If the diagnosis of low testosterone has been confirmed by appropriate testing and lifestyle changes don't correct it, testosterone replacement therapy (TRT) may be appropriate. The damage could come from an injury, infection, radiation treatment, androgen deprivation therapy (for treating prostate cancer), or chemotherapy. Unlike women who experience very low estrogen levels at menopause, a man's testosterone level may never fall below the normal range. About 10% to 15% of men ages 60 and older have low testosterone levels, and that percentage rises further as men get older. This is the time in a woman's life when her level of estrogen (the primary female sex hormone) falls dramatically, usually between ages 45 and 55. During mid-life or later, men often experience a lower energy level, sour mood, and sex drive decline. 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. While it shares some similarities withmenopause, it is a distinct condition characterized by a gradual decline intestosterone levels. Managing andropause focuses onrelieving symptoms and improving quality of life. This is known as late-onset hypogonadism and can cause the "male menopause" symptoms. This can happen when men think they have reached life's halfway stage. These symptoms can interfere with everyday life and happiness, so it's important to find the underlying cause and work out what can be done to resolve it. Andropause is an important yet oftenoverlooked aspect of men’s health. Because these symptoms oftenoverlap with other health conditions, they are sometimes overlooked ormisdiagnosed. Increased public awareness and a willingness to challenge old stigmas have opened the door for honest discussions about topics like mental wellness and women’s health. In 2026, the Bellevue fitness scene has evolved beyond the "big box" gym model into a landscape of luxury recovery suites, data-driven strength training, and high-performance communities. Take control of your health and vitality today by scheduling a comprehensive evaluation with Huddle Men’s Health. Alternative treatments are available and generally safe, but some are used "off label," meaning they are not officially approved for this purpose but are supported by medical studies and guidelines. Regular monitoring of blood counts, prostate health, and cardiovascular risk factors is essential. Men with prostate cancer, severe sleep apnea, uncontrolled heart failure, or elevated red blood cell counts typically shouldn't receive testosterone therapy. They can be particularly motivating when you're making lifestyle changes. Breaking this cycle often requires a multifaceted approach addressing sleep hygiene, physical activity, and nutrition simultaneously. Some men develop depression, loss of sex drive, erectile dysfunction, and other physical and emotional symptoms when they reach their late 40s to early 50s. Andropause is a natural part of aging,but it does not have to diminish quality of life. Treatment approaches can bemedical or lifestyle-based. Diagnosing andropause can bechallenging because its symptoms overlap with many other conditions. These symptoms can significantly affecta man’s quality of life, relationships, and productivity if left unaddressed. The symptoms of andropause can varywidely among men and may be mild or severe. By the age of 50-55, many men observe more noticeable symptoms. In contrast, men do not experience a universal reproductive "stop date." For that reason, I do not prefer terms like "manopause" or "menopause for men." Don't accept diminished quality of life as inevitable," says Stephen A. Ferrara, DNP, who has spent decades treating patients in men's health and primary care. "These changes are normal, common, and manageable, but you need to take proactive steps to address them. This approach — one of compassion, medical sophistication and an openness to new techniques — extends to each individual area of our practice. Led by Michael A. Werner, MD, a board-certified urologist specializing in sexual and reproductive health, Maze has always focused on making a difference in people’s lives. At Maze Men’s Health, all TRT patients are monitored regularly with lab testing, physical evaluations, and follow-up visits. Starting this conversation is about prioritizing your health and taking charge of your well-being. In one study, men receiving testosterone had decreased rates of becoming diabetic and those with diabetes had improved blood sugars compared to patients receiving placebo. Men with hypogonadism have higher rates of cardiovascular disease and a higher risk of having a heart attack. They may be your body’s way of signaling a hormonal imbalance that can be addressed. It’s common for men to dismiss changes in their body or mood as just part of aging. At Surjen Healthcare, we are committed to respecting your autonomy and providing informed consent during every step of your healthcare journey. As men age, their bodies undergo arange of natural changes—some obvious, others more subtle. Each member of our team is committed to delivering exceptional treatment for both common and complex urologic conditions.
