Male Menopause: Age and Symptoms

Men, like women, experience a menopausal transition—known as “andropause”—which is a natural manifestation of aging. During this period, men may exhibit various physical and psychological changes that differ from their usual state. However, with appropriate daily self-care—particularly dietary adjustments—men can navigate this transitional phase more smoothly. So, at what age does male menopause occur, and what symptoms might it entail? Below, we address these questions.

Age of Onset and Symptoms of Male Menopause

The age at which men enter andropause varies significantly among individuals. Currently, approximately 30% of men aged 40–70 experience clinical symptoms associated with male menopause—commonly termed “partial androgen deficiency in the aging male” (PADAM). Symptoms of male menopause resemble those seen in female menopause and may include emotional instability, irritability, mood swings, excessive sweating, palpitations, diminished memory, poor nocturnal sleep, weight gain, and elevated blood pressure. Additionally, sexual dysfunction—including erectile dysfunction and premature ejaculation—may occur. Due to physiological differences, however, male menopause differs from its female counterpart: men lack clear onset signals such as menarche or menopause, and their symptoms tend to be less pronounced and less prevalent than in women.

Knowledge Extension: Managing Male Menopause

1. Pharmacological Management

For men with severe andropausal symptoms, testosterone replacement therapy—such as oral testosterone undecanoate—may be prescribed to supplement declining androgen levels. To alleviate autonomic nervous system dysfunction, medications including gamma-oryzanol and vitamin B1 may also be used. Additionally, certain traditional Chinese medicines—such as Liu Wei Di Huang Wan (Rehmannia Six Formula) or Xiao Yao Wan (Free and Easy Wanderer)—may help improve symptomatology.

2. Dietary Management

Men experiencing andropause should not rely solely on pharmacotherapy; instead, they must maintain regular daily routines and adopt healthy dietary habits. Their diet should provide adequate high-quality protein—such as eggs and milk—to support overall physical resilience. Foods rich in vitamins and calcium are also essential to prevent osteoporosis resulting from calcium deficiency. Furthermore, excessive salt intake promotes fluid retention and contributes to hypertension; therefore, sodium intake should be limited. Similarly, consumption of high-fat foods should be moderated.

The above outlines the typical age range and common symptoms associated with male menopause. We hope this information proves helpful to you.