Andropause, often called the “male menopause”, is the gradual decline of testosterone in men as they age, typically starting in their 30s. Unlike menopause in women, this process is slow and steady, not sudden. Key points to know:

  • Causes: Natural ageing, increased SHBG (sex hormone binding globulin), and lifestyle factors like obesity, stress, poor sleep, and inactivity.
  • Symptoms: Fatigue, low libido, muscle loss, mood swings, memory issues, and increased body fat.
  • Treatments: Lifestyle changes (exercise, healthy diet, proper sleep), testosterone replacement therapy (TRT), and IV nutrient therapies like NAD+ and glutathione.

Men experiencing persistent symptoms should consult a doctor for tailored treatment plans. Early recognition and management can improve quality of life.

What is Andropause?

Andropause is a phase in male ageing marked by a gradual decline in testosterone levels. Often misunderstood as the ‘male menopause’, it differs significantly because it involves a slow, steady reduction in hormone production rather than a sudden shift.

Medical Definition

Medically, andropause refers to the natural hormonal changes in men as they age, primarily involving reduced testosterone levels. Unlike menopause in women, men’s testes continue to produce testosterone throughout their lives, though at lower levels over time.

“It’s nothing like menopause, which occurs over a finite period of time”, says Dr Robert H. Eckel, Professor of Medicine Emeritus.

This distinction helps explain the increasing diagnosis rates seen today.

Rising Cases

Recent data highlights a growing awareness of andropause. Studies shed light on its prevalence:

  • The European Male Aging Study found that 2.1% of men aged 40-79 met the strict criteria for late-onset hypogonadism (LOH).
  • Hypogonadism affects 3.1-7.0% of men aged 30-69, with rates climbing to 18.4% in men over 70.

Lifestyle factors, particularly obesity, have a major impact on testosterone levels. Research shows that men with a BMI over 30 kg/m² have testosterone levels about 30% lower than those with a BMI under 25 kg/m², regardless of age.

The rising recognition of andropause aligns with increased life expectancy and greater focus on men’s health. This awareness has paved the way for improved understanding and management, leading to more effective treatment options.

Why Andropause Occurs

To understand andropause, it’s essential to look at both natural biological changes and the impact of lifestyle on testosterone levels.

Starting at around age 30, testosterone levels drop by about 1% each year. This decline is closely tied to rising levels of sex hormone binding globulin (SHBG), which increases with age. SHBG binds to testosterone, reducing the amount available for the body to use. This explains why some men with normal total testosterone levels still experience symptoms of andropause.

“Age-related testosterone decline is typical and expected. But when sharp declines in testosterone become widespread and are independent of aging, we are headed for uncharted waters.” – Robert Barrett, PhD

While ageing plays a major role, lifestyle choices also significantly affect testosterone levels.

Health and Daily Habits

Certain habits and health conditions can speed up or worsen the effects of andropause. Some of the major factors include:

Factor Impact on Testosterone
Obesity 20–64% of obese men have low testosterone levels
Chronic Stress Elevates cortisol, which blocks testosterone production
Poor Sleep Disrupts hormonal balance, affecting testosterone production
Sedentary Lifestyle Linked to reduced testosterone production
Environmental Toxins Associated with declining hormone levels

Since the late 1980s, men’s testosterone levels have been dropping by 1% annually. This decline is evident in physical changes:

  • Sperm counts have decreased by 50–60% over the last 40 years
  • Grip strength has fallen by 20% over the past 30 years

The issue isn’t just affecting older men. Younger men are also seeing unusually low testosterone levels. Research from Harvard University highlights that waist size is a stronger predictor of low testosterone than age.

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Signs and Symptoms

Recognising andropause early can lead to timely treatment. Symptoms tend to appear gradually, affecting both the body and the mind.

Physical Changes

Andropause often causes noticeable shifts in physical health. Research shows that between the ages of 30 and 70, healthy men lose about 20% of their skeletal muscle mass. Some common physical changes include:

Physical Change Description Typical Onset
Muscle Changes Loss of muscle mass and reduced strength Gradual, starting age 30+
Body Composition Increased fat, especially around the abdomen Progressive
Sexual Function Lower libido and erectile difficulties Variable
Physical Appearance Changes in testicle size; altered breast tissue Progressive
Energy Levels Persistent fatigue and lower stamina Early indicator

Other symptoms, such as disrupted sleep and hot flushes, are also common and resemble those seen in female menopause. These physical changes can have a significant impact on both work and personal life.

