Male menopause: Myth or reality?
Aging-related hormone changes in men — sometimes called male menopause — are different from those in women. Understand signs, symptoms and treatment options.By Mayo Clinic Staff
Hormone changes are a natural part of aging. Unlike the more dramatic reproductive hormone plunge that occurs in women during menopause, however, sex hormone changes in men occur gradually. Here's what to expect, and what you can do about it.
Debunking the male menopause myth
The term "male menopause" is sometimes used to describe decreasing testosterone levels related to aging. Female menopause and so-called male menopause are two different situations, however.
In women, ovulation ends and hormone production plummets during a relatively short period of time. In men, production of testosterone and other hormones declines over a period of many years and the consequences aren't necessarily clear.
So what's the best way to refer to so-called male menopause? Many doctors use the term "andropause" to describe aging-related hormone changes in men. Other terms include testosterone deficiency syndrome, androgen deficiency of the aging male and late-onset male hypogonadism.
Understanding male hormones over time
Testosterone levels vary greatly among men. In general, older men tend to have lower testosterone levels than do younger men. Testosterone levels gradually decline throughout adulthood — about 1 percent a year after age 30 on average.
May 18, 2017
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- Harman SM. Endocrine changes with aging. http://www.uptodate.com/home. Accessed March 2, 2017.
- Snyder PJ. Overview of testosterone deficiency in older men. http://www.uptodate.com/home. Accessed March 2, 2017.
- Hall JE. Reproductive and hormonal functions of the male (and function of the pineal gland). In: Guyton and Hall Textbook of Medical Physiology. 13th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed March 2, 2017.
- Melmed S, et al. Endocrinology and aging. In: Williams Textbook of Endocrinology. 13th ed. Philadelphia, Pa.: Elsevier; 2016. https://www.clinicalkey.com. Accessed March 2, 2017.
- Male menopause: Myth vs. fact. The Journal of Clinical Endocrinology and Metabolism. 2014;99:49A.
- Burschtin O, et al. Testosterone deficiency and sleep apnea. Sleep Medicine Clinics. 2016;11:525.
- Men and depression. National Institute of Mental Health. https://www.nimh.nih.gov/health/publications/men-and-depression/index.shtml. Accessed March 2, 2017.
- DHEA. Natural Medicines. https://naturalmedicines.therapeuticresearch.com. Accessed March 2, 2017.
- Jameson JL, et al., eds. Adrenarche and adrenopause. In: Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed March 2, 2017.
- Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. March 15, 2017.