When people hear the term "male menopause" (andropause), they often think only of declining sexual function. However, the reality is far more complex, encompassing a wide range of physical and psychological symptoms that can significantly alter a man’s quality of life.

The Silent Decline: Earlier Than You Think
While female menopause is marked by a sudden cessation of menstruation, male menopause is characterized by a gradual, steady decline in testosterone levels starting in the 30s. According to Professor Bae Woong-jin of the Department of Urology at Catholic University of Korea Seoul St. Mary’s Hospital, many men begin experiencing hormonal deficiencies as early as their mid-40s.

Because this decline is incremental, symptoms are often dismissed as simple fatigue or "aging." However, since this process continues throughout a man’s life, long-term management is essential.

Beyond Sexual Health: A Holistic Impact
Diagnosis is not based solely on blood tests. While a testosterone level below 3.5 ng/mL is often cited as a benchmark, doctors prioritize clinical symptoms, including:

Physical: Reduced muscle mass, decreased bone density, and chronic fatigue.
Emotional: Increased irritability, depression, and a loss of motivation.
Lifestyle: Office workers with low physical activity or those with chronic conditions like diabetes are at higher risk of early onset.

Treatment and Lifestyle Management
Hormone Replacement Therapy (HRT) has shown success in increasing libido, improving memory, and boosting muscle mass. Current treatments include gels, nasal sprays, and long-term injections. However, HRT is not recommended for those with a history of prostate cancer, as testosterone can stimulate the growth of cancer cells.

"Regular exercise is the best natural way to boost testosterone," says Professor Bae. "Men should also avoid excessive alcohol, smoking, and high stress levels."

 
Are You at Risk? The Self-Diagnosis Checklist
According to clinical standards, if you answer "Yes" to questions 1 or 2, OR to any three of the remaining questions, you should consult a specialist.

Has your interest in sex decreased?
Has the strength of your erections decreased?
Do you feel a significant lack of energy?
Has your physical strength or endurance dropped?
Have you noticed a decrease in your height?
Have you lost your enjoyment of life?
Do you frequently feel sad or grumpy?
Has your agility decreased during exercise?
Do you fall asleep immediately after dinner?
Has your work performance declined recently?