Male menopause

Male menopause is a term used to refer to an age-related decline in testosterone levels in men. However, male menopause is a misleading description because it suggests a comparison with the dramatic end of reproductive function experienced by women.

All women experience a profound fall in oestrogen levels at the time of the menopause. In men, testosterone levels fall much less and much more gradually. This decline may not affect all men. Recent research suggests that testosterone levels may not drop at all in very healthy older men.

Other terms used to refer to a decline in testosterone levels include andropause and viropause. These terms have no established medical meaning.

Testosterone treatment and male menopause

Testosterone treatment should not be endorsed, sought or prescribed as a ‘cure-all’ for symptoms of ageing in men. There is no evidence that testosterone treatment will benefit older men with slight falls in testosterone levels.

Only men with proven testosterone deficiency (also referred to as androgen deficiency) will benefit from testosterone treatment.

Illness and male menopause

Many illnesses that are common in older men can cause a drop in testosterone levels. Illnesses that may cause either a drop in testosterone levels, or symptoms similar to testosterone (androgen) deficiency, include:

• Diabetes mellitus
• Cardiovascular disease
• Some lung diseases
• Depression.

There is no evidence to support the use of testosterone therapy for these conditions.

Obesity and male menopause

Obesity is strongly associated with lower testosterone levels. However, this does not mean that obese men with lowered testosterone levels should automatically receive testosterone treatment.

Obese men with low testosterone levels should consult their doctor for a complete review of their health, lifestyle and physical activity levels.

Where to get help

• Your doctor
• Andrology Australia Tel. 1300 303 878

Things to remember

• The term ‘male menopause’ is used to refer to the age-related decline in testosterone levels in men.
• The term ‘male menopause’ is misleading as it suggests a comparison with the dramatic end of reproductive function experienced by women
• Testosterone levels gradually fall with age, but the effects are variable.
• Symptoms may not be a good guide to testosterone levels.

You might also be interested in:

• Androgen deficiency in men.
  
• Infertility - male.
  
• Menopause.
  

Want to know more?

Go to More information for support groups, related links and references.

This page has been produced in consultation with and approved by:

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Andrology Australia

Last reviewed: January 2013

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Male menopause is a term used to refer to an age-related decline in testosterone levels in men. The effects of this decline vary. Other terms used to refer to a decline in testosterone levels include andropause and viropause.

Content on this website is provided for education and information purposes only. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your qualified health professional. Content has been prepared for Victorian residence and wider Australian audiences, and was accurate at the time of publication. Readers should note that over time currency and completeness of the information may change. All users are urged to always seek advice from a qualified health care professional for diagnosis and answers to their medical questions.

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