance to infection. Since it also seems to lower serum lipids, such as cholesterol and triglycerides, replacement testosterone has also been used to treat patients with gangrene of the feet, coronary artery heart disease, high blood pressure, and other cardiovascular diseases.


Given its significant role it’s going to come as no surprise that andropause - and the low testosterone (low T) that comes with it - can bring about  significant negative changes that relate to the hormonal, physical, emotional, mental and sexual functions. Low testosterone levels can cause:


Decreased libido:

Testosterone plays a significant part in maintaining sex drive. Unfortunately it is not unusual for men to consult a psychiatrist about this rather than get his testosterone levels checked…


Reduced sexual potency:

With fewer spontaneous erections and difficulty in developing or maintaining erections. Some men also experience ejaculatory problems.


Urinary problems:

Bladder muscles and the prostate can be affected by low levels of testosterone because they tend to function poorly. This has a number of side effects like difficulty in starting to urinate, a weak urinary stream, a spasmodic urinary stream and increased urinary frequency (especially at night).


Increased abdominal fat:

Testosterone helps to slow down the build of abdominal fat.  So low testosterone results in the classic “middle aged spread.” Unfortunately as your abdominal fat increases an enzyme in the fat tissue converts testosterone to oestrogen which further lowers your testosterone level. You are now in a vicious cycle…


Loss of energy and concentration:

Testosterone helps maintain a healthy energy level in your body so low testosterone will cause reduced endurance or tiredness. A classic sign of this is falling asleep immediately after a meal.



Whilst having both low energy and insomnia can seem contradictory this is because Testosterone plays an important part in the regulation of sleep. So men with low testosterone often experience insomnia and disturbed sleep patterns and may also experience night sweats just like women.


Mood swings and depression:

Testosterone helps regulate mood so when it drops it can cause depression. In fact researchers have found that the lower the level the more severe the depression. 


An increased risk of osteoporosis:

The link between low testosterone levels and osteoporosis is so well established that doctors may order a bone density test to check if their patient has low testosterone. This is because testosterone is an “anabolic hormone” which means it helps to build protein tissue including muscles, bones and connective tissue.


Increased risk of diabetes:

Testosterone plays a role in preventing and treating diabetes mellitus as it helps the insulin receptors to work more efficiently thus reducing the tendency toward diabetes. Lower levels reduce this protection.  


Other symptoms of low testosterone include:


  • breast enlargement
  • decreased motivation and self-confidence
  • difficulty remembering things and inability to concentrate
  • increased irritability and nervousness
  • reduced muscle size and strength
  • lowered sperm count
  • a reduction of red blood cells in the plasma


In much the same way as women do not realise they are in perimenopause men seldom credit their disparate symptoms as being caused by the male menopause until they are actually diagnosed. So if you think your husband might be undergoing andropause you should persuade him to consult with his doctor and find out for sure.


In my clinic we run a comprehensive series of blood tests called a “Male Hormone Profile” for men in this position  


If andropause is identified testosterone replacements can be prescribed. These come in the form of topical gels and injections. The dosage is tailored to individual need both because of different levels of absorption and because large amounts of testosterone taken orally may be lost through liver detoxification mechanisms.


Of course whilst treating male menopause it is also important to look at lifestyle and think about a healthy diet, nutritional supplements, daily exercise and the management of stress.  


I hope you have found this post helpful my main message is that male menopause is mostly a preventable and treatable condition.



We make every effort to ensure that all health advice on this website is accurate and up to date. However it is for information purposes and should not replace a visit to your doctor or health care professional.

As the advice is general in nature rather than specific to individuals we cannot accept any liability for actions arising from its use nor can we be held responsible for the content of any pages referenced by an external link.



About Stephanie Acne Age-related Macular Degeneration AIDS alcohol units and effects allergies Andropause angina anorexia Anti Ageing Anxiety arrhythmia arthritis asthma atrial fibrillation back pain basic metabolic rate BHRT bio-identical hormones Biog Bloating blood pressure BMR bone density Book review bowel cancer brain fog brain tumour Bronchitis bulimia Bursitis calcium Cancer cancer signs and symptoms carpal tunnel syndromw cervical cancer Cervical smear Charles Bonnet Syndrome check your pulse cholesterol chronic fatigue syndrome coeliac disease cold virus contraception COPD coronary thrombosis coronavirus covid-19 Deep vein thrombosis dehydration signs Delaying menopause Dementia Depression dermatitis Diabetes Digestive problems digital health Donor advice DVT dyspareunia Ear infections Early menopause eating disorders eczema endometriosis exercise fertility fibroids fitness flu gallstones Gardisil Genetic testing government health policy hair loss hayfever Health Awareness Day Health Awareness Month Health Awareness week health warning healthy eating heart attack heart attacks Heart Disease Helpful supplements Hepatitis High blood pressure HIV Hives Hormone Replacement Therapy hormones hot flushes HPV HRT HRT & breast cancer HRT in the news HRT risks hydration benefits Hypertension IBS immune system itching Itchy Skin joint pain kidney function Laryngitis Leukaemia libido lichen sclerosus lifestyle liver Liver Disease Long Covid Symptoms lowered immmunity Lung cancer Lupus LUTS Macular Degeneration Magnesium# Male Menopause Managing Anxiety Managing Stress ME/CFS Men's health Meningitis Menoapuse advice for partners menopause menopause and dental health Menopause Specialist menopause symptoms Menopause Weight Gain menpause Menstrual Cycle Menstruation Menstruation and Athletes mental health Mental health support metabolism microbiome Migraine Migraines Motivation technique mouth cancer night sweats Norovirus oestrogen osteoarthritis Osteoporosis Paget's disease painful sex palpitations Pancreatic Cancer Parkinson's Parkinsons pelvic pain Perimenopause perimenopause and breast pain Pneumonia POI post menopause vocal syndrome Premature Ovarian Insufficiency Probiotics Prolapse prostate prostate cancer Pruritis Psoriasis Psychosexual medicine reflux rheumatoid arthritis Rosacea sarcoma self harming sex sex and disability sexual health Shingles Sinusitis skin cancer Skin health sleep Statins Staying positive STI's Strep A Strep throat stroke Takayasu Arteritis talks and presentations TB testosterone Tinnitus trying to lose weight tuberculosis Type 2 Diabetes underactive thyroid Urinary Infections Urinary Tract Infection Using a private GP UTI's vaginal dryness Vascular awareness month vegan diets Vitamin D Vulval itching Winter Vomiting Bug women's health World Health Day

Email enquiry form

How To Find Us

25 Harley Street, London W1G 9QW

Newsletter Signup

You can unsubscribe at any time by clicking the link in the footer of our emails. For information about our privacy practices, please visit our website.


We use MailChimp as our marketing platform. By clicking below to subscribe, you acknowledge that your information will be transferred to MailChimp for processing. Learn more about MailChimp's privacy practices here.