Andropause (sometimes called late-onset hypogonadism or age-related testosterone decline) refers to symptoms that can occur as testosterone levels gradually decrease with age. Not every man experiences it, and symptoms vary.
Common problems associated with andropause include:
Physical symptoms
- Reduced energy and persistent fatigue
- Decreased muscle mass and strength
- Increased body fat, especially around the abdomen
- Reduced bone density (higher risk of fractures)
- Hot flashes or sweating (less common)
- Reduced physical endurance
- Difficulty recovering after exercise
Sexual symptoms
- Lower sex drive (reduced libido)
- Difficulty getting or maintaining an erection
- Fewer spontaneous morning erections
- Reduced sexual satisfaction
- Decreased fertility (in some men)
Emotional and mental symptoms
- Irritability
- Mood swings
- Depression or feeling low
- Anxiety
- Reduced motivation
- Lower self-confidence
Cognitive symptoms
- Difficulty concentrating
- Memory problems
- Brain fog
- Reduced mental sharpness
Sleep-related symptoms
- Insomnia
- Poor-quality sleep
- Increased daytime sleepiness
Other possible signs
- Loss of body or facial hair
- Smaller testicles (in some cases)
- Mild breast enlargement (gynecomastia)