Mental Health Effects

Psychological symptoms are another key aspect of andropause. Studies suggest that about 30% of men in their 40s experience changes such as memory problems, difficulty concentrating, irritability, mood swings, low self-esteem, depression, and increased anxiety.

These issues shouldn’t be dismissed as normal ageing. If multiple symptoms occur together or seriously affect daily life, seeking medical advice is essential for proper evaluation and treatment.

Managing Andropause

Managing andropause often involves a mix of lifestyle adjustments, medical treatments, and nutrient therapies.

Daily Habits That Make a Difference

Living a balanced lifestyle can ease andropause symptoms. Regular exercise helps maintain muscle, supports heart health, and boosts energy levels. Here’s a quick look at a recommended exercise routine:

Activity Type Frequency Benefits
Strength Training 2 sessions weekly Helps maintain muscle and bone health
Moderate Cardio 150 minutes weekly Supports heart health and weight management
HIIT Workouts 2–3 sessions weekly Burns more calories than standard exercises
Stretching 3–4 times weekly Enhances flexibility and reduces injury risk

Pairing exercise with a nutrient-rich diet – think whole grains, lean proteins, and healthy fats – can also support hormone balance. Add 7–9 hours of quality sleep, and you’re giving your body the tools it needs to manage this phase of life.

Medical Options: Testosterone Therapy

If lifestyle changes don’t fully address symptoms, medical treatments like testosterone replacement therapy (TRT) might be an option. The American Urology Association defines low testosterone as levels below 300 ng/dL, and by age 70, testosterone levels in men often drop by about 30% from their peak.

“There’s no good evidence that we could find that testosterone therapy increases cardiovascular risk”, says Dr Abraham Morgentaler, Director of Men’s Health Boston and urologist at Beth Israel Deaconess Medical Centre.

TRT comes in various forms, including gels, patches, injections, tablets, or implantable pellets. It can improve sexual function, lean body mass, bone density, mood, and energy levels. However, it’s not a one-size-fits-all solution and requires thorough medical evaluation and supervision to ensure it’s the right choice.

IV Boost UK Treatment Options

For additional support, IV nutrient therapy can help rejuvenate cellular health. IV Boost UK offers targeted treatments, such as:

Treatment Benefits Course Options
NAD+ Anti-Ageing IV Therapy Supports DNA repair and energy Single (£800) or 3-day course (£1,800)
Anti-Ageing IV Booster Increases energy and vitality Single (£395) or multi-treatment plans
MitoGive Glutathione IV Therapy Promotes cellular health Personalised treatment plans

“It’s like my engine has had a good oiling, and I’m now running nice and smoothly. I feel wonderful” – Tony Wrighton, TV & Radio Broadcaster.

These treatments are administered by GMC-registered doctors after a comprehensive medical consultation, ensuring both safety and effectiveness. The clinic blends Western medical practices with nutritional science to create personalised plans tailored to each individual’s needs.

Next Steps

Addressing andropause effectively requires a mix of medical guidance and lifestyle adjustments. If you’re dealing with symptoms like fatigue, mood swings, or loss of muscle mass, it’s important to get a professional evaluation.

When to Seek Help Action Steps Expected Outcomes
Persistent fatigue and mood changes Visit your GP for consultation and blood tests Identify or rule out underlying health issues
Severe symptoms impacting daily life Comprehensive health evaluation Develop a personalised treatment plan

These symptoms signal the need for professional assessment to find the right treatment strategy.

Dr. Joshua Berkowitz and his team of specialists at IV Boost UK provides tailored consultations to create personalised treatment plans. These consultations work alongside lifestyle changes, combining established therapies with individualised care.

“Understanding what causes Andropause, recognising its symptoms and exploring treatment options are essential steps to navigate this stage of life.” – Broadway Clinic

To get the best results:

  • Schedule regular health check-ups and hormone level tests.
  • Discuss your nutritional needs during consultations.
  • Book an initial assessment to explore IV therapy options.
  • Set up a plan for ongoing monitoring and adjustments.
  • Reassess and refine lifestyle changes as necessary.

A medical consultation at IV Boost UK (£150) includes a review of your symptoms and medical history, leading to a tailored treatment plan.

Research from Harvard Medical School highlights the potential of NAD+ therapy in combating age-related decline, showing encouraging results in cellular rejuvenation. When integrated with medical supervision, this approach offers a well-rounded method for managing andropause symptoms.

Regular follow-ups and adjustments to your treatment plan are key to maintaining your health and well-being.