Male Menopause Symptoms

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The symptoms of Male Menopause are often mis-diagnosed by doctors, despite the fact they are easily recognisable, and Male Menopause can be confirmed with a blood test. Learn more about the symptoms and effects the Male Menopause can have on your body in this article.

A Deeper Dive into Male Menopause Symptoms

Male menopause symptoms are characteristic but can often be missed or misdiagnosed by patients and doctors alike.

We take a look at the main symptoms of the male menopause, the changes that men experience and how these differ from the female menopause.

Changes To Your Body Caused by Male Menopause

The male menopause can have a significant impact on a man’s health.

Cardiovascular health – A low testosterone level can negatively impact lipid levels increasing the risk of clots.

Testosterone is also important for heart function, by increasing cardiac output and regulating rhythm.

Brain function – Testosterone is vital for optimal brain function, low testosterone affects memory, concentration and general function.

Bone health – Bone density is governed by testosterone and oestrogen production. As oestrogen is converted from testosterone in the body, men with low testosterone often have a low oestrogen too. This often leads to osteoporosis and osteoarthritis.

Muscle growth – Testosterone is highly anabolic, which means that it helps with the growth and maintenance of muscle mass. This is why men tend to have more muscle than women.

Body fat – Testosterone helps directly and indirectly to reduce body fat levels. Whilst it doesn’t have a huge direct effect on body fat levels, it helps men to stay active and build muscle which both makes staying lean easier.

You can learn whether you have a high body fat by using this BMI calculator to test whether you have a high body fat percentage – bear in mind that if you carry a lot of muscle then the reading may not be accurate.

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What Are The Core Symptoms of Male Menopause?

Male menopause symptoms

The main male menopause symptoms are:

  • Low sex drive/libido – this is one of the main symptoms seen by men with a low testosterone when going through the male menopause
  • Brain fog – a characteristic symptom of male menopause is the inability to concentrate, focus and perform tasks such as simple arithmetic. This is often called brain fog and can have a huge impact on a man’s work and relationships.
  • Low mood – the classic image of a grumpy old man probably stems from older men going through the male menopause. Reduced testosterone levels often result in men feeling sad and irritable for seemingly no reason.
  • Hot flushes – similarly to the female menopause, men can experience hot flushes if their oestrogen levels drop from having a low testosterone.
  • Joint pain and loss of height from osteoporosis – more symptoms related to low oestrogen are joint pain and loss of height which are linked to oestrogen’s role in joint health and bone density.
  • Low energy – testosterone improves a man’s vitality, ensuring he feels full of energy.
  • Poor sleep – lots of men with male menopause symptoms suffer from difficulty sleeping, including insomnia.
  • Erectile dysfunction – testosterone is important for a man’s sexual function. If levels are low then erectile dysfunction may occur. This is often linked to a lack of sex drive.
  • Reduced assertiveness and confidence – testosterone has an important role in social status and confidence.
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ADAM Questionnaire

Low Testosterone Test

The ADAM questionnaire has been shown to have 88% sensitivity in testing for low testosterone.

How Does Female and Male Menopause Differ?

In men, testosterone levels drop slightly every year after 30. As well as this, the levels of SHBG (sex hormone-binding globulin) increase every year which reduces the amount of free testosterone available. Despite this, testosterone levels do not drop suddenly as oestrogen and progesterone levels do in the female menopause.

In women, oestrogen levels drop dramatically after an age where the body can no longer reproduce. This has evolved as a mechanism to move an older woman’s role away from child-bearing into the support of her grandchildren.

In men, this same pressure doesn’t exist but testosterone levels may decline in general, with low levels developing over time.

Finally, not all men experience the male menopause whereas all women over a certain age will go through this change.


Male menopause symptoms are becoming increasingly common. Whilst some people think men don’t go through a ‘menopause’ or andropause, there are a lot of similarities between what some men experience and the female menopause.

The symptoms are very real and can cause untold damage to men’s health and social lives. The best treatment for this condition is Testosterone replacement therapy (TRT).

Learn more about how to get TRT in the UK or check out our blood tests.

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