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Urology

Understanding Andropause: A Complete Guide

Andropause is primarily the result of a decrease in testosterone production

Understanding Andropause: A Complete Guide

Men between the ages of 40 and 55 may experience a stage similar to menopause in women, known as andropause.


Andropause is a significant phase in a man's life, marked by a gradual decline in testosterone levels. This natural phenomenon can significantly impact male health and well-being. Below, we explore the causes, symptoms, diagnosis, and treatment of andropause, aiming to provide a clear understanding and practical advice.



Causes of Andropause

Andropause is primarily the result of a decrease in testosterone production. This decline can be caused by factors such as aging, chronic diseases, obesity, and specific medical treatments. Leydig cells in the testicles, responsible for testosterone production, decrease their activity, while the increase in SHBG protein reduces the available testosterone in the blood.



Symptoms of Andropause

Andropause symptoms can vary in intensity and nature but commonly include:

  • Decreased sexual desire

  • Erectile dysfunction

  • Mood changes, such as depression or irritability

  • Loss of muscle mass and increased body fat

  • Energy loss and fatigue

  • Concentration and memory problems

  • Osteoporosis or decreased bone density

  • Infertility

  • Reduced potency and volume of ejaculation

  • Discomfort or swelling in the chest area

  • Sudden heat episodes, excessive sweating, or tremors

  • Constipation issues

  • Sleep pattern disturbances

  • Anxiety, depressive states, or feelings of restlessness

  • A tendency towards irritability and nervousness

  • Focus and memory lapses



Diagnosis of Andropause

Andropause diagnosis is made through a detailed clinical evaluation by a Urologist, who may request blood tests to measure testosterone levels. Considering other factors, such as age, symptoms, and the patient's medical history, is essential for an accurate diagnosis.



Treatment of Andropause

Andropause treatment may include testosterone replacement therapy, administered orally, by injections, or through gels or skin patches. This treatment aims to alleviate symptoms by compensating for the testosterone deficit. However, a rigorous medical evaluation is crucial, as hormone therapy can have side effects and is not suitable for all patients.



Recommendations for Men During Andropause

  1. Prioritize healthy nutrition.

During andropause, opt for a diverse and balanced diet, focusing on low-fat and high-fiber foods.

  1. Maintain an active lifestyle.

Sedentary habits and a high body mass index can accelerate andropause. Therefore, regular exercise is advised, which helps maintain a healthy weight, prevent bone density loss, and strengthen your physical and emotional well-being.

  1. Limit harmful substance consumption.

Reduce or eliminate alcohol and stimulants like caffeine. If you smoke, consider quitting.

  1. Communicate your concerns with your partner.

Discussing these changes with your partner can effectively manage them and enhance intimate relationships.

  1. Seek medical advice.

Detecting andropause symptoms early can be vital to mitigating its progression and preventing possible conditions associated with this life stage.



When Should You See a Doctor?

It's advisable to consult a Urologist if you experience symptoms associated with andropause, significantly if they affect your quality of life. Early detection and treatment can dramatically improve symptoms and prevent long-term complications.


Andropause is a natural phase in a man's life, but it doesn't have to diminish his quality of life. If you're experiencing symptoms or have concerns, we invite you to schedule an appointment at BlueNetHospitals. Our expert Urology team is prepared to guide you before, during, and after andropause, offering you the care and treatment you need. Take care of your health and well-being. Schedule your appointment today!



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