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Andropause, also known as "male menopause", refers to the gradual decline in testosterone levels in men as they get older. Unlike the female menopause, andropause does not lead to the complete cessation of sperm production, but rather to a progressive decrease in testosterone production. Andropause is frequently the source of sexual disorders.

Symptoms of andropause

Andropause is not always easy to diagnose, as its symptoms are often similar to those of depression. The most common symptoms of andropause are:

  • Erectile dysfunction
  • Decreased libido as well as sexual activity
  • Fatigue, lack of energy and/or sleep disorders
  • Mood swings and irritability
  • Weight gain, particularly in the abdominal area
  • Loss of muscle mass and strength
  • Decreased body hair
  • Hot flashes

Although less common, a reduction in hormone production can lead to osteoporosis, which is characterized by a reduced bone density.

Causes of andropause

The main cause of andropause is the natural aging of the body, which leads to a progressive decline in testosterone production from the age of 45-50. Some medical treatments can also accelerate this process. This is the case with anti-androgens used in prostate cancer treatments, anticonvulsants used to prevent or control epilepsy, or hair loss treatments (finasteride).

Consequences of andropause

In addition to the physical and psychological symptoms, andropause can impact the quality of life and have significant consequences for men's health:

  • Reduced fertility and sperm quality
  • Increased risk of osteoporosis and fractures
  • Increased risk of cardiovascular disease
  • Mood disturbances leading to depression

Treating andropause

The main treatment for andropause consists in compensating for hormone depletion by supplementing testosterone, whether in the form of tablets, injections, gels or patches. However, this treatment must be prescribed with care and under medical supervision, as it can cause side effects such as prostate enlargement.

Other, complementary approaches can also be beneficial, such as:

  • A balanced diet rich in essential nutrients
  • Regular physical activity
  • Stress management techniques

Care at Hôpital de La Tour

At Hôpital de La Tour, we offer you personalized care from an experienced and multidisciplinary team. Our specialists remain available to offer advice on adopting a healthy lifestyle and, if necessary, to suggest treatment to minimize the effects of this physiological hormonal decline.

FAQ on andropause

At what age does andropause begin?
Andropause can start as early as the age of 45 but is more frequently diagnosed after the age of 65.


What are the main symptoms of andropause?
In addition to reduced libido and erectile dysfunction, the main symptoms of andropause include fatigue, sleep disorders, hot flashes, weight gain, loss of muscle mass and body hair, as well as bone fragility (osteoporosis).


What treatments are available for andropause?
Treatment of andropause relies mainly on testosterone replacement, in various forms (injections, tablets, gels, patches). Regular medical follow-up is required to monitor any side effects.


Can andropause be prevented?
Although aging is the main cause of andropause, certain risk factors can be controlled. A balanced diet, regular exercise and stress management can help prevent or delay the symptoms.


Are there differences between andropause and female menopause?
Although they share certain symptoms, andropause and female menopause have important differences. The main difference is that andropause does not lead to the complete cessation of sperm production, whereas menopause marks the end of fertility for women.