Andropause or male menopause is a name that has been given to a menopause-like condition in aging men.

This relates to the slow but steady reduction of the production of the hormones testosterone and dehydroepiandrosterone in middle-aged men, and the consequences of that reduction.

Unlike women, middle-aged men do not experience a complete and permanent physiological shutting down of the reproductive system as a normal event, instead they experience a steady decline in testosterone levels with age.

The impact of low levels of testosterone includes loss of libido and potency, nervousness, depression, impaired memory, the inability to concentrate, fatigue, insomnia, hot flushes, and sweating.

Andropause has been observed in association with Alzheimer’s disease and osteoporosis risk.

Research on subjects that had lower than normal levels of testosterone found that symptoms of andropause decreased dramatically when patients were given replacement doses of testosterone.

Dr. John Morley, a researcher with the Saint Louis University School of Medicine, developed the self-screening tool to help identify symptoms of low testosterone in men. Androgen Deficiency in Aging Men (ADAM) Questionnaire.

Choose the responses below that best describe how you have been feeling:

1. Do you have a decrease in libido (sex drive)?

2. Do you have a lack of energy?

3. Do you have a decrease in strength and/or endurance?

4. Have you lost height?

5. Have you noticed a decreased “enjoyment of life”?

6. Are you sad and/or grumpy?

7. Are your erections less strong?

8. Have you noticed a deterioration in your ability to play sports?

9. Are you falling asleep after dinner?

10. Has there been a recent deterioration in your work performance?

If you answer yes to question one or seven, or at least three of the other questions you may have low testosterone levels.

The following treatments have been found to be effective, these include: Hormone replacement therapy (based on a blood test for testosterone levels), exercise, dietary changes and stress reduction.

If you have additional questions about Andropause, Dr. Lecovin can be reached at (425) 646-4747. His website is:


About the Author

Dr. Geoff LecovinNaturopathic Physician/Chiropractor/Acupuncturist/Certified Strength and Conditioning Specialist/Corrective Exercise Specialist/Performance Enhancement Specialist/Certified Sports Nutritionist/View all posts by Dr. Geoff Lecovin