Understanding the Male Menopause – Andropause Explained

When we hear the word “menopause,” we often think about changes that happen in women’s bodies, usually around midlife. But men can experience their own version of this transition, often referred to as the male menopause or andropause.

While it’s not exactly the same as menopause in women, andropause describes a set of physical, emotional, and psychological changes that some men experience as they age, usually between the ages of 40 and 60.

What Is Male Menopause?

The term “male menopause” can be misleading because, unlike menopause in women, it’s not marked by a sudden stop in reproductive ability. Instead, it’s more gradual. The main change is a decline in testosterone levels, which can affect mood, energy, and overall wellbeing.

Testosterone levels naturally decrease by about 1% per year after the age of 30, but for some men, this drop becomes noticeable and can impact daily life.

Common Signs and Symptoms

Not every man will experience male menopause in the same way, but some common changes include:

• Low mood, irritability, or anxiety

• Loss of energy and motivation

• Reduced muscle mass and increased body fat

• Changes in sleep patterns

• Lower libido or sexual difficulties

• Problems with concentration or memory

  
  

These symptoms can feel unsettling, particularly if they come alongside other life changes such as career transitions, family responsibilities, or concerns about ageing.

The Emotional Impact

The male menopause can be just as much about mental health as physical health. Changes in hormones can affect mood, but so can shifts in identity, self-esteem, and relationships. Men often feel pressure to “stay strong” or keep emotions hidden, which can make it harder to talk about what’s going on. This can lead to feelings of isolation, frustration, or even depression.

What Can Help?

If you think you may be experiencing male menopause, the good news is there are steps you can take to manage it.

1. Speak to your GP - It’s important to rule out other medical conditions and, if needed, check your testosterone levels. Your GP can discuss treatment options, which may include lifestyle changes, talking therapies, or in some cases, hormone replacement therapy.

2. Look after your physical health - Regular exercise, a balanced diet, and good sleep habits can make a big difference to energy and mood.

3. Prioritise mental wellbeing - Talking about what you’re going through, with friends, loved ones, or a counsellor, can help you process emotions and reduce feelings of isolation.

4. Make space for stress relief - Mindfulness, relaxation techniques, or hobbies you enjoy can help restore balance and build resilience.

How Counselling Can Help

Counselling offers a safe, non-judgemental space to explore how male menopause is affecting you, not just physically, but emotionally and mentally. Together, we can look at coping strategies, work towards positive change in self-esteem or relationships, and help you navigate this stage of life with more confidence and clarity.

Final Thoughts

Male menopause is a natural part of ageing for some men, but that doesn’t mean you have to face it alone or “just put up with it.” Recognising the signs and taking steps to support both your body and mind can make this transition far easier to manage.

If you’d like to explore how counselling could support you through male menopause, I’m here to help. Just reach out for a free, informal chat: linda@sakaurapathwayscounselling.com