Male menopause

Also called Late-onset hypogonadism, Andropause, or Low testosterone

The "male menopause" is a term sometimes used for symptoms some men develop in their late 40s to early 50s, such as low mood, tiredness and low sex drive. Unlike the female menopause, testosterone levels fall only slowly with age. Symptoms are often linked to lifestyle or psychological causes, such as stress or depression, but in some men they are caused by low testosterone (late-onset hypogonadism).

Last updated Nov 9, 2026

What it is

Lifestyle changes, such as exercise, a healthy diet, good sleep and less alcohol, and talking therapies can help.

If blood tests show low testosterone, testosterone replacement may be offered by a specialist.

Common signs

  • Low mood or mood swings
  • Loss of sex drive
  • Erectile dysfunction
  • Tiredness and lack of energy
  • Poor concentration
  • Loss of muscle and more body fat

How it is usually diagnosed

  • Questions about symptoms
  • Blood tests for testosterone, usually taken in the morning

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Testosterone blood test results
  • GP or endocrinology letters
  • Medicine lists

Questions to ask your doctor

  • Could my symptoms have another cause?
  • Is my testosterone low?
  • What are the benefits and risks of testosterone treatment?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Thoughts of harming yourself: get urgent help, call 112 if in danger

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources