The male menopause

Is there such a thing as a ‘male menopause’?

This label is misleading because it suggests the symptoms are the result of a sudden drop in testosterone in middle age, similar to what occurs in the female menopause. This isn’t true. Although testosterone levels fall as men age, the decline is steady – less than 2% a year from around the age of 30-40. It’s more likely a crisis of confidence.

What is it?

Some men develop depression, loss of sex drive, erectile dysfunction and other physical and emotional symptoms when they reach 45-50.

Other symptoms are: mood swings and irritability; loss of muscle mass and reduced ability to exercise; developing a large belly or ‘man boobs’ ; a general lack of energy; difficulty sleeping; poor concentration and shortterm memory.

What to do

If you’re experiencing any of the above symptoms, see your GP. They’ll ask about your work and personal life to see if symptoms may be caused by a mental health issue such as stress or anxiety. If stress or anxiety are affecting you, you may benefit from medication or a talking therapy, such as cognitive behavioural therapy (CBT). Exercise and relaxation can also help.

Do I need HRT?

Your GP will do a blood test to measure your testosterone levels. If the results suggest you have a testosterone deficiency you may be referred to an endocrinologist (a specialist in hormone problems), though many doctors are reluctant to prescribe testosterone as it’s linked to heart disease and prostate cancer.